Volume 28, Issue 2 (3-2018)                   J Holist Nurs Midwifery 2018, 28(2): 93-100 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Baghaie Lakeh M, Baghaie Lakeh M, Khaleghdoost Mohammad T, Kazem Nezhad Leyli E. The Effect of Use of Earplugs on Sleep Quality in Coronary Care Units Patients . J Holist Nurs Midwifery. 2018; 28 (2) :93-100
URL: http://hnmj.gums.ac.ir/article-1-969-en.html
1- MSN Nursing (MSN), Heshmat Medical and Educational Center, Guilan university of Medical Sciences, Rasht, Iran
2- Instructor Social Determinants of Health Research Center (SDHRC), Department of Nursing (Medical-Surgical), Instructor, Guilan University of Medical Sciences, Rasht, Iran , mojbaghaie40@yahoo.com
3- Instructor Social Determinants of Health Research Center (SDHRC), Department of Nursing (Medical-Surgical), Instructor, Guilan University of Medical Sciences, Rasht, Iran
4- Associate Professor Social Determinants of Health Research Center (SDHRC), Bio-Statistics, Associate Professor, Guilan University of Medical Sciences, Rasht, Iran
Abstract:   (597 Views)
Introduction: Sleep deprivation along with subsequent increased blood pressure and heart rate can lead to higher risk among patients admitted to Coronary Care Units (CCUs).
Objective: The aim of this study was to determine the effect of use of earplugs on sleep quality and its domains (sleep disturbance, supplementary sleep and the effectiveness of sleep) in CCU patients.
Materials and Methods: This cross-over randomized clinical trial study was carried out on 92 CCU patients in 2 groups of A (using earplugs at the first night and no earplugs at the second night) and B (no earplugs at the first night and using earplugs at the second night). Data collection was done using a two-part tool including a researcher-made questionnaire on individual and socio-demographic information related to disease and standard scale of Verran and Snyder-Halpern Sleep Scale (VSH Sleep Scale). Earning higher scores was described as poor sleep quality in the overall quality of sleep and its domains. Data analysis was performed using descriptive and inferential statistical methods, ANOVA and Generalized Estimating Equations (GEE) logistic regression.
Results: The results revealed that the female participants made up the majority of samples in both groups A and B (54.2 and 60.4%). The use of earplugs significantly reduced the quality of sleep disturbance domain in both groups A and B (P=0.0001 and P=0.021, respectively), and the supplementary sleep domain in group A (P=0.027). There was no significant difference between the two groups in terms of mean change in overall sleep quality score and its domains within the two nights. Finally, the GEE-based regression test based on controlling the individual and social and disease-associated factors indicates the effect of use of earplugs in reducing the quality of sleep (B=3.1 and P=0.0001) and its domains, including sleep disturbance (B=-5.59 and P=0.021), supplementary sleep (B=3.33 and P=0.0001) and sleep effectiveness (B=-1.43 and P=0.027).
Conclusion: The negative effects of using earplugs on overall sleep quality and its domains in this study highlights the need to carry out further researches in order to find an effective method to improve sleep quality in CCU patients.
Full-Text [PDF 625 kb]   (269 Downloads) |   |   Full-Text (HTML)  (215 Views)  
Article Type : Research | Subject: Special
Received: 2018/03/19 | Accepted: 2018/03/19 | Published: 2018/03/19

