Volume 3, Issue 3 (Summer 2017 -- 2017)                   JCCNC 2017, 3(3): 189-196 | Back to browse issues page

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Najafi Ghezeljeh T, Nasari M. Sleep Quality of Patients Admitted to the Coronary Care Unit: Pilot Study. JCCNC. 2017; 3 (3) :189-196
URL: http://jccnc.iums.ac.ir/article-1-130-en.html
1- Department of Critical Care Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
2- MSc. Student Department of Critical Care Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. , maryamnasari65@yahoo.com
Abstract:   (204 Views)
Background: Sleep deprivation has numerous negative consequences on the human body and mind. It exacerbates anxiety, irritability, and nervousness and worsens the cardiovascular function. This study aimed at evaluating the quality of sleep in patients admitted to the cardiac intensive care unit.
Methods: This was a descriptive study with 93 patients hospitalized in critical care units of three teaching hospitals in 2016. The samples were chosen using a convenient sampling method. The quality of sleep was assessed in two consecutive days using the demographic data form and the Richards–Campbell Sleep Questionnaire (RCSQ). Descriptive and inferential statistics was used for data analysis via the SPSS software version 20.
Results: It was found that more than % 90 of the patients in the cardiac care units had a low level of quality of sleep. The patients had problems in the depth of sleep, ease in falling asleep, frequent waking from sleep, ease in returning to sleep, and subjective sleep quality. The mean scores of the quality of sleep before hospitalization and in the first night after hospitalization were 63.68 (SD = 17.96) and 54.2 (SD = 16.90), respectively. A statistically significant correlation was reported between the quality of sleep in the night before and the first night of hospitalization (P < 0.0001). 
Conclusion: Due to the high prevalence of sleep disorders in patients admitted to cardiac intensive care units and the consequences of low sleep quality on their health, appropriate interventions for improving the quality of sleep in patients admitted to coronary care units are required.
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Type of Study: Research | Subject: Special
Received: 2016/12/14 | Accepted: 2017/03/19 | Published: 2017/08/1

