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Sleep quality in patients admitted to an intermediate care unit
Paula Itxaso Sirera-Pérez1, Adriana Martín-Sanjoaquín1, Beatriz Juandeaburre-Pedroarena1
1Área de Cuidados Intermedios, Clínica Universidad de Navarra, Spain.
Enfermeria Clinica
|April 25, 2025
Summary
Patients in intensive care units (ICU) experience fair sleep quality. Factors like noise, pain, and light significantly disrupt sleep, highlighting the need for environmental and care adjustments to improve rest.
Area of Science:
- Critical Care Medicine
- Sleep Science
- Patient Experience
Background:
- Intensive care units (ICUs) present numerous environmental and clinical factors contributing to sleep disturbances in critically ill patients.
- Understanding patient perceptions of sleep is crucial for developing effective interventions.
Purpose of the Study:
- To describe patient perceptions of night rest in an ICU setting.
- To correlate sleep perceptions with sociodemographic variables.
- To identify key factors negatively impacting sleep quality.
Main Methods:
- A descriptive, prospective, observational study was conducted in a tertiary university hospital ICU.
- Sleep perception was measured using the Richards-Campbell Sleep Questionnaire (RCSQ).
- Sociodemographic, clinical data, and sleep-influencing factors were collected via questionnaires.
Main Results:
- Seventy-five patients' sleep was analyzed over 146 nights, revealing fair overall sleep perception.
- The mean RCSQ score was 60.22 (SD: 24.81).
- Significant factors affecting sleep included patient concern, noise, pain, discomfort, ambient light, and the presence of other patients.
Conclusions:
- Patient perception of sleep in the ICU was generally fair.
- Minimizing environmental disturbances (light, noise), managing pain, and improving patient communication and comfort are vital for enhancing sleep quality.
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