Aiswarya Kunjappan, Madhura M Reddy, Samruddha S Prabhu, Margiben T Bhatt, R Vani Lakshmi
{"title":"无创通气对重症监护病房患者睡眠质量的影响","authors":"Aiswarya Kunjappan, Madhura M Reddy, Samruddha S Prabhu, Margiben T Bhatt, R Vani Lakshmi","doi":"10.5005/jp-journals-10071-24962","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and aims: </strong>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.</p><p><strong>Patients and methods: </strong>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.</p><p><strong>Results: </strong>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 (<i>p</i> < 0.05). Leakage from the NIV mask impacted the quality of sleep (<i>χ</i>² = 15.6) and falling back to sleep (<i>χ</i>² = 18.4). Discomfort with the NIV mask interruption from sleep (<i>χ</i>² = 15.8), quality of sleep (<i>χ</i>² = 23.6), and falling back to sleep (<i>χ</i>² = 22.3). Excessive air from the ventilator impacted the quality of sleep (<i>χ</i>² = 13.5) and falling back to sleep (<i>χ</i>² = 13.5). Nasal and oral dryness influenced the quality of sleep (<i>χ</i>² = 9.79) and alertness (<i>χ</i>² = 14.6). The major factors that interfered with sleep were thirst (84.5%), pain (60.7%), and light (58.3%).</p><p><strong>Conclusion: </strong>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.</p><p><strong>How to cite this article: </strong>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.</p>","PeriodicalId":47664,"journal":{"name":"Indian Journal of Critical Care Medicine","volume":"29 5","pages":"424-430"},"PeriodicalIF":1.5000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12101979/pdf/","citationCount":"0","resultStr":"{\"title\":\"Impact of Noninvasive Ventilation on Quality of Sleep among Patients Admitted to the Critical Care Unit.\",\"authors\":\"Aiswarya Kunjappan, Madhura M Reddy, Samruddha S Prabhu, Margiben T Bhatt, R Vani Lakshmi\",\"doi\":\"10.5005/jp-journals-10071-24962\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background and aims: </strong>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.</p><p><strong>Patients and methods: </strong>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.</p><p><strong>Results: </strong>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 (<i>p</i> < 0.05). Leakage from the NIV mask impacted the quality of sleep (<i>χ</i>² = 15.6) and falling back to sleep (<i>χ</i>² = 18.4). Discomfort with the NIV mask interruption from sleep (<i>χ</i>² = 15.8), quality of sleep (<i>χ</i>² = 23.6), and falling back to sleep (<i>χ</i>² = 22.3). Excessive air from the ventilator impacted the quality of sleep (<i>χ</i>² = 13.5) and falling back to sleep (<i>χ</i>² = 13.5). Nasal and oral dryness influenced the quality of sleep (<i>χ</i>² = 9.79) and alertness (<i>χ</i>² = 14.6). The major factors that interfered with sleep were thirst (84.5%), pain (60.7%), and light (58.3%).</p><p><strong>Conclusion: </strong>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.</p><p><strong>How to cite this article: </strong>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. 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Impact of Noninvasive Ventilation on Quality of Sleep among Patients Admitted to the Critical Care Unit.
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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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.
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