Sleep disturbances in patients admitted to the intensive care unit (ICU).
Conditions
Interventions
Intervention 1: Patients in the intervention group will receive a comprehensive sleep improvement package. Components of this intervention package include environmental modifications, such as dimming
Sponsors
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Admission to the intensive care unit (ICU) due to acute illness Ability to provide informed consent: The patient must be able to understand and provide informed consent for participation in the study or have a legal representative who can make decisions on their behalf
Exclusion criteria
Exclusion criteria: Severe psychiatric illness that would interfere with study participation Inability to understand study instructions Patients requiring frequent neurological assessments (every 2-4 hours) Patients with a diagnosis of status epilepticus Patients in a barbiturate-induced coma Patients receiving continuous neuromuscular blocking agents
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sleep quality: This is a primary outcome variable directly related to the study's objective of improving sleep quality. The Pittsburgh Sleep Quality Index (PSQI) will be used to assess subjective sleep quality. Timepoint: Baseline: Data will be collected on the day of ICU admission.During intervention: Data will be collected on days 3, 7, and 14 post-intervention initiation.Post-intervention: Data will be collected one month after intervention completion. Method of measurement: The Pittsburgh Sleep Quality Index (PSQI) will be used to assess subjective sleep quality in patients who are able to participate. | — |
Secondary
| Measure | Time frame |
|---|---|
| Delirium. Timepoint: Baseline: On the day of ICU admission.During intervention: On days 3, 7, and 14 post-intervention initiation.Post-intervention: One month after intervention completion. Method of measurement: Confusion Assessment Method for the ICU (CAM-ICU): This validated assessment tool will be used twice daily (morning and evening) by trained research staff to assess the presence and severity of delirium.;Use of restraint. Timepoint: All days of hospitalization. Method of measurement: Type and duration of physical restraints (e.g., wrist restraints, bed rails) will be documented in the medical record.;Length of Stay. Timepoint: At the end of hospitalization. Method of measurement: Length of stay in the ICU will be recorded from the time of admission to discharge.;Sedative Medication Use. Timepoint: Daily. Method of measurement: Daily doses and types of sedative medications administered will be recorded from the medical records. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactNiloofar Khoshnam Rad
Tehran University of Medical Sciences
Outcome results
None listed