Sleeping on a problem: the impact of sleep disturbance on intensive care patients - a clinical review

被引：90

作者：

Delaney, Lori J. ^{[1
,2
]}

Van Haren, Frank ^{[3
,4
]}

Lopez, Violeta ^{[4
,5
]}

机构：

[1] Univ Canberra, Clin Nursing, Canberra, ACT 2601, Australia

[2] Australian Natl Univ, Canberra, ACT, Australia

[3] Canberra Hosp, Dept Intens Care Med, Canberra, ACT, Australia

[4] Australian Natl Univ, Sch Med & Hlth Sci, Canberra, ACT, Australia

[5] Natl Univ Singapore, Yong Loo Lin Sch Med, Singapore 117595, Singapore

来源：

ANNALS OF INTENSIVE CARE | 2015年 / 5卷

关键词：

Clinical care; Environment; Intensive care; Light; Sleep; Sleep deprivation; Sleep fragmentation; Noise; CRITICALLY-ILL PATIENTS; TRAUMATIC BRAIN-INJURY; MECHANICALLY VENTILATED PATIENTS; RANDOMIZED CONTROLLED-TRIAL; ENVIRONMENTAL NOISE; METABOLIC CONSEQUENCES; UNIT ENVIRONMENT; HEALTHY-SUBJECTS; NOCTURNAL SLEEP; RISK-FACTORS;

D O I：

10.1186/s13613-015-0043-2

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Sleep disturbance is commonly encountered amongst intensive care patients and has significant psychophysiological effects, which protract recovery and increases mortality. Bio-physiological monitoring of intensive care patients reveal alterations in sleep architecture, with reduced sleep quality and continuity. The etiological causes of sleep disturbance are considered to be multifactorial, although environmental stressors namely, noise, light and clinical care interactions have been frequently cited in both subjective and objective studies. As a result, interventions are targeted towards modifiable factors to ameliorate their impact. This paper reviews normal sleep physiology and the impact that sleep disturbance has on patient psychophysiological recovery, and the contribution that the clinical environment has on intensive care patients' sleep.

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页数：10

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