1. Achury-Salda-a, D. M. & Achury, L. F, 2010. [Sleep in the Critical Patient: An Unmet Need in the Intensive Care Unit (Spanish)]. Nursing Research: Image and Development, 12(1), pp. 25-42.
2. Adib Hajbaghery, M., Izadi Avanji, F. & Akbari, H., 2012. Quality of sleep and its related risk factors in hospitalized older patients in Kashan's hospitals, Iran 2009. Iranian Journal of Nursing and Midwifery Research, 17(6), pp. 414-20. PMCID: PMC3733285 [PMID] [PMCID]
3. Ahmadi, M. & Poormansouri, S., 2015. Effectiveness of self-management educational program on fatigue in sickle cell patients. Journal of Clinical Nursing and Midwifery, 4, pp. 29-42.
4. Ahmed, M. A., Youssef, W. & El Feky, H., 2015. Sleep quality as perceived by critically ill patients at El Manial University Hospi-tals. Egyptian Journal of Nursing, 10(1). doi: 10.1999/1307-6892/34478
5. BaHammam, A. et al., 2010. Circadian pattern of sleep, energy expenditure, and body temperature of young healthy men during the intermittent fasting of Ramadan. Appetite, 54(2), pp. 426–429. doi: 10.1016/j.appet.2010.01.011 [DOI:10.1016/j.appet.2010.01.011]
6. Beltrami, F. G. et al., 2015. Sleep in the intensive care unit. Jornal Brasileiro de Pneumologia, 41(6), pp. 539–46. doi: 10.1590/s1806-37562015000000056 [DOI:10.1590/s1806-37562015000000056]
7. Bihari, S. et al., 2012. Factors affecting sleep quality of patients in intensive care unit. Journal of clinical sleep medicine: JCSM: Official Publication of the American Academy of Sleep Medicine, 8(3), pp. 301-7. doi: 10.5664/jcsm.1920 [DOI:10.5664/jcsm.1920]
8. Chandola, T. et al., 2010. The effect of short sleep duration on coronary heart disease risk is greatest among those with sleep dis-turbance: A prospective study from the Whitehall II cohort. Sleep, 33(6), pp. 739–44. doi: 10.1093/sleep/33.6.739 [DOI:10.1093/sleep/33.6.739]
9. Duong Coburn, N., 2013. A systematic review of sleep quality and sleep promotion in the intensive care unit. San Marcos, California: Cali-fornia State University San Marcos.
10. Elliott, R., McKinley, S. & Cistulli, P., 2011. The quality and duration of sleep in the intensive care setting: An integrative review. In-ternational Journal of Nursing Studies, 48(3), pp. 384–400. doi: 10.1016/j.ijnurstu.2010.11.006 [DOI:10.1016/j.ijnurstu.2010.11.006]
11. Fontana, C. J. & Pittiglio, L. I., 2010. Sleep deprivation among critical care patients. Critical Care Nursing Quarterly, 33(1), pp. 75–81. doi: 10.1097/cnq.0b013e3181c8e030 [DOI:10.1097/CNQ.0b013e3181c8e030]
12. Gami, A. S. et al., 2013. Obstructive sleep apnea and the risk of sudden cardiac death. Journal of the American College of Cardiology, 62(7), pp. 610–6. doi: 10.1016/j.jacc.2013.04.080 [DOI:10.1016/j.jacc.2013.04.080]
13. Gholamhoseininejad, N. et al., 2012. A study of the effective factors on sleep health in hospitalized patients. Journal of Health and Care, 14(1), pp. 44-54.
14. Hardin, K. A., 2009. Sleep in the ICU. Chest, 136(1), pp. 284–94. doi: 10.1378/chest.08-1546 [DOI:10.1378/chest.08-1546]
15. Johansson, I. et al., 2010. Disturbed sleep, fatigue, anxiety and depression in myocardial infarction patients. European Journal of Car-diovascular Nursing, 9(3), pp. 175–80. doi: 10.1016/j.ejcnurse.2009.12.003 [DOI:10.1016/j.ejcnurse.2009.12.003]
16. Kamdar, B. B. et al., 2013. The effect of a quality improvement intervention on perceived sleep quality and cognition in a medical ICU. Critical Care Medicine, 41(3), pp. 800–9. doi: 10.1097/ccm.0b013e3182746442 [DOI:10.1097/CCM.0b013e3182746442]
17. Kendzerska, T. et al., 2014. Untreated obstructive sleep apnea and the risk for serious long-term adverse outcomes: A systematic review. Sleep Medicine Reviews, 18(1), pp. 49–59. doi: 10.1016/j.smrv.2013.01.003 [DOI:10.1016/j.smrv.2013.01.003]
18. Kozick, C., 2013. What nurses need to know about sleep. Colorado Nurse, 113(4), p. 4. PMID: 24597000 [PMID]
19. Li, S. Y. et al., 2011. Efficacy of controlling night-time noise and activities to improve patients' sleep quality in a surgical intensive care unit. Journal of Clinical Nursing, 20(3-4), pp. 396–407. doi: 10.1111/j.1365-2702.2010.03507.x [DOI:10.1111/j.1365-2702.2010.03507.x]
20. Little, A. et al., 2012. A patient survey of sleep quality in the intensive care unit. Minerva Anestesiologica, 78(4), pp. 406-14. PMID: 22337154 [PMID]
21. Matthews, E. E., 2011. Sleep disturbances and fatigue in critically ill patients. AACN Advanced Critical Care, 22(3), pp. 204–24. doi: 10.1097/nci.0b013e31822052cb [DOI:10.1097/NCI.0b013e31822052cb]
22. Monteiro, N. T. & Ceolim, M. F., 2014. Quality of sleep of the aged at home and in hospital. Texto & Contexto - Enfermagem, 23(2), pp. 356–64. doi: 10.1590/0104-07072014000190013 [DOI:10.1590/0104-07072014000190013]
23. Neyse, F. et al., 2011. The effect of earplugs on sleep quality in patients with acute coronary syndrome. Journal of Critical Care Nurs-ing, 4(3), pp. 127-34.
24. Paddock, C., 2013. Sleep may play important role in heart disease [Internet]. viewed 2013 November 20, https://www.medicalnewstoday.com/articles/262812.php
25. Park, M. J. et al., 2014. Noise in hospital rooms and sleep disturbance in hospitalized medical patients. Environmental Health and Toxicology, 29, p. e2014006. doi: 10.5620/eht.2014.29.e2014006 [DOI:10.5620/eht.2014.29.e2014006]
26. Schiza, S. E. & Mermigkis, C., 2010. Sleep in acute coronary syndrome patients. Sleep Medicine, 11(8), p. 805. doi: 10.1016/j.sleep.2010.04.001 [DOI:10.1016/j.sleep.2010.04.001]
27. Sepahvand, E., Jalali, R., Khaledi Paveh, B. & Rezaei, M. 2014. Development and validation of sleep disturbance questionnaire in patients with acute coronary syndrome. International scholarly research notices, 2014. 2014, p. 978580. doi: 10.1155/2014/978580 [DOI:10.1155/2014/978580]
28. Stewart, J. A. et al., 2017. Factors influencing quality of sleep among non-mechanically ventilated patients in the intensive care unit. Australian Critical Care, 30(2), pp. 85-90. doi: 10.1016/j.aucc.2016.02.002 [DOI:10.1016/j.aucc.2016.02.002]
29. Tamburri, L. M. et al., 2004. Nocturnal care interactions with patients in critical care units. American Journal of Critical Care, 13(2), pp. 102-13. [PMID]
30. Tobaldini, E. et al., 2017. Sleep, sleep deprivation, autonomic nervous system and cardiovascular diseases. Neuroscience & Biobehav-ioral Reviews, 74, pp. 321–9. doi: 10.1016/j.neubiorev.2016.07.004 [DOI:10.1016/j.neubiorev.2016.07.004]
31. Zeighami, S. M. & Shahparian, M., 2013. [Evaluation of sleep problems and its associated factors in male patients with systolic heart failure (Persian)]. Qom University of Medical Sciences Journal, 6(4), pp. 64-73.

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