Circadian Rhythm, Intensive Care Unit, Sleep Quality, Ventilator
Conditions
Keywords
intensive care unit, sleep quality, circadian rhythm
Brief summary
This study will investigate the effectiveness of light and sound modification in improving sleep qualit , and circadian rhythms in MICU patients with Mechanical Ventilation in Taiwan. Hypothesis: 1. The sleep quality in intervention group is significant improving than usual-care group at Day 1 (after the first intervention), Day 2 (after the second intervention), and Day 3 (after the third intervention). 2. The circadian rhythm in intervention group is significant improving than usual-care group at Day 1 (after the first intervention), Day 2 (after the second intervention), Day 3 (after the third intervention).
Detailed description
The subjects were divided into experimental and control groups. And the improving quality of sleep intervention was provided only in experimental group. In the experimental group，the patients used earplugs and eye masks during nighttime sleep. In the control group, the received routine intensive care.
Interventions
BEHAVIORALlight and sound modification (earplugs and eye masks)
In the experimental group，the patients used earplugs and eye masks during nighttime sleep.
Sponsors
Shin Kong Wu Ho-Su Memorial Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Masking description
The study was conducted on 126 patients with 56 subjects in experimental group and 56 in control group in the MICU. Effect of ear plugs & eye mask on sleep among ICU patients: a randomized control trial The participants were randomly divided into two groups: with ear plugs and eye mask (experimental group) for 3 successive nights and without ear plugs and eye mask (control group). participants were provided a Sequentially numbered opaque sealed envelopes.
Intervention model description
This is a single-center, prospective, randomized control trial in the medical intensive care unit of the Shin Kong Wu Ho-Su Memorial Hospital.
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. ICU stay for 7 days 2. Endotracheal or Tracheostomy patients
Exclusion criteria
1. Patients with ear injury 2. Hearing impairment 3. Eye disease or injuries
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Subjective sleep quality | baseline after recruited] using Chinese version of Richards-Campbell Sleep Questionnaire | Subjective sleep quality |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Objective sleep quality | baseline, Day 1, Day 2, and Day 3] using Actigraphy | Objective sleep quality |
| Circadian rhythms | baseline, Day 1, Day 2, and Day 3] using Actigraphy | Circadian rhythms including 24-h autocorrelation coefficient (r24), in bed less than out of bed dichotomy index (I\<O) collection, Mesor, Amplitude, and Acrophase from actigraphy |
Countries
Taiwan
Outcome results
None listed