The Effects Of Non-pharmacological Interventions on the Quality of Sleep in Cardiac Surgical Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Sleep
- Sponsor
- Amrita Institute of Medical Sciences & Research Center
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Quality of sleep
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
Sleep is a basic human need and is essential for good quality of life, good health. In fact, humans spend one third of their life time in sleeping or attempting to do so. However, sleep is not given due importance in intensive care unit (ICU)'s, although it is critical in healing process. Patient's usually get admitted to the hospital few days prior to the surgery, for complete evaluation, depending on the procedure planned. Hospital environment being, an entirely new place for inpatients, will invariably affect their sleep. Sleep deprivation is one of the major sources of anxiety and stress in all the patients during ICU stay. This means that most of patients are sleep deprived, by the time they are admitted to ICU.
The negative effects of sleep deprivation include postoperative brain dysfunction like inattention, restlessness, hallucinations, agitation, aggressiveness. The degree of cognitive impairment may range from subtle derangements in attention, reason, clarity of thought and capacity of decision making to confusion and delirium. Sleep deprivation can also induce hypertension, fatigue, metabolic disorders, cerebrovascular and cardiovascular disease
Investigators
Nagarjuna P
Assistant Professor, Department of Cardiac Anesthesia
Amrita Institute of Medical Sciences & Research Center
Eligibility Criteria
Inclusion Criteria
- •Adult cardiac surgical patients aged above 18years undergoing elective cardiac surgery
Exclusion Criteria
- •Not willing to give consent
- •Preoperative sleep medications use
- •Preoperative psychological disorders, on mechanical ventilation for \>12hrs, dementia, cerebrovascular accident
Outcomes
Primary Outcomes
Quality of sleep
Time Frame: 6 months
On the morning after the intervention, patient's sleep quality will be assessed using Richard-Campbell sleep questionnaire (RCSQ). Each point in RCSQ will be scored using a visual analog score, ranging from 0-100. Total score will be calculated and then will be divided by 5.
Secondary Outcomes
- Atrial fibrillation(6 months)
- Vasoactive inotropic score(6 months)
- Mechanical ventilation(6 months)
- Delirium(6 months)
- Intensive care unit stay(6 months)