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Impact of an Intervention Aimed at Improving Sleep Quality in Hospitalized Children
Carolina Lechosa-Muñiz1,2,3, Laura Ruiz-Azcona1,4, Elena Pérez Belmonte2,3,5
1Departamento de Enfermería, Universidad de Cantabria, Avda. Valdecilla s/n, 39008 Santander, Spain.
Insights
An educational intervention improved sleep patterns in hospitalized children by reducing nocturnal awakenings. This targeted approach supports faster recovery and better patient outcomes.
Area of Science:
- Pediatric Sleep Medicine
- Hospital Quality Improvement
- Evidence-Based Practice Implementation
Background:
- Adequate sleep is crucial for hospitalized children's recovery.
- Disrupted sleep patterns are common in pediatric inpatient settings.
Purpose of the Study:
- To investigate the impact of an educational intervention on pediatric inpatient sleep patterns.
- To assess changes in sleep duration and nocturnal awakenings.
Main Methods:
- A cross-sectional study was conducted in a pediatric unit.
- Sleep variables, including awakenings and their causes, were analyzed pre- and post-intervention.
- Student's t-test was used for statistical comparison.
Main Results:
- Nocturnal awakenings decreased by 17% post-intervention (mean 1.34 vs. 1.98).
- Awakenings due to nursing care reduced from 48% to 34%.
- Sleep-inducing drug use remained low (4% baseline, 3% post-intervention).
Conclusions:
- Educational interventions effectively improve pediatric sleep patterns.
- Targeted evidence-based practices can significantly decrease nocturnal awakenings.
- Improving sleep quality aids in children's hospital recovery.
Background:
Hospitalized children need adequate sleep to favor early recovery.
Methods:
To study the sleep pattern of children admitted to a pediatric inpatient unit, a cross-sectional study was carried out at a reference hospital in northern Spain. The main study variables were medical specialty of admission, sleep-inducing treatment, hours of sleep at home and during admission, number of nocturnal awakenings, and reasons for awakening. Differences in the hours of sleep and nighttime awakenings between the initial period and at six months were calculated using the Student's t-test.
Results:
We included 100 baseline patients and 100 post-intervention patients. Up to 4% of the baseline sample and 3% of the six-month sample had been prescribed a sleep-promoting drug. Regarding awakenings, 79% of the children in the baseline sample suffered awakenings, with a mean of 1.98 awakenings (range 1-13). At six months, the percentage of children who experienced awakenings decreased by 17%, with a mean of 1.34 (range 1-5). In the baseline sample, 48% were caused by nursing care, decreasing to 34% after the intervention.
Conclusions:
An educational intervention with the implementation of targeted evidence-based practices is a useful measure for improving the sleep pattern by decreasing the number of awakenings.
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