Hospital Environmental Effects on Sleep in Adults With Traumatic Brain Injury in Rehabilitation

被引：6

作者：

Amato, Shelly ^{[1
]}

Anthony, Mary K. ^{[2
]}

机构：

[1] MetroHlth Syst, Rehabil Nursing, 4229 Pearl Rd, Cleveland, OH 44109 USA

[2] Kent State Univ, Kent, OH 44242 USA

来源：

REHABILITATION NURSING | 2020年 / 45卷 / 06期

关键词：

Traumatic brain injury; sleep; environmental stressors; ACTIGRAPHY; TRAJECTORIES; DISRUPTION; QUALITY; TBI;

D O I：

10.1097/rnj.0000000000000220

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Purpose The aim of this study was to describe sleep patterns of adults with traumatic brain injury and examine effects of environmental stressors (patient care activities and light) on patterns of sleep. Design A descriptive, correlational, explanatory design was used for this study. Methods Sixty-three subjects with traumatic brain injury (>18 years) on an acute traumatic brain injury rehabilitation unit wore an Actiwatch for 48 hours to collect light and sleep data. Patient care activity data were collected between 11 p.m. and 7 a.m. Findings Patient care activities and light occurred between 11 p.m. and 7 a.m. Nighttime sleep duration and sleep efficiency were explained by patient care activities, whereas light explained wake time after sleep onset. Conclusion Patient care activities and light serve as environmental stressors that affect sleep.

引用

页码：340 / 347

页数：8

共 29 条

[1] Impact of rehabilitation on functional outcome during the first year of moderate and severe traumatic brain injury [J].

Agrawal, Mahima ;

Joshi, Mrinal .

BRAIN INJURY, 2014, 28 (03) :292-297

[2]

[Anonymous], 2016, Brain Injury

[3] The influence of environmental factors on sleep quality in hospitalized medical patients [J].

Bano, Milena ;

Chiaromanni, Federica ;

Corrias, Michela ;

Turco, Matteo ;

De Rui, Michele ;

Amodio, Piero ;

Merkel, Carlo ;

Gatta, Angelo ;

Mazzotta, Gabriella ;

Costa, Rodolfo ;

Montagnese, Sara .

FRONTIERS IN NEUROLOGY, 2014, 5

[4] Sleep and Traumatic Brain Injury [J].

Baumann, Christian R. .

SLEEP MEDICINE CLINICS, 2016, 11 (01) :19-+

[5] Trajectories of Sleep and Its Predictors in the First Year Following Traumatic Brain Injury [J].

Chen, Pin-Yuan ;

Tsai, Pei-Shan ;

Chen, Ning-Hung ;

Chaung, Li-Pang ;

Lee, Cheng-Chi ;

Chen, Ching-Chang ;

Chiu, Hsiao-Ting ;

Lu, Yu-Jen ;

Wei, Kuo-Chen ;

Chiu, Hsiao-Yean .

JOURNAL OF HEAD TRAUMA REHABILITATION, 2015, 30 (04) :E50-E55

[6] Trajectories of sleep changes during the acute phase of traumatic brain injury: A 7-day actigraphy study [J].

Chiu, Hsiao-Yean ;

Chen, Pin-Yuan ;

Chen, Ning-Hung ;

Chuang, Li-Pang ;

Tsai, Pei-Shan .

JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION, 2013, 112 (09) :545-553

[7] Let there be no light: the effect of bedside light on sleep quality and background electroencephalographic rhythms [J].

Cho, Jounhong Ryan ;

Joo, Eun Yeon ;

Koo, Dae Lim ;

Hong, Seung Bong .

SLEEP MEDICINE, 2013, 14 (12) :1422-1425

[8]

Czeisler C. A., 2011, PRINCIPLES PRACTICE, P55

[9] Sleep and recovery from critical illness and injury: A review of theory, current practice, and future directions [J].

Friese, Randall S. .

CRITICAL CARE MEDICINE, 2008, 36 (03) :697-705

[10] Contribution of the intensive care unit environment to sleep disruption in mechanically ventilated patients and healthy subjects [J].

Gabor, JY ;

Cooper, AB ;

Crombach, SA ;

Lee, B ;

Kadikar, N ;

Bettger, HE ;

Hanly, PJ .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2003, 167 (05) :708-715

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