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Patientvila på intensivvårdsavdelning under dagtid: Utopi eller verklighet?
The Swedish Red Cross University College.
The Swedish Red Cross University College.
2011 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Daytime resting in intensive care unit : Utopia or reality? (English)
Abstract [sv]

Bakgrund: Patienter i behov av intensivvård är även i behov av en plats av lugn och ro för läkning. Intensivvården är en miljö som utsätter patienter för frekventa stimuli dygnet runt. För att få möjlighet till både fysisk och psykisk läkning krävs fullständig sömn. Intensivvårdspatienter har mer ytlig sömn på grund av att sömnrytmen ofta är störd. Genom att vila mitt på dagen i sammanhängande 90 minuter kan individen kompensera för en otillräcklig nattsömn. Bristen på vila och sömn är en komplikation som bidrar till sämre hälsa och kan leda till akut förvirringstillstånd, förlängd vårdtid och högre vårdkostnader. Syfte: Syftet var att kartlägga intensivvårdspatienters perioder med och utan fysiska stimuli under dag- och kvällstid (07.00-21.30). Metod: Författarna samlade in data som icke deltagande observatörer. Sövda och intuberade patienter placerad på flerbäddssal valdes. Alla närvarande på sal som kom i kontakt med patient observerades, alla fysiska stimuli registrerades på ett observationsschema. Resultat: Under dag- och kvällstid var det ingen av patienterna som fick en period på lika med eller mer än 90 minuter av vila. Slutsats: Patienterna på intensivvårdsavdelningen hade dålig möjlighet att under dagtid kompensera för en störd nattsömn. 

Abstract [en]

Background: Patients in need of intensive care also require a calm surrounding for healing. Intensive care units have an environment which exposes the patients to frequent stimuli at all hours of the day. In order to be able to heal both physically and mentally a sufficient sleep quality is needed. Intensive care patient have a more superficial sleep as their sleep cycle is often disturbed. By being able to rest for 90 minutes consecutively during daytime the patient is given the opportunity compensate for an inadequate night sleep. The lack of rest and sleep is an issue that can contribute to a worsening of the health and can lead to delirium, prolonged hospital stay and health costs. Aim: The aim of this study was to chart the intensive care patients periods with and without physical stimuli during day- and evening time (07.00-21.30). Method: The authors collected data as non-participant observers. Sedated and intubated patients placed in multi-bed rooms were selected. All staff and family in direct contact with the patients were observed. All physical stimuli were registered on a observation-schedule. Result: None of the observed patients had a period of 90 minutes or longer of rest during day- or evening time. Conclusion: Patients at the intensive care unit had poor opportunity to compensate for a disturbed night sleep during the day. 

Place, publisher, year, edition, pages
2011. , 38 p.
Keyword [en]
intensive care, physical stimuli, rest, sleep
Keyword [sv]
intensivvård, fysiska stimuli, vila, sömn
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-118OAI: oai:DiVA.org:rkh-118DiVA: diva2:427130
Educational program
Postgraduate Program in Specialist Nursing
Uppsok
Medicine
Available from: 2011-06-27 Created: 2011-06-27 Last updated: 2017-07-07Bibliographically approved

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