Factors Influencing Sleep Quality in Open-Heart Patients in the Postoperative Intensive Care Unit

Open-heart patients often experience sleep problems postoperatively. This cross-sectional study is aimed to investigate open-heart patients’ sleep quality and its influencing factors during intensive care. A consecutive sample of 117 eligible open-heart patients was recruited from an intensive care...

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Published inHealthcare (Basel) Vol. 10; no. 11; p. 2311
Main Authors Lin, Ting-Ru, Cheng, Ching-Hui, Wei, Jeng, Wang, Tsae-Jyy
Format Journal Article
LanguageEnglish
Published Basel MDPI AG 01.11.2022
MDPI
Subjects
Anesthesia
Anxiety
Cardiac patients
Cardiovascular disease
Care and treatment
Comorbidity
Complications
Demographic aspects
Heart surgery
Hospitals
Intensive care
Medical research
Mental depression
Morbidity
Mortality
Pain
Patients
Quantitative psychology
Questionnaires
Risk factors
Sleep deprivation
Sleep disorders
Surgery
Validity
Ventilators
Taiwan
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Summary:Open-heart patients often experience sleep problems postoperatively. This cross-sectional study is aimed to investigate open-heart patients’ sleep quality and its influencing factors during intensive care. A consecutive sample of 117 eligible open-heart patients was recruited from an intensive care unit (ICU) of a general hospital. Data were collected using questionnaires. The respondents were 22–88 years, with a median age of 60.25 (13.51). Seventy-nine (67.5%) respondents were male. Most respondents reported a low-to-moderate postoperative pain level (average pain score = 2.02; range: 0–10). The average anxiety score was 4.68 (standard deviation [SD] = 4.2), and the average depression score was 6.91 (SD = 4.52; range: 0–21). The average sleep efficiency index was 70.4% (SD = 10.74%). Most (95.7%) respondents had a sleep efficiency index below 85%, indicating that most patients did not sleep well in the ICU. Linear regression analysis showed that the key predictors of the sleep quality of open-heart patients in the ICU were wound pain (β = −1.9) and noise disturbance (β = −1.86). These results provide information on sleep quality and the factors affecting postoperative patients in the ICU. These findings can be used as a reference for developing relevant interventions.
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These authors contributed equally to this work.
ISSN:2227-9032
2227-9032
DOI:10.3390/healthcare10112311