Analysis of Factors Affecting the Sleep Quality of Patients in Intensive Care Unit

  • Sri Suparti Universitas Muhammadiyah Purwokerto
  • Jebul Suroso Universitas Muhammadiyah Purwokerto
  • Asiandi Asiandi Universitas Muhammadiyah Purwokerto
Keywords: factor analysis, ICU, sleep quality

Abstract

Lack of sleep in patients in the Intensive Care Unit (ICU) is associated with dysfunction of the immune, cardiovascular, metabolic, memory, and cognition systems, as well as increased mortality. Various factors that are thought to be related to patient sleep quality come from patient and environmental factors. The purpose of this study was to determine the factors that affect the sleep quality of ICU patients. This research is a quantitative study, using a cross-sectional approach, with as many as  44 patients involved in this study. The research instrument used the observation sheet and The Richards-Campbell Sleep Questionnaire (RCSQ) is also equipped with a thermohygrometer to measure temperature and humidity and a sound level meter to measure noise. Data analysis used the Spearman Rank test, and research ethics was obtained from the Ethics Commission of RSMS Margono. The results showed that most of them were women (75%), aged ≥40 years (68.2%) with the most days of stay less than 4 (93.2%), postoperative (95.5), and with poor sleep quality (72.7%). Factors that affected the sleep quality of the patient are heart rate (0.030), MAP (0.042), patient pain score (0.031), and sleep position (0.002). There was no affecting the SpO2 factor, temperature humidity, noise, patient perceptions of noise, light, and action with p value> 0.05. In conclusion, most of the respondents have poor sleep quality. There is an effect of the heart rate, sleep position, and pain score on the patient's sleep quality. It is necessary to apply a combination of pharmacological management and nursing measures to improve sleep quality.

