THE EFFECT OF EARPLUGS AND EYE COVER ON SLEEP QUALITY FOR ICU PATIENTS
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Date
2024-07-03
Authors
Hamarsheh, Saja
Journal Title
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Publisher
An-Najah National University
Abstract
Background: Patients in Intensive Care Units had poor sleep quality due to a variety of conditions that could disturb their sleep. Intensive Care Units(ICUs'), characterized by high levels of noise, hinder sleep and can negatively impact the healing process of patients undergoing intensive care.
Aim: To assess the effects of earplugs and eye covers on the quality of sleep and frequency of sleep disturbances among patients in critical care units.
Design and methods: Intensive Care Unit and Cardiac Care Unit patients participated in a quasi-experimental study using a pre- and post-test methodology. Study sample was recruited conveniently in Intensive Care Unit and Cardiac Care Unit from four hospitals, with a total sample of (100) participants. 50 participants were selected as a control group, and the other 50 as an intervention group. Data in both groups was collected pre and post intervention by 'Richards Campbell Sleep Questionnaire' and Pittsburgh sleep quality.
Result: Significant statistical variances were observed between the groups. Nonetheless, the effects were moderate across various sleep parameters, indicating that patients in the intervention group experienced enhanced sleep quality compared to those in the control group. Patients expressed their satisfaction and comfort towards the efficacy of earplugs and eye covers in improving sleep quality. Both groups identified noise, medical equipment, and nursing activities as factors contributing to disturbances of sleep patterns. Demographically, the results of intervention and controlled group were not significant, with only employment scoring statistically high, indicating that there is a significant difference at baseline between control and intervention groups, χ2(2) = 9.665, p = .008, with a mean rank RCSQ score of 41.23 for student, 44.81 for unemployed and 63.24 for freelance group, sleep were significantly higher in the intervention group compared to the control group (p < 0.05) in the Mann-Whitney. The control group showed a statistically significant difference (278 ± 177.14). statistically significant difference from pre-intervention to post-intervention (p < 0.05) in Wilcoxon signed-rank.
Conclusion: Earplugs and eye covers were simple and inexpensive devices that can be used to reduce noise and light exposure, ensuring the quality of sleep in critical care units. Sleep Sounds were essential for acutely ill clients to recover quickly.
Keywords: Sleep quality, Intensive care unit, Earplugs, Eye cover.