ICU nurses often overestimated patientsâ sleep, assessing it as good sleep rather than taking the patientsâ perception of their sleep or recording sleep patterns using polysomnography. It has also been reported that nurses in the acute care setting more frequently underestimated the severity of sleep problems. In addition, nursing records often only contain remarks on the patientâs physical condition, and information about sleep disturbance is minimal particularly on or after the third night after surgery. Our finding of poor nocturnal sleep suggests that even when patients appear to be sleeping, their sleep may be insufficient. Nurses in surgical wards must be alert for signs of life-threatening complications and for deprivation of sleep even after discharge from the ICU. However, because nurses have limited information patientsâ poor sleep pattern, close collaboration between the surgical ward and ICU nurses is key in providing more appropriate and early interventions.
The potential movement of the body is less due to postoperative pain. Nevertheless, wakefulness was estimated more than sleep in this study. Actigraph was used to determine the sleep levels in patients admitted to the ICU after surgery, and therefore, future research will require more detailed investigation of the sleep status of such patients. Sleep Disturbance in Elderly Patients after Cardiac Surgery during their Stay in Intensive Care Unit and Surgical Ward: Hiromi Arita, Yukari Takeno and Etsuko Fujimoto
Last date updated on June, 2014