Night‐time care routine interaction and sleep disruption in adult cardiac surgery

Jesus M Casida, Jean E Davis, Aaron Zalewski and James J Yang

Journal of Clinical Nursing, 2018, vol. 27, issue 7-8, e1377-e1384

Abstract: Aims and Objectives To explore the context and the influence of night‐time care routine interactions (NCRIs) on night‐time sleep effectiveness (NSE) and daytime sleepiness (DSS) of patients in the cardiac surgery critical‐care and progressive‐care units of a hospital. Background There exists a paucity of empirical data regarding the influence of NCRIs on sleep and associated outcomes in hospitalised adult cardiac surgery patients. Methods An exploratory repeated‐measures research design was employed on the data provided by 38 elective cardiac surgery patients (mean age 60.0 ± 15.9 years). NCRI forms were completed by the bedside nurses and patients completed a 9‐item Visual Analogue Sleep Scale (100‐mm horizontal lines measuring NSE and DSS variables). All data were collected during postoperative nights/days (PON/POD) 1 through 5 and analysed with IBM SPSS software. Results Patient assessment, medication administration and laboratory/diagnostic procedures were the top three NCRIs reported between midnight and 6:00 a.m. During PON/POD 1 through 5, the respective mean NSE and DSS scores ranged from 52.9 ± 17.2 to 57.8 ± 13.5 and from 27.0 ± 22.6 to 45.6 ± 16.5. Repeated‐measures ANOVA showed significant changes in DSS scores (p .05). Finally, of 8 NCRIs, only 1 (postoperative exercises) was significantly related to sleep variables (r > .40, p

Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://doi.org/10.1111/jocn.14262

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:wly:jocnur:v:27:y:2018:i:7-8:p:e1377-e1384

Access Statistics for this article

More articles in Journal of Clinical Nursing from John Wiley & Sons
Bibliographic data for series maintained by Wiley Content Delivery ().