Document Type : Original Article
Authors
- . Karene Boos
- . Kerri Murphy
- . Thomas St. George
- . James Brandes
- . Jane Hopp
- . Abolfazl Rahimi
- . Masoud Sirati Nir 1
- . Ahmadali Amirifar 2
- . Fatemeh Mahmoudikohani 3
1 Behavioral Sciences Research Center and Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran
2 Department of Nursing, Nursing Faculty and Student’s Research Committee, Baqiyatallah University of Medical Science, Tehran, Iran
3 Department of Midwifery, School of Nursing and Midwifery, Bam University of Medical Sciences, Bam, Iran
Abstract
BACKGROUND: Sleep disturbances as a major health problem are common in patients hospitalized
in critical care units. This study examined the effects of a team‑based care plan on the quality of sleep
in patients hospitalized in a cardiac surgery intensive care unit (CSICU) of a multidisciplinary hospital.
MATERIALS AND METHODS: In this clinical trial, 100 patients with cardiac surgery were selKMected
through convenience sampling and then nonrandomly allocated to the intervention and or the control
group. A plan of care with the recommendation of all intensive care unit care teams was designed
and then applied. In this study, the Richards‑Campbell Sleep Questionnaire was used to evaluate
sleep quality. Patients in the intervention group received the care plan for two consecutive nights.
The study’s national approval code is IRCT2017091915512N2. Collected data were analyzed using
SPSS software (v. 21), and by paired, independent t, Chi‑square, and Fisher’s exact tests.
RESULTS: Quality of sleep in patients admitted to the CSICU is significantly improved by noise
reduction both in the first and second nights. Moreover, the team‑based care plan requires good
coordination between all team members taking care of cardiac surgery patients admitted to the
CSICU (P < 0.001).
CONCLUSIONS: The team‑based care plan significantly improves the quality of sleep. It may be
due to the close coordination between all team members to avoid sleep disturbances.
Keywords
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