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Effekten av öronproppar i intensiv- och postoperativ vård: en pilotstudie
Red Cross University College of Nursing.
Red Cross University College of Nursing.
2010 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Det är väl belagt att patienter postoperativt och inom intensivvården drabbas av en funktionell sömnbrist i form av störd dygnsrytm, stort antal uppvaknanden och rubbad sömncykel med underskott av djupsömn och REM-sömn. En delförklaring till sömnbristen är de generellt höga ljudnivåerna på intensivvårdsavdelningar. Syftet med föreliggande pilotstudie var att undersöka huruvida öronproppar kunde förbättra den upplevda sömnkvalitén för patienter inom intensivvård och postoperativt. Tjugotvå patienter från två intensivvårdsavdelningar, en hjärtintensivvårdsavdelning och en postoperativ avdelning deltog i studien. I interventions-gruppen sov elva patienter en natt med öronproppar och elva patienter som sov utan öronproppar utgjorde kontrollgrupp. Sömnkvalitén självskattades med hjälp av Richards-Campbells Sleep Questionnaire (RCSQ). Resultatet visade att de patienter som sovit med öronproppar skattade sin sömn som bättre (median RCSQ sömnindex = 81) än kontrollgruppen (median RCSQ sömnindex = 58), men också att andelen patienter på intensivvårds- och postoperativa avdelningar som kan tillgodogöra sig de eventuellt positiva effekterna av öronproppar är begränsad.

Abstract [en]

It is a well established fact that patients postoperatively and in intensive care frequently suffer from a functional sleep deprivation in the form of disturbed circadian rhythm, large number of awakenings and disturbed sleep cycle with a deficit of slow wave sleep and REM sleep. A partial explanation for the lack of sleep has been shown to be the high noise levels in intensive care and recovery rooms. The purpose of this pilot study was to examine whether earplugs could improve intensive care and post-operative patients' perceived sleep quality. Twenty-two patients from two intensive care units, a cardiac intensive care unit and a post-surgical department participated in the study. In the intervention group eleven patients spent one night with earplugs, and eleven patients that slept without earplugs formed control group. The patients self-estimated their sleep by using the Richards-Campbell Sleep Questionnaire (RCSQ). The results showed that patients who slept with earplugs rated their sleep as better (median RCSQ sleep index = 81) than the control group (median RCSQ sleep index = 58), but also that the proportion of patients in intensive and post-operative care that can benefit from the potentially positive effects of earplugs is limited.

Place, publisher, year, edition, pages
2010. , 39 p.
Keyword [en]
earplugs, intensive care, noise, RCSQ, sleep
Keyword [sv]
intensivvård, ljud, RCSQ, sömn, öronproppar
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-43OAI: oai:DiVA.org:rkh-43DiVA: diva2:405759
Subject / course
Magisterprogrammet i omvårdnad
Uppsok
Medicine
Available from: 2011-03-23 Created: 2011-03-23 Last updated: 2014-06-23Bibliographically approved

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Red Cross University College of Nursing
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