Effect of White Noise on Sleep in Patients Admitted to a Coronary Care

Overview

Journal J Caring Sci

Specialty Nursing

Date 2016 Jun 30

PMID 27354974

Citations 18

Authors

Pouya Farokhnezhad Afshar

Fatemeh Bahramnezhad

Parvaneh Asgari

Mahmoud Shiri

Affiliations

Soon will be listed here.

Abstract

Introduction: Sleep disorders are a common problem in patients in the critical care unit. The objective of the present study was to determine the effect of white noise on the quality of sleep in patients admitted to the CCU.

Methods: The present study was single-blind, quasi-experimental study. A total of 60 patients were selected using the purposive sampling method. Quality of sleep was measured with PSQI on the first day in admission, then after three nights of admission without any intervention for control group and for the experimental group quality of sleep measured by white noise with intensity of 50-60 dB then Quality of sleep was measured with PSQI. Data were analyzed by SPSS 13 software.

Results: The average total sleep time in the control group before the study reached from 7.08 (0.8) to 4.75 (0.66) hours after three nights of hospitalization, while in the experimental group, no significant changes were seen in the average sleep hours (6.69 ± 0.84 vs. 6.92 ± 0.89, P = 0.15).The average minutes of sleep in the control group before the study reached from 12.66 (7.51) to 25.83 (11.75) minutes after a three- night stay, while in the experimental group, no significant changes were observed in the average sleep duration (12.16 ± 7.50 vs. 11 ±6. 07, P = 0.16).

Conclusion: The use of white noise is recommended as a method for masking environmental noises, improving sleep, and maintaining sleep in the coronary care unit.

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References

FREEDMAN N, Kotzer N, Schwab R . Patient perception of sleep quality and etiology of sleep disruption in the intensive care unit. Am J Respir Crit Care Med. 1999; 159(4 Pt 1):1155-62. DOI: 10.1164/ajrccm.159.4.9806141. View

Weinhouse G, Schwab R . Sleep in the critically ill patient. Sleep. 2006; 29(5):707-16. DOI: 10.1093/sleep/29.5.707. View

Tamburri L, Dibrienza R, Zozula R, Redeker N . Nocturnal care interactions with patients in critical care units. Am J Crit Care. 2004; 13(2):102-12. View

Wolk R, Gami A, Garcia-Touchard A, Somers V . Sleep and cardiovascular disease. Curr