sleep enhancement protocol, delirium, surgical critically ill patients sleep quality, sleep deprivation, delirium, intensive care unit
Conditions
Interventions
Do not close the patients'
room lights during the daytime from 05:00 am to 22:00 pm
Decrease monitoring alarm volume
Decrease screening light
Dim the light
Close the door
Apply ear plug
Apply an eye pad to the patient before
Sleep enhancement protocol ,Standard care
Sponsors
Faculty of Medicine Siriraj Hospital, Mahidol University
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Age of 65 year old and older 2.Admitted to SICU at Siriraj hospital within 7 days following surgery and 3.anticipated length of stay more than 24 hours 4.Richmond Agitation Sedation Scale (RASS) at admission between 1 to -2 5.Can communicate in Thai
Exclusion criteria
Exclusion criteria: 1.Severe visual or auditory impairment 2.Pre-existing cognitive dysfunction 3.the Confusion Assessment Method for the ICU (CAM-ICU) at admission positive 4.Immobilized or paralysis patient 5.Patient who received neuromuscular blocking agent continuous intravenous drip.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of delirium Daily assessment, stay in the ICU for 7 days or until discharge from the ICU CAM-ICU tool | — |
Secondary
| Measure | Time frame |
|---|---|
| N/A N/A N/A | — |
Countries
Thailand
Contacts
Public ContactNuanprae Kitisin
Faculty of Medicine Siriraj Hospital, Mahidol University
Outcome results
None listed