References
1. Neyse F, Daneshmandi M, Sadeghi Sharme M, Ebadi A. The effect of earplugs on sleep quality in patients with acute coronary syndrome. Iranian Journal of Critical Care Nursing. 2011; 4(3):127-34. PMCID: PMC4280735
2. Berman A, Snyder S. Kozier & Erbs Fundamental of nursing, concepts, process and practice. Boston: Pearson; 2012.
3. Mashayekhi F, Arab M, Abazari F. The effects of earplug on perception of sleep in patients of Coronary Care Unit (CCU) educations. Middle East Journal of Nursing. 2013; 7(5):3–8. doi: 10.5742/mejn.2013.75326 [DOI:10.5742/MEJN.2013.75326]
4. Matthews KA, Strollo Jr PJ, Hall M, Mezick EJ, Kamarck TW, Owens JF, et al. Associations of framingham risk score profile and coronary artery calcification with sleep characteristics in middle-aged men and women: Pittsburgh Sleep SCORE study. Sleep. 2011; 34(6):711-6. doi: 10.5665/SLEEP.1032. [DOI:10.5665/SLEEP.1032]
5. Hellström A, Willman A. Promoting sleep by nursing interventions in health care settings: A systematic review. Worldviews on Evidence-Based Nursing. 2010; 8(3):128–42. doi: 10.1111/j.1741-6787.2010.00203.x [DOI:10.1111/j.1741-6787.2010.00203.x]
6. Urden LD, Stacy KM, Lough ME. Critical care nursing, Diagnosis and management. Amsterdam: Elsevier Health Sciences; 2014.
7. Dadgari A, Yaghmaie F, Shahnazarian J, Dadvar L. [Survay of nurses knowledge , attitude and practice in prevention of ICU syndrom (Persian)]. Knowledge & Health Journal. 2007; 2(3):28-35. doi: 10.22100/jkh.v2i3.245
8. Zolfaghari M, Farokhnezhad Afshar P, Asadi Noghabi A A, Ajri Khameslou M. [Modification of environmental factors on quality of sleep among patients admitted to CCU (Persian)]. Hayat. 2013; 18(4):61-68
9. Eliassen KM, Hopstock LA. Sleep promotion in the intensive care unit: A survey of nurses' interventions. Intensive and Critical Care Nursing. 2011; 27(3):138–42. doi: 10.1016/j.iccn.2011.03.001 [DOI:10.1016/j.iccn.2011.03.001]
10. Xie H, Kang J, Mills GH. Clinical review: The impact of noise on patients' sleep and the effectiveness of noise reduction strategies in intensive care units. Critical Care. 2009; 13(2):208.-15. doi: 10.1186/cc7154 [DOI:10.1186/cc7154]
11. Schiza SE, Simantirakis E, Bouloukaki I, Mermigkis C, Arfanakis D, Chrysostomakis S, et al. Sleep patterns in patients with acute coronary syndromes. Sleep Medicine. 2010; 11(2):149–53. doi: 10.1016/j.sleep.2009.07.016 [DOI:10.1016/j.sleep.2009.07.016]
12. Arab M, Mashayekhi F, Ranjbar H, Abazari F, Dortaj E. [Comparing the effects of using Earplugs and eye masks on sleep quality of patients in coronary care unit (CCU) (Persian)]. Annals of Military and Health Sciences Research. 2013; 11(2):143-9.
13. Taylor CR, Lillis C, Lemon P, Lynn P. Fundamental of nursing: The art and science of nursing. Philadelphia: Wolter Kluwer; 2014.
14. Kamdar BB, Needham DM, Collop NA. Sleep deprivation in critical illness. Journal of Intensive Care Medicine . 2011; 27(2):97–111. doi: 10.1177/0885066610394322 [DOI:10.1177/0885066610394322]
15. Richardson A, Allsop M, Coghill E, Turnock C. Earplugs and eye masks: Do they improve critical care patients' sleep. Nursing in Critical Care. 2007; 12(6):278–86. doi: 10.1111/j.1478-5153.2007.00243.x [DOI:10.1111/j.1478-5153.2007.00243.x]
16. Martin KA. The effect of earplugs on perceived sleep quality of acute care patients [PhD Dissertation]. Bozeman, Montana: Montana State University-Bozeman; 2008.
17. Yazdannik AR, Zareie A, Hasanpour M, Kashefi P. The effect of earplugs and eye mask on patients' perceived sleep quality in intensive care unit. Iranian Journal of Nursing and Midwifery Research. 2014; 19(6):673-8. PMCID: PMC4280735 [PMID] [PMCID]
18. Jones C, Dawson D. Eye masks and earplugs improve patient's perception of sleep. Nursing in Critical Care. 2012; 17(5):247-54. doi: 10.1111/j.1478-5153.2012.00501.x [DOI:10.1111/j.1478-5153.2012.00501.x]
19. Hofhuis JGM, Langevoort G, Rommes JH, Spronk PE. Sleep disturbances and sedation practices in the intensive care unit: A postal survey in the Netherlands. Intensive and Critical Care Nursing. 2012; 28(3):141–9. doi: 10.1016/j.iccn.2011.10.006 [DOI:10.1016/j.iccn.2011.10.006]
20. Kaplow R. Sleep disturbances and critical illness. Critical Care Nursing Clinics of North America. 2016; 28(2):169–82. doi: 10.1016/j.cnc.2016.02.005 [DOI:10.1016/j.cnc.2016.02.005]

Add your comments about this article : Your username or Email:
CAPTCHA code

Send email to the article author


© 2017 All Rights Reserved | Journal of Holistic Nursing And Midwifery

Designed & Developed by : Yektaweb