Effectiveness of SIESTA on Objective and Subjective Metrics of Nighttime Hospital Sleep Disruptors

被引：43

作者：

Arora, Vineet M. ^{[1
]}

Machado, Nolan ^{[2
]}

Anderson, Samantha L. ^{[1
]}

Desai, Nimit ^{[1
]}

Marsack, William ^{[1
]}

Blossomgame, Stephenie ^{[1
]}

Tuvilleja, Ambrosio ^{[1
]}

Ramos, Jacqueline ^{[1
]}

Francisco, Mary Ann ^{[1
]}

LaFond, Cynthia ^{[3
]}

Leung, Edward K. Y. ^{[3
]}

Valencia, Andres ^{[1
]}

Martin, Shannon K. ^{[1
]}

Meltzer, David O. ^{[1
]}

Farnan, Jeanne M. ^{[1
]}

Balachandran, Jay ^{[4
]}

Knutson, Kristen L. ^{[5
]}

Mokhlesi, Babak ^{[1
]}

机构：

[1] Univ Chicago Med, Chicago, IL 60637 USA

[2] Pritzker Sch Med, Chicago, IL USA

[3] Childrens Hosp Los Angeles, Los Angeles, CA 90027 USA

[4] Columbia St Marys, Mequon, WI USA

[5] Northwestern Univ, Chicago, IL 60611 USA

来源：

JOURNAL OF HOSPITAL MEDICINE | 2019年 / 14卷 / 01期

关键词：

QUALITY; FREQUENCY; DURATION;

D O I：

10.12788/jhm.3091

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We created Sleep for Inpatients: Empowering Staff to Act (SIESTA), which combines electronic "nudges" to forgo nocturnal vitals and medications with interprofessional education on improving patient sleep. In one "SIESTA-enhanced unit," nurses received coaching and integrated SIESTA into daily huddles; a standard unit did not. Six months pre- and post-SIESTA, sleep-friendly orders rose in both units (foregoing vital signs: SIESTA unit, 4% to 34%; standard, 3% to 22%, P<.001 both; sleep-promoting VTE prophylaxis: SIESTA, 15% to 42%; standard, 12% to 28%, P<.001 both). In the SIESTA-enhanced unit, nighttime room entries dropped by 44% (-6.3 disruptions/room, P<.001), and patients were more likely to report no disruptions for nighttime vital signs (70% vs 41%, P=.05) or medications (84% vs 57%, P=.031) than those in the standard unit. The standard unit was not changed. Although sleep-friendly orders were adopted in both units, a unit-based nursing empowerment approach was associated with fewer nighttime room entries and improved patient experience. (c) 2019 Society of Hospital Medicine

引用

页码：38 / 41

页数：4

共 15 条

[1] OBJECTIVE SLEEP DURATION AND QUALITY IN HOSPITALIZED OLDER ADULTS: ASSOCIATIONS WITH BLOOD PRESSURE AND MOOD [J].