Molly J Sullan, Bhumi B Patel, Russell M Bauer, Michael S Jaffee
{"title":"睡眠增强方案对住院康复机构夜间房间进入的影响。","authors":"Molly J Sullan, Bhumi B Patel, Russell M Bauer, Michael S Jaffee","doi":"10.1097/RNJ.0000000000000291","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This study examined whether a sleep enhancement protocol (SEP) could reduce nighttime room entries (NREs) for patients with orthopedic injury (OI) or acquired brain injury (ABI) in an inpatient rehabilitation facility.</p><p><strong>Design: </strong>A two-wave prospective study assessing standard of care (SOC) versus SEP.</p><p><strong>Methods: </strong>Sixty-five participants completed baseline and follow-up questionnaires and wore an actigraph for approximately 7 days. In the SEP, nighttime care was \"bundled.\"</p><p><strong>Findings: </strong>In SOC, NREs were associated with less efficient sleep and greater daytime fatigue. Nighttime room entries were approximately 50% lower in the SEP than SOC. Participants in the OI SOC had more room entries than any other group. There were no significant changes in room entries in the ABI SEP group.</p><p><strong>Conclusions: </strong>There was a relationship between NREs and sleep. The SEP was effective at reducing NREs for patients with OI, but not ABI.</p><p><strong>Clinical relevance: </strong>Sleep enhancement protocols in inpatient rehabilitation facilities may be effective at improving sleep. Future research may focus on developing individualized protocols to improve sleep across patients with a variety of presenting diagnoses.</p>","PeriodicalId":49631,"journal":{"name":"Rehabilitation Nursing","volume":"46 4","pages":"232-243"},"PeriodicalIF":1.1000,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Impact of a Sleep Enhancement Protocol on Nighttime Room Entries in an Inpatient Rehabilitation Facility.\",\"authors\":\"Molly J Sullan, Bhumi B Patel, Russell M Bauer, Michael S Jaffee\",\"doi\":\"10.1097/RNJ.0000000000000291\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>This study examined whether a sleep enhancement protocol (SEP) could reduce nighttime room entries (NREs) for patients with orthopedic injury (OI) or acquired brain injury (ABI) in an inpatient rehabilitation facility.</p><p><strong>Design: </strong>A two-wave prospective study assessing standard of care (SOC) versus SEP.</p><p><strong>Methods: </strong>Sixty-five participants completed baseline and follow-up questionnaires and wore an actigraph for approximately 7 days. In the SEP, nighttime care was \\\"bundled.\\\"</p><p><strong>Findings: </strong>In SOC, NREs were associated with less efficient sleep and greater daytime fatigue. Nighttime room entries were approximately 50% lower in the SEP than SOC. Participants in the OI SOC had more room entries than any other group. There were no significant changes in room entries in the ABI SEP group.</p><p><strong>Conclusions: </strong>There was a relationship between NREs and sleep. The SEP was effective at reducing NREs for patients with OI, but not ABI.</p><p><strong>Clinical relevance: </strong>Sleep enhancement protocols in inpatient rehabilitation facilities may be effective at improving sleep. Future research may focus on developing individualized protocols to improve sleep across patients with a variety of presenting diagnoses.</p>\",\"PeriodicalId\":49631,\"journal\":{\"name\":\"Rehabilitation Nursing\",\"volume\":\"46 4\",\"pages\":\"232-243\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2021-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Rehabilitation Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/RNJ.0000000000000291\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Rehabilitation Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/RNJ.0000000000000291","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
Impact of a Sleep Enhancement Protocol on Nighttime Room Entries in an Inpatient Rehabilitation Facility.
Purpose: This study examined whether a sleep enhancement protocol (SEP) could reduce nighttime room entries (NREs) for patients with orthopedic injury (OI) or acquired brain injury (ABI) in an inpatient rehabilitation facility.
Design: A two-wave prospective study assessing standard of care (SOC) versus SEP.
Methods: Sixty-five participants completed baseline and follow-up questionnaires and wore an actigraph for approximately 7 days. In the SEP, nighttime care was "bundled."
Findings: In SOC, NREs were associated with less efficient sleep and greater daytime fatigue. Nighttime room entries were approximately 50% lower in the SEP than SOC. Participants in the OI SOC had more room entries than any other group. There were no significant changes in room entries in the ABI SEP group.
Conclusions: There was a relationship between NREs and sleep. The SEP was effective at reducing NREs for patients with OI, but not ABI.
Clinical relevance: Sleep enhancement protocols in inpatient rehabilitation facilities may be effective at improving sleep. Future research may focus on developing individualized protocols to improve sleep across patients with a variety of presenting diagnoses.
期刊介绍：
Rehabilitation Nursing is a refereed, award-winning publication and is the official journal of the Association of Rehabilitation Nurses. Its purpose is to provide rehabilitation professionals with high-quality articles with a primary focus on rehabilitation nursing. Topics range from administration and research to education and clinical topics, and nursing perspectives, with continuing education opportunities in every issue.
Articles range from administration and research to education and clinical topics; nursing perspectives, resource reviews, and product information; and continuing education opportunities in every issue.
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