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Night‐time care routine interaction and sleep disruption in adult cardiac surgery

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  • Jesus M Casida
  • Jean E Davis
  • Aaron Zalewski
  • James J Yang

Abstract

Aims and Objectives To explore the context and the influence of night‐time care routine interactions (NCRIs) on night‐time sleep effectiveness (NSE) and daytime sleepiness (DSS) of patients in the cardiac surgery critical‐care and progressive‐care units of a hospital. Background There exists a paucity of empirical data regarding the influence of NCRIs on sleep and associated outcomes in hospitalised adult cardiac surgery patients. Methods An exploratory repeated‐measures research design was employed on the data provided by 38 elective cardiac surgery patients (mean age 60.0 ± 15.9 years). NCRI forms were completed by the bedside nurses and patients completed a 9‐item Visual Analogue Sleep Scale (100‐mm horizontal lines measuring NSE and DSS variables). All data were collected during postoperative nights/days (PON/POD) 1 through 5 and analysed with IBM SPSS software. Results Patient assessment, medication administration and laboratory/diagnostic procedures were the top three NCRIs reported between midnight and 6:00 a.m. During PON/POD 1 through 5, the respective mean NSE and DSS scores ranged from 52.9 ± 17.2 to 57.8 ± 13.5 and from 27.0 ± 22.6 to 45.6 ± 16.5. Repeated‐measures ANOVA showed significant changes in DSS scores (p .05). Finally, of 8 NCRIs, only 1 (postoperative exercises) was significantly related to sleep variables (r > .40, p

Suggested Citation

  • Jesus M Casida & Jean E Davis & Aaron Zalewski & James J Yang, 2018. "Night‐time care routine interaction and sleep disruption in adult cardiac surgery," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1377-1384, April.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:7-8:p:e1377-e1384
    DOI: 10.1111/jocn.14262
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    1. Jesus M Casida & Jean E Davis & LaVonne Shpakoff & Hossein Yarandi, 2014. "An exploratory study of the patients' sleep patterns and inflammatory response following cardiopulmonary bypass (CPB)," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(15-16), pages 2332-2342, August.
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