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Factors that affect sleep quality: perceptions made by patients in the intensive care unit after thoracic surgery

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Abstract

Objective

This study identifies factors affecting sleep patterns among thoracic surgery patients in the intensive care unit (ICU) and compares the perceptions of sleep-disturbing factors between nurses and patients.

Methods

One hundred and fifty-two patients and 40 nurses were surveyed using the Pittsburgh Sleep Quality Index (PSQI) and self-designed questionnaires (for patients and nurses). All statistical analyses were carried out by SPSS, and the following statistical methods were used to evaluate the data: chi-squared test and logistic regression.

Results

Of 152 patients, 46.1 % reported poor sleep quality during their hospitalization; their PSQI total score was 6.95 ± 3.713. Of these, 69.1 % indicated that their sleep quality was poorer than before; 50.0 % of them changed their sleep patterns. Significant discrepancies exist between nurses and patients in the perceptions of sleep-disturbing factors of patients.

Conclusion

Thoracic surgical patients’ perceptions of their sleep in the ICU indicate poor sleep quality, which is decided by a variety of disturbing factors. Perceptions of these factors varied greatly between surveyed patients and nurses.

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References

  1. Olson DM, Borel CO, Laskowitz DT et al (2001) Quiet time: a nursing intervention to promote sleep in neurocritical care units. Am J Crit Care 10(2):74–78

    PubMed  CAS  Google Scholar 

  2. Davidson JR, MacLean AW, Brudage MD et al (2002) Sleep disturbances in cancer patients. Soc Sci Med 54:1309–1321

    Article  PubMed  Google Scholar 

  3. Parish JM (2009) Sleep-related problems in common medical conditions. Chest 135(2):563–572

    Article  PubMed  Google Scholar 

  4. Ginsburg ML, Quirt C, Ginsburg AD et al (1995) Psychiatric illness and psychosocial concerns of patients with newly diagnosed lung cancer. CMAJ 152(5):701–708

    PubMed  CAS  Google Scholar 

  5. Le Guen Y, Gagnadoux F, Hureaux J et al (2007) Sleep disturbances and impaired daytime functioning in outpatients with newly diagnosed lung cancer. Lung Cancer 58(1):139–143

    Article  PubMed  Google Scholar 

  6. Nicolás A, Aizpitarte E, Iruarrizaga A et al (2008) Perception of night-time sleep by surgical patients in an intensive care unit. Nurs Crit Care 13(1):25–33

    Article  PubMed  Google Scholar 

  7. Freedman NS, Kotzer N, Schwab RJ (1999) Patient perception of sleep quality and etiology of sleep disruption in the intensive care unit. Am J Respir Crit Care Med 159:1155–1162

    Article  PubMed  CAS  Google Scholar 

  8. Simini B (1999) Patients’ perceptions of intensive care 354: 571–572

    Google Scholar 

  9. Buckle P, Pouliot Z, Millar T et al (1992) Polysomnography in acutely ill intensive care unit patients. Chest 102:288–291

    Article  PubMed  CAS  Google Scholar 

  10. Davidson JR, MacLean AW, Brundage MD et al (2002) Sleep disturbance in cancer patients. Soc Sci Med 54:1309–1321

    Article  PubMed  Google Scholar 

  11. Gabor JY, Cooper AB, Crombach SA et al (2003) Contribution of the intensive care unit environment to sleep disruption in mechanically ventilated patients and healthy subjects. Am J Respir Crit Care Med 167:708–715

    Article  PubMed  Google Scholar 

  12. Carskadon MA, Dement WC (1999) Normal human sleep: An overview. In: Kryger M, Roth T, Dement WC (eds) Principles and practice of sleep medicine. Saunders, Philadelphia, pp 15–26

    Google Scholar 

  13. Meyer TJ, Eveloff SE, Bauer MS et al (1994) Adverse environmental conditions in the respiratory and medical ICU settings. Chest 105:1211–1216

    Article  PubMed  CAS  Google Scholar 

  14. Kamdar BB, Needham DM, Collop NA (2011) Sleep dDeprivation in cCritical iIllness: iIts rRole in pPhysical and pPsychological rRecovery. J Intensive Care Med 21:261–269

    Google Scholar 

  15. Bergbom-Engberg I, Haljamäe H (1989) Assessment of patients’' experience of discomforts during respiratory therapy. Crit Care Med 17:1068–1072

    Article  PubMed  CAS  Google Scholar 

  16. Christensen M (2005) What knowledge do ICU nurses have with regard to the effects of noise exposure in the intensive care unit? Intensive Crit Care Nurs 21:199–207

    Article  PubMed  Google Scholar 

  17. Richardson A, Crow E, Turnock C (2007) A comparison of sleep assessment tools by nurses and patients in critical care. J Clin Nurs 16:1660–1668

    Article  PubMed  Google Scholar 

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Conflict of interest

None declared.

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Authors and Affiliations

  1. Tianjin Lung Cancer Center, Department of Thoracic Surgery, Tianjin Medical University Cancer Institute and Hospital, Tianjin, 300060, People’s Republic of China

    Lei Zhang, Yong Sheng Sha, Qing Qing Kong, Li Xin Zhou & Chang Li Wang

  2. Key Laboratory of Cancer Prevention and Therapy, Tianjin, People’s Republic of China

    Lei Zhang & Chang Li Wang

  3. Harvard University, Cambridge, MA, USA

    Jennifer Ai-lian Woo

  4. Indiana University School of Medicine, Indianapolis, IN, USA

    Adam R Miller

  5. Tianjin Medical University, Tianjin, People’s Republic of China

    Hong Wei Li

  6. The Xiangya Medical School, Central South University, Changsha, People’s Republic of China

    Yi Zhou

Authors
  1. Lei Zhang
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  2. Yong Sheng Sha
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  3. Qing Qing Kong
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  4. Jennifer Ai-lian Woo
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  5. Adam R Miller
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  6. Hong Wei Li
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  7. Li Xin Zhou
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  8. Yi Zhou
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  9. Chang Li Wang
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Corresponding author

Correspondence to Chang Li Wang.

Additional information

The authors Zhang Lei and Sha Yong Sheng contributed equally to this paper.

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Zhang, L., Sha, Y.S., Kong, Q.Q. et al. Factors that affect sleep quality: perceptions made by patients in the intensive care unit after thoracic surgery. Support Care Cancer 21, 2091–2096 (2013). https://doi.org/10.1007/s00520-013-1754-2

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  • DOI: https://doi.org/10.1007/s00520-013-1754-2

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