Predictive factors of sleep quality among patients undergoing cardiac surgery in intensive care unit
Keywords:
Sleep quality, Surgical wound pain, Anxiety, Cardiac surgery, Intensive care unitAbstract
This correlational predictive study aimed to investigate the level of sleep quality and predictive factors on sleep quality among patients undergoing cardiac surgery in the intensive care unit. Ninety-four participants were patients with cardiac surgery in the intensive care unit at Songklanagarind Hospital who were consecutively enrolled according to the eligibility criteria. Data were collected from November 2021 to July 2022. The instruments included the Demographic and Health-related Data Questionnaire, the History of Sleep Quality Questionnaire, the Sleep Quality During Admission in the Intensive Care Unit Questionnaire, Pain Intensity Scale, the Anxiety Questionnaire, and the Environment Questionnaire. The data were analyzed using descriptive statistics and hierarchical multiple regression.
The results showed that the patient had sleep quality at a moderate level. After controlling confounding factors including the history of using sleep medications and having nausea and vomiting, the history of sleep quality; surgical wound pain; anxiety and environment could explain 24.2% of the variance in sleep quality of patients undergoing cardiac surgery (Adjusted R2 change= .242, F= 10.55, p< .001). The history of sleep quality; surgical wound pain and anxiety were predictive sleep quality of patients undergoing cardiac surgery in the intensive care unit, but the environment did not show predictive power on sleep quality (β=.29, p< .001; β= -.29, p< .01; β= -.26, p< .01; β= -.04, p> .05), respectively.
The findings of this study suggest that nurses should assess history of sleep quality, manage surgical wound pain and reduce anxiety to promote sleep quality of patients undergoing cardiac surgery in the intensive care unit.
References
Suwanakitch P. Heart-lung machine: principle to practice. Phisanulok: Naresuan University Publishing House, 2019: p. 1-14.
The Society of Thoracic Surgeons of Thailand. Statistics of heart surgery in Thailand [document on the Internet]. 2019 [cited 2021 Jan 18]. Available from: http://The Society of Thoracic Surgeons of Thailand.
Newman MF, Mathew JP, Grocott HP, Mackensen GB, Monk T, Welsh-Bohmer KA, Blumenthal JA, Laskowitz DT, Mark DB. Central nervous system injury associated with cardiac surgery. Lancet. 2006; 368(9536): 694-703.
Caruana N, McKinley S, Elliott R, Gholizadeh L. Sleep quality during and after cardiothoracic intensive care and psychological health during recovery. J Cardiovasc Nurs. 2018; 33(4): 40-49.
Navarro-García MÁ, de Carlos Alegre V, Martinez-Oroz A, Irigoyen-Aristorena MI, Elizondo- Sotro A, Indurain-Fernández S, et al. Quality of sleep in patients undergoing cardiac surgery during the postoperative period in intensive care. Enferm Intensiva. 2017; 28(3): 114-24.
Lenz ER, Pugh LC, Milligan RA, Gift A, Suppe F. The middle-range theory of unpleasant symptoms: An update. ANS Adv Nurs Sci. 1997; 19(3): 14-27.
Lin TR, Cheng CH, Wei J, Wang TJ. Factors influencing sleep quality in open- heart patients in the postoperative intensive care unit. Healthcare (Basel). 2022; 10(11): 2311.
Bihari S, Doug McEvoy R, Matheson E, Kim S, Woodman RJ, Bersten AD. Factor affecting sleep quality of patients in intensive care unit. Journal of Clinical Sleep Medicine. 2012; 8(3): 301-07.
Sasima, O. Predictors influencing quality of sleep in post abdominal operative patients. [Unpublished Master Thesis of Nursing Science]. Bangkok: Mahidol University. 2002. (in Thai).
Polit DF, Beck CT. Nursing research: Generating and assessing evidence for nursing practice. 8th ed. Philadelphia: Lippincott Williams & wilkins; 2008. p. 623.
Santichatsak K. Prevalence of symptom and risk of obstructive sleep apnea in healthcare worker of Faculty of Medicine, Prince of Songkla University [document on the Internet]. 2008 [cited 2021 Aug 31]. Available from: http://medinfo2.psu.ac.th/pg/file/minor_ab stract/3.pdf
Nilchaikovit T, Lortrakul M, Phisansuthideth U. Development of Thai version of hospital anxiety and depression scale in cancer patients. J Psychiatr Assoc Thailand. 1996; 41(1): 18-30. (in Thai).
Train the Brain Forum Committee. Thai Mental state Examination (TMSE). Siriraj Hosp Gaz. 1993; 45: 359-74. (in Thai).
Richards KC, O’Sullivan PS, Phillips RL. Measurement of sleep in critically ill patients. J Nurs Meas. 2000; 8 (2): 131–44.
Jaikla K, Chaiard J, Somrarnyart M. Effectiveness of clinical practice guidelines implementation for sleep promotion among critically ill patients. Nursing Journal. 2020; 47(4): 217-29. (in Thai).
Seer K. Pain. In: Alexander MF, Fawcett JN, Runciman PJ, editors. Nursing practice: Hospital and home-the adult. Edinburgh: Churchill Livingstone; 1999. p. 615-35.
Yodchai G, Jitpanya C. Selected factors related to sleep quality in hospitalized cardiac disease patients. Nurs Sci J Thail. 2006; 18(2): 20-32. (in Thai).
Thato R. Nursing research: Concepts to application. 4th ed. Bangkok: Chulalongkorn University Press. p. 477-491.
The Royal college of anesthesiologists of Thailand and Thai association for the study of pain. Clinical guidance for acute postoperative pain management. 2nd ed. Bangkok: The Royal college; 2019.
Pröpper J, van Valen R, van Domburg RT, Brunott M, Bogers AJ. Quality of sleep at the ward after cardiothoracic surgery. Open Journal of Nursing. 2015; 5(6): 529-37.
Phamornpon S. Role of nurses in promoting postoperative bowel function recovery. TRC Nurs J. 2013; 6(1): 1-11. (in Thai).
Kamjanavorawong P. Roles in sleep promotion of cardiac patients. Journal of Nursing Science. 2007; 25(1): 24-34. (in Thai).
Miranda-Ackerman RC, Lira-Trujillo M, Gollaz-Cervantez AC, Cortés-Flores AO, Zuloaga-Fernández del Valle CJ, García-González LA, et al. Associations between stressors and difficulty sleeping in critically ill patients admitted to the intensive care unit: A cohort study. BMC Health Serv Res. 2020; 20(1): 1-10.
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