Sleep disruption experienced by surgical patients in an acute hospital

Queen's Medical Centre, Nottingham.
British journal of nursing (Mark Allen Publishing) 06/2008; 17(12):766-71. DOI: 10.12968/bjon.2008.17.12.30306
Source: PubMed


Sleep has a common structure and pattern and is thought to be a restorative process. Sleep deprivation and disruption can cause a myriad of physical and psychological changes, which can all have an impact on health care. As such, sleep is recognized as being beneficial to health and an important aspect of nursing care.
This study used an expansion component mixed-method design to describe the sleep experience of patients on surgical wards. This involved establishing the factors which disturb sleep and describing patients' experiences of sleep disruption.
17 of the 24 patients approached participated in the study, providing a 71% response rate. Environmental factors were found to be strongly correlated with sleep disruption with a Pearson's coefficient of +0.795. Personal factors were also found to be correlated with sleep disruption although, with a Pearson's coefficient of +0.590, not as strongly as environmental factors.
This study found that environmental noise, pain and tension were most likely to disrupt the sleep of surgical patients. It has also established four recommendations to improve the sleep of hospital patients.
This study has some limitations that need to be considered: limited database access, a small sample size and a data collection tool which had not previously been tested for validity or reliability.
This study produced some compelling findings. It is recommended, however, that these findings be tested by larger studies using simple random sampling and in-depth interviews.

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Available from: Linda East, May 19, 2015
    • "A circadian rhythm is an internal bodily process that cycles approximately every 24 hours where the body's 'clock' responds to, or is entrained by, internal stimuli such as hormones, but primarily to the external cues of the naturally occurring daylight–darkness cycle (Higgins et al. 2007, Alzoubi et al. 2010). Disturbances in sleep–wake rhythms are known to have negative cognitive, psychological and physical consequences (Roehrs & Roth 2005, Lane & East 2008) and in the future, may even reveal asynchronies in cell cycles and between organ systems (Rea et al. 2008). Mood changes, depression and pain may be related to these sleep–wake disturbances (Roehrs & Roth 2005, Lane & East 2008). "
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