Effect of the use of earplugs and eye mask on the quality of sleep in intensive care patients: a systematic review
Language English Country England, Great Britain Media print-electronic
Document type Journal Article, Systematic Review
PubMed
28944590
DOI
10.1111/jsr.12607
Knihovny.cz E-resources
- Keywords
- earplugs, eye mask, hospitalisation, intensive care unit, quality of sleep,
- MeSH
- Ear Protective Devices * trends MeSH
- Delirium epidemiology physiopathology therapy MeSH
- Intensive Care Units * trends MeSH
- Humans MeSH
- Eye Protective Devices * trends MeSH
- Critical Care methods trends MeSH
- Sleep Wake Disorders epidemiology physiopathology prevention & control MeSH
- Randomized Controlled Trials as Topic methods MeSH
- Sleep physiology MeSH
- Sleep Deprivation epidemiology physiopathology prevention & control MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Systematic Review MeSH
Intensive care unit (ICU) environment has a very strong and unavoidable negative impact on patients' sleep. Sleep deprivation in ICU patients has been already studied and negative effects on their outcome (prolonged ICU stay, decreased recovery) and complication rates (incidence of delirium, neuropsychological sequels of critical illness) discussed. Several interventions potentially improving the sleep disturbance in ICU (sleep-promotion strategies) have been assumed and tested for clinical practice. We present a review of recent literature focused on chosen types of non-pharmacological interventions (earplugs and eye mask) analysing their effect on sleep quality/quantity. From the total amount of 82 papers found in biomedical databases (CINAHL, PubMed and SCOPUS) we included the 19 most eligible studies meeting defined inclusion/exclusion criteria involving 1 379 participants. Both experimental and clinical trials, either ICU and non-ICU patient populations were analysed in the review. Most of the reviewed studies showed a significant improvement of subjective sleep quality when using described non-pharmacological interventions (objective parameters were not significantly validated). Measuring the sleep quality is a major concern limiting the objective comparison of the studies' results since non-standardised (and mainly individual) tools for sleep quality assessment were used. Despite the heterogeneity of analysed studies and some common methodological issues (sample size, design, outcome parameters choice and comparison) earplugs and eye mask showed potential positive effects on sleep quality and the incidence of delirium in ICU patients.
AGEL Educational and Research Institute Prostějov Czech Republic
Department of Urology Hospital Nový Jičín Czech Republic
Faculty of Medicine and Dentistry Palacky University Olomouc Czech Republic
References provided by Crossref.org