References

Afianti, N., & Mardhiyah, A. (2017). Pengaruh Foot Massage terhadap Kualitas Tidur Pasien di Ruang ICU. Jurnal Keperawatan Padjadjaran. https://doi.org/10.24198/jkp.v5n1.10
Basoglu, O. K., Keskin, B., Tasbakan, M. S., & Gurgun, C. (2015). Effect of semirecumbent sleep position on severity of obstructive sleep apnea in patients with heart failure. Journal of Cardiac Failure. https://doi.org/10.1016/j.cardfail.2015.06.004
Bihari, S., Doug McEvoy, R., Matheson, E., Kim, S., Woodman, R. J., & Bersten, A. D. (2012). Factors affecting sleep quality of patients in intensive care unit. Journal of Clinical Sleep Medicine. https://doi.org/10.5664/jcsm.1920
Boyko, Y., Jennum, P., & Toft, P. (2017). Sleep quality and circadian rhythm disruption in the intensive care unit: A review. In Nature and Science of Sleep. https://doi.org/10.2147/NSS.S151525
Carrera-Hernández, L., Aizpitarte-Pejenaute, E., Zugazagoitia-Ciarrusta, N., & Goñi-Viguria, R. (2018). Patients’ perceptions of sleep in a Critical Care Unit. Enfermeria Intensiva. https://doi.org/10.1016/j.enfi.2018.01.002
Desiani, S. M. (2018). Hubungan Kualitas Tidur Dengan Status Hemodinamik Pada Pasien IMA Di Ruang ICVCU RSUD Dr. Moewardi Tahun 2016. (JKG) JURNAL KEPERAWATAN GLOBAL. https://doi.org/10.37341/jkg.v3i1.45
Ding, Q., Redeker, N. S., Pisani, M. A., Yaggi, H. K., & Knauert, M. P. (2017). Factors influencing patients’ sleep in the intensive care unit: Perceptions of patients and clinical staff. American Journal of Critical Care. https://doi.org/10.4037/ajcc2017333
Dolan, R., Huh, J., Tiwari, N., Sproat, T., & Camilleri-Brennan, J. (2016). A prospective analysis of sleep deprivation and disturbance in surgical patients. Annals of Medicine and Surgery. https://doi.org/10.1016/j.amsu.2015.12.046
Dwi Istiyani, Sri Puguh Kristiyawati, S. (2015). Perbedaan Posisi Tripod Dan Posisi Semi Fowler Terhadap Peningkatan Saturasi Oksigen Pada. Jurnal Ilmu Keperawatan Dan Kebidanan (JIKK) Vol...No..., 1–10.
Fachrunnisa, Nurchayati, S., & Arneliwati. (2015). Faktor-Faktor Yang Berhubungan Dengan Kualitas Tidur Pada Pasien Congestive Heart Failure. Jom.
Grigoriadis, G., Rosenberg, A. J., Wee, S. O., Schroeder, E. C., Griffith, G., & Baynard, T. (2018). P74 SLEEP QUALITY IS ASSOCIATED WITH CEREBROVASCULAR FUNCTION IN INDIVIDUALS WITH MULTIPLE SCLEROSIS. Artery Research. https://doi.org/10.1016/j.artres.2018.10.127
Hadi. (2017). Factors affecting sleep disorders of patients in the intensive care unit. Icash.
Haryati, D. S. (2013). Hubungan Antara Kualitas Tidur dengan Denyut Jantung Dilihat dari Gambaran EKG Pada Pasien Infark Miokard Di Ruang Icvcu Rsud Dr . Moewardi Surakarta Tahun 2011. KesMaDaSka.
Iftikhar, A., Arif, M., & Hanif, A. (2020). Factors affecting Quality of Sleep in Intensive Care Unit. The International Journal of Frontier Sciences. https://doi.org/10.37978/tijfs.v4i1.60
K.S., S., E., V., P.M.C., L., S., J., M., P., P.E., S., J.P.C., S., H.-M., F., M.S., V. D. S., A.G., K., M., V. D. B., C.P.C., D. J., Simons, K. S., Verweij, E., Lemmens, P. M. C., Jelfs, S., Park, M., Spronk, P. E., Sonneveld, J. P. C., … de Jager, C. P. C. (2018). Noise in the intensive care unit and its influence on sleep quality: A multicenter observational study in Dutch intensive care units. Critical Care. https://doi.org/10.1186/s13054-018-2182-y LK -
Kaplow, R. (2016). Sleep Disturbances and Critical Illness. In Critical Care Nursing Clinics of North America. https://doi.org/10.1016/j.cnc.2016.02.005
Kutbay Özçelik, H., Bayram, M., Doğanay, E., Kart, L., Sezer, M., Akkoyunlu, M. E., Karaköse, F., & Yakar, F. (2015). Effects of body position on sleep architecture and quality in subsyndromal adults without apparent obstructive sleep apnea. Sleep and Biological Rhythms. https://doi.org/10.1111/sbr.12116
L.J., D., F., V. H., & V., L. (2015). Sleeping on a problem: the impact of sleep disturbance on intensive care patients - a clinical review. Annals of Intensive Care. https://doi.org/10.1186/s13613-015-0043-2 LK - http://sfx.library.uu.nl/utrecht?sid=EMBASE&issn=21105820&id=doi:10.1186%2Fs136
Miranda-Ackerman, R. C., Lira-Trujillo, M., Gollaz-Cervantez, A. C., Cortés-Flores, A. O., Zuloaga-Fernández Del Valle, C. J., García-González, L. A., Morgan-Villela, G., Barbosa-Camacho, F. J., Pintor-Belmontes, K. J., Guzmán-Ramírez, B. G., Bernal-Hernández, A., Fuentes-Orozco, C., & González-Ojeda, A. (2020). Associations between stressors and difficulty sleeping in critically ill patients admitted to the intensive care unit: A cohort study. BMC Health Services Research. https://doi.org/10.1186/s12913-020-05497-8
Mukherjee, S., Patel, S. R., Kales, S. N., Ayas, N. T., Strohl, K. P., Gozal, D., & Malhotra, A. (2015). An official American Thoracic Society statement: The importance of healthy sleep: Recommendations and future priorities. American Journal of Respiratory and Critical Care Medicine. https://doi.org/10.1164/rccm.201504-0767ST
Naik, R. D., Gupta, K., Soneja, M., Elavarasi, A., Sreenivas, V., & Sinha, S. (2018). Sleep quality and quantity in intensive care unit patients: A cross-sectional study. Indian Journal of Critical Care Medicine. https://doi.org/10.4103/ijccm.IJCCM_65_18
Najafi, S., Dehkordi, S. M., Haddam, M. B., Abdavi, M., & Memarbashi, M. (2018). The effect of position change on arterial oxygen saturation in cardiac and respiratory patients: A randomised clinical trial. Journal of Clinical and Diagnostic Research. https://doi.org/10.7860/JCDR/2018/36282.12130
Nursalam. (2015). Metodelogi penelitian keperawatan. Pendekatan Praktis.Jakarta: Salemba Medika.
Pepin, J. L., Borel, A. L., Tamisier, R., Baguet, J. P., Levy, P., & Dauvilliers, Y. (2014). Hypertension and sleep: Overview of a tight relationship. In Sleep Medicine Reviews. https://doi.org/10.1016/j.smrv.2014.03.003
Pieris, L., Sigera, P. C., De Silva, A. P., Munasinghe, S., Rashan, A., Athapattu, P. L., Jayasinghe, K. S. A., Samarasinghe, K., Beane, A., Dondorp, A. M., & Haniffa, R. (2018). Experiences of ICU survivors in a low middle income country-A multicenter study. BMC Anesthesiology. https://doi.org/10.1186/s12871-018-0494-8
R., S., B., R., & K., R. (2014). Sleep disturbance in older ICU patients. In Clinical Interventions in Aging.
Rahmawan, E. (2013). Hubungan Stres Psikologi Dan Obat-Obatan Dengan Kualitas Tidur Pada Pasien Kritis di Ruang Rawat Intensif di RSUD Tugurejo Semarang. Journal of Chemical Information and Modeling. https://doi.org/10.1017/CBO9781107415324.004
Stewart, J. A., Green, C., Stewart, J., & Tiruvoipati, R. (2017). Factors influencing quality of sleep among non-mechanically ventilated patients in the Intensive Care Unit. Australian Critical Care. https://doi.org/10.1016/j.aucc.2016.02.002
Sulistyowati, D. (2015). Terhadap Kualitas Tidur Dan Status Kardiovaskuler Pada Pasien Infa Rk. Jurnal KesMaDaSKa, 858, 75–80.
Suparti, S., & Suroso, J. (2020). The Correlation Between Humidity, Temperature, and Noise With Sleep Quality at Intensive Care Unit (ICU). INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC). https://doi.org/10.24990/injec.v5i1.269
Tembo, A. C., Parker, V., & Higgins, I. (2013). The experience of sleep deprivation in intensive care patients: Findings from a larger hermeneutic phenomenological study. Intensive and Critical Care Nursing. https://doi.org/10.1016/j.iccn.2013.05.003
Topçu, S., Ecevit Alpar, Ş., Gülseven, B., & Kebapçı, A. (2017). Patient experiences in intensive care units: a systematic review. Patient Experience Journal. https://doi.org/10.35680/2372-0247.1137
Wilcox, M. E., Lim, A. S., Pinto, R., Black, S. E., McAndrews, M. P., & Rubenfeld, G. D. (2018). Sleep on the ward in intensive care unit survivors: a case series of polysomnography. Internal Medicine Journal. https://doi.org/10.1111/imj.13791
Published
2020-12-13
Section
Articles