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dc.contributor.authorAitken, Leanne M
dc.contributor.authorMitchell, Marion
dc.contributor.authorElliott, Rosalind
dc.contributor.authorDavis, Chelsea
dc.contributor.authorWetzig, Krista
dc.contributor.authorMacfarlane, Bonnie
dc.contributor.authorDatt, Ashika
dc.contributor.authorMcKinley, Sharon
dc.description.abstractSleep disruption is common in intensive care unit (ICU) patients, with reduced quality and quantity of sleep in many patients. Sleep in this setting may be related to the prevalence of delirium. The aim of this study was to describe ICU patients’ self-reported assessment of sleep, examine the relationship between patients’ self-reported sleep and associated nurses’ assessment of sleep and delirium status, and describe the sleep promotion strategies suggested by patients. A prospective cohort study was undertaken with communicative adult patients recruited in 2014–2015. Patients reported sleep using the Richards–Campbell Sleep Questionnaire (range 0–100; higher score indicates better sleep quality), with nursing assessment of sleep documented into categories. Delirium was assessed using the Confusion Assessment Method – ICU. Participants were asked daily to describe strategies that helped or hindered their sleep. Ethics approval for the study was gained. Descriptive statistics are provided as median (inter-quartile range); differences were assessed using the Kruskal–Wallis test (p < 0.05). Participants (n = 151) provided 355 reports of sleep [age: 60 (46–71) years; ICU length of stay 4 (2–9) days]. Average perceived sleep quality was 46 (26–65). Patients’ self-assessment of sleep varied widely across categories of sleep documented by nurses (see below table). Using the latest sleep assessment patients provided in ICU there was no difference in sleep for those who were delirious or not (p = 0.35). Strategies identified by patients to improve sleep included pain relief and sedation, peaceful and comfortable environment and physical interventions, e.g. clustering care, ear plugs.
dc.relation.ispartofconferencenameThe 40th Australian and New Zealand Scientific meeting on Intensive Care and the 21th Annual Paediatric and Neonatal Intensive Care Conference,
dc.relation.ispartofconferencetitleAustralian Critical Care
dc.relation.ispartoflocationAuckland, New Zealand
dc.subject.fieldofresearchClinical sciences
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsCritical Care Medicine
dc.subject.keywordsGeneral & Internal Medicine
dc.titleSleep and delirium in the intensive care: A prospective cohort study of nurses documentation and patients insights
dc.typeConference output
dc.type.descriptionE3 - Conferences (Extract Paper)
dcterms.bibliographicCitationAitken, LM; Mitchell, M; Elliott, R; Davis, C; Wetzig, K; Macfarlane, B; Datt, A; McKinley, S, Sleep and delirium in the intensive care: A prospective cohort study of nurses documentation and patients insights, Australian Critical Care, 2016, 29 (2), pp. 111-111
gro.hasfulltextNo Full Text
gro.griffith.authorAitken, Leanne M.
gro.griffith.authorMitchell, Marion L.
gro.griffith.authorMacFarlane, Bonnie

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