医学
重症监护室
重症监护
睡眠障碍
观察研究
机械通风
病危
心理干预
急诊医学
睡眠(系统调用)
重症监护医学
失眠症
精神科
内科学
计算机科学
操作系统
作者
Chun‐Ying Shih,Anyi Wang,Kai-Mei Chang,Ching‐Fen Yang,Ying-Chieh Tsai,Chu-Chi Fan,Han-Ju Chuang,Nguyen Thi Phuc,Hsiao-Yean Chiu
标识
DOI:10.1016/j.iccn.2022.103349
摘要
Sleep disturbance is a common complaint among critically ill patients in intensive care units and after hospitalisation. However, the prevalence of sleep disturbance among critically ill patients varies widely.To estimate the prevalence of sleep disturbance among critically ill patients in the intensive care unit and after hospitalisation.Electronic databases were searched from their inception until 15 August 2022. Only observational studies with cross-sectional, prospective, and retrospective designs investigating sleep disturbance prevalence among critically ill adults (aged ≥ 18 years) during intensive care unit stay and after hospitalisation were included.We found 13 studies investigating sleep disturbance prevalence in intensive care units and 14 investigating sleep disturbance prevalence after hospitalisation, with 1,228 and 3,065 participants, respectively. The prevalence of sleep disturbance during an ICU stay was 66 %, and at two, three, six and ≥ 12 months after hospitalisation was 64 %, 49 %, 40 %, and 28 %, respectively. Studies using the Richards-Campbell Sleep Questionnaire detected a higher prevalence of sleep disturbance among patients in intensive care units than non-intensive care unit specific questionnaires; studies reported comparable sleep disturbance prevalence during intensive care stays for patients with and without mechanical ventilation.Sleep disturbance is prevalent in critically ill patients admitted to an intensive care unit and persists for up to one year after hospitalisation, with prevalence ranging from 28 % to 66 %. The study results highlight the importance of implementing effective interventions as early as possible to improve intensive care unit sleep quality.
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