Impact of Noninvasive Ventilation on Quality of Sleep among Patients Admitted to the Critical Care Unit.

IF 1.5 Q3 CRITICAL CARE MEDICINE

Indian Journal of Critical Care Medicine Pub Date : 2025-05-01 Epub Date: 2025-05-08 DOI:10.5005/jp-journals-10071-24962

Aiswarya Kunjappan, Madhura M Reddy, Samruddha S Prabhu, Margiben T Bhatt, R Vani Lakshmi

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引用次数: 0

Abstract

Background and aims: Patients in critical care units (CCUs) on noninvasive ventilation (NIV) may experience sleep disturbances due to various reasons. Identifying the variables that affect a patient's sleep quality is essential for the medical treatment process, as it ensures the maintenance of a regular sleep cycle. The study aimed to assess the impact of NIV on the quality of sleep among patients admitted to the CCU.

Patients and methods: This observational questionnaire study was conducted between July 2023 to February 2024, which included 84 subjects who received NIV for more than 24 hours. The sleep quality was assessed using The St. Mary's Hospital (SMH) Sleep Questionnaire. The impact of NIV on sleep quality and sleep-disruptive factors was analyzed.

Results: A total of 84 subjects (71.4% weaned and 28.5% intubated) were included, and a significant association was found between the impact of NIV and sleep quality (p < 0.05). Leakage from the NIV mask impacted the quality of sleep (χ² = 15.6) and falling back to sleep (χ² = 18.4). Discomfort with the NIV mask interruption from sleep (χ² = 15.8), quality of sleep (χ² = 23.6), and falling back to sleep (χ² = 22.3). Excessive air from the ventilator impacted the quality of sleep (χ² = 13.5) and falling back to sleep (χ² = 13.5). Nasal and oral dryness influenced the quality of sleep (χ² = 9.79) and alertness (χ² = 14.6). The major factors that interfered with sleep were thirst (84.5%), pain (60.7%), and light (58.3%).

Conclusion: Our study highlights that the impact of NIV on sleep quality among patients in critical care is significant, with factors such as mask leakage, discomfort, excessive air delivery, and dryness affecting sleep negatively. Addressing these issues can potentially improve sleep quality and reduce the need for intubation.

How to cite this article: Kunjappan A, Reddy MM, Prabhu SS, Bhatt MT, R Vani Lakshmi. Impact of Noninvasive Ventilation on Quality of Sleep among Patients Admitted to the Critical Care Unit. Indian J Crit Care Med 2025;29(5):424-430.

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无创通气对重症监护病房患者睡眠质量的影响

背景与目的：重症监护病房（CCUs）无创通气（NIV）患者可能由于各种原因出现睡眠障碍。识别影响患者睡眠质量的变量对于医疗过程至关重要，因为它确保了正常睡眠周期的维持。本研究旨在评估NIV对CCU住院患者睡眠质量的影响。患者和方法：本观察性问卷研究于2023年7月至2024年2月进行，包括84名接受NIV治疗超过24小时的受试者。使用圣玛丽医院（SMH）睡眠问卷对睡眠质量进行评估。分析NIV对睡眠质量的影响及睡眠干扰因素。结果：共纳入84例受试者（71.4%为断奶，28.5%为插管），无创通气对睡眠质量的影响有显著相关性（p < 0.05）。NIV口罩渗漏影响睡眠质量（χ²= 15.6）和恢复睡眠（χ²= 18.4）。佩戴NIV口罩导致睡眠中断的不适（χ²= 15.8）、睡眠质量（χ²= 23.6）和重新入睡（χ²= 22.3）。呼吸机排出的空气过多影响睡眠质量（χ²= 13.5）和再次入睡（χ²= 13.5）。鼻口干燥影响睡眠质量（χ²= 9.79）和警觉性（χ²= 14.6）。影响睡眠的主要因素是口渴（84.5%）、疼痛（60.7%）和光线（58.3%）。结论：我们的研究强调了NIV对重症监护患者睡眠质量的影响是显著的，口罩泄漏、不适、过多的空气输送和干燥等因素对睡眠有负面影响。解决这些问题可以潜在地改善睡眠质量，减少插管的需要。如何引用本文：Kunjappan A， Reddy MM, Prabhu SS, Bhatt MT, R Vani Lakshmi。无创通气对重症监护病房患者睡眠质量的影响中华检验医学杂志，2015;29(5):424-430。

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来源期刊

Indian Journal of Critical Care Medicine CRITICAL CARE MEDICINE-

CiteScore

3.50

自引率

10.00%

发文量

299

期刊介绍： Indian Journal of Critical Care Medicine (ISSN 0972-5229) is specialty periodical published under the auspices of Indian Society of Critical Care Medicine. Journal encourages research, education and dissemination of knowledge in the fields of critical and emergency medicine.