Acute myocardium infarction
Conditions
Interventions
Experimental group: 50 patients admitted to intensive care will use glasses with filter for blue light, therefore, in wavelength between 380 and 460 nanometers, and lateral blockage for light passage
Device
J01.637.708.560.500
Sponsors
Escola Paulista de Enfermagem da Universidade Federal de São Paulo
Escola Paulista de Enfermagem da Universidade Federal de São Paulo
Eligibility
Inclusion criteria
Inclusion criteria: The sample will be composed of patients older than 18 years; who suffered a primary event of acute myocardial infarction with or without supra-level ST tracking; hospitalized to an intensive care unit; with a minimum score of 14 points in the Glasgow Coma Scale; with a stay of at least 12 hours in the unit, without cognitive impairment; in spontaneous ventilation or using noninvasive ventilatory support
Exclusion criteria
Exclusion criteria: Blind patients of the quiasmatic type will be excluded. Also excluded are patients who are in Killip IV; sedata; inpatient women without the use of delayed bladder catheterization; inincontinent men without the use of delayed bladder catheterization and who do not adapt to the use of a non-invasive device for urine collection (Uripen®); patients who have predictors related to sleep apnea such as: Body Mass Index (BMI) greater than 35; Score greater than 10 on the Epworth daytime sleepiness rating scale; Snoring; witnessed apneas; wheezing that suffocates the night; unfavorable clinical outcome (hemodynamic and respiratory instability); confirmed diagnosis of sleep apnea and patients who were discharged during data collection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To verify the improvement of sleep quality parameters through analysis of the variables related to sleep (Activity and rest evaluation by actigraphy; Questionnaire for assessing the quality of sleep in the cardiological ICU; Chronotype Questionnaire Morningness- Eveningness Questionnaire (MEQ) by Horne & Östberg). The data will be analyzed using: mean, median, standard deviation, paired T-Test and analysis of variance (ANOVA),Considering significant p values less than or equal to 0.05.;To verify the improvement of pain reports by pain score through the numerical verbal pain scale (0-10). | — |
Secondary
| Measure | Time frame |
|---|---|
| Evaluation of the perception of daytime sleepiness after the use of glasses with blue light block in the night period,Through the Epworth scale and evaluation of sleep quality in the last month through the Pittsburgh Sleep Quality Index Questionnaire PSQI). The data will be analyzed using: mean, median, standard deviation, paired T-Test and analysis of variance (ANOVA),Considering significant p values less than or equal to 0.05.;Evaluate the excretion level of the urinary melatonin metabolite. Laboratory analysis of the level of 6-sulfatoximelatonin in the urine will be performed using the ELISA method, from the evaluation by the Spectrophotometer.The quantification of the samples will be performed by interpolating the values in a standard curve.The data will be analyzed using: mean, median, standard deviation, paired T-Test and analysis of variance (ANOVA),Considering significant p values less than or equal to 0.05. | — |
Countries
Brazil
Contacts
Public ContactAriane Avelar
Escola Paulista de Enfermagem
Outcome results
None listed