2.50
Hdl Handle:
http://hdl.handle.net/10755/243431
Category:
Abstract
Type:
Presentation
Title:
Effects of Low Dose Sedation on Sleep Quality for Intensive Care Patients
Author(s):
Chang, Li-Yin; Chao, Yann-Fen
Author Details:
Chang, Li-Yin, RN, lychang@vghtc.gov.tw; Chao, Yann-Fen, PhD;
Abstract:
Purpose: to explore the effects of low-dose sedation on sleep quality in intensive care patients dependent on mechanical ventilation.

Methods: We designed a randomized, controlled trial (RCT) study. We measured the sleep quality with the miniature physiologic signal recorder, actigraphy, and the Richards-Campbell Sleep Questionnaire (RCSQ) for 48 hours. For the first 24 hours (8AM-8AM), we recorded baseline data (pretest). The experimental group (n=9) was given propofol 100-200 mg (1.5 mg/kg/h) in a continuous intravenous drip for 2 hours on the second day (10PM-12AM), the control group (n=12) deals with in standard care.

Results: The results revealed the sleep efficiency index for both groups was <85%, indicating poor sleep quality. The RCSQ score increased in the experimental group, especially the sleep depth sub-score.Sleep time was measured effectively by the miniature physiologic recorder, but actigraphy is not recommended for use in patients under sedation, long-term bed rest, or physical restraint.

Conclusion: ICU patients in these studies had poor sleep quality and the higher the sedative dosage, the more delusional their memories were. In the future, we need to develop objective tools to monitor sedative depth and sleep quality. An effective assessment protocol is required for monitoring the appropriate sedation depth to guarantee the safety of critical care patients.

Keywords:
intensive care; sedative drug; sleep quality
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEffects of Low Dose Sedation on Sleep Quality for Intensive Care Patientsen_GB
dc.contributor.authorChang, Li-Yinen_GB
dc.contributor.authorChao, Yann-Fenen_GB
dc.author.detailsChang, Li-Yin, RN, lychang@vghtc.gov.tw; Chao, Yann-Fen, PhD;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/243431-
dc.description.abstract<b>Purpose: </b>to explore the effects of low-dose sedation on sleep quality in intensive care patients dependent on mechanical ventilation. <p><b>Methods: </b>We designed a randomized, controlled trial (RCT) study. We measured the sleep quality with the miniature physiologic signal recorder, actigraphy, and the Richards-Campbell Sleep Questionnaire (RCSQ) for 48 hours. For the first 24 hours (8AM-8AM), we recorded baseline data (pretest). The experimental group (n=9) was given propofol 100-200 mg (1.5 mg/kg/h) in a continuous intravenous drip for 2 hours on the second day (10PM-12AM), the control group (n=12) deals with in standard care. <p><b>Results: </b>The results revealed the sleep efficiency index for both groups was &lt;85%, indicating poor sleep quality. The RCSQ score increased in the experimental group, especially the sleep depth sub-score.Sleep time was measured effectively by the miniature physiologic recorder, but actigraphy is not recommended for use in patients under sedation, long-term bed rest, or physical restraint. <p><b>Conclusion: </b>ICU patients in these studies had poor sleep quality and the higher the sedative dosage, the more delusional their memories were. In the future, we need to develop objective tools to monitor sedative depth and sleep quality. An effective assessment protocol is required for monitoring the appropriate sedation depth to guarantee the safety of critical care patients.en_GB
dc.subjectintensive careen_GB
dc.subjectsedative drugen_GB
dc.subjectsleep qualityen_GB
dc.date.available2012-09-12T09:22:12Z-
dc.date.issued2012-09-12-
dc.date.accessioned2012-09-12T09:22:12Z-
dc.conference.date2012en_GB
dc.conference.name23rd International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationBrisbane, Australiaen_GB
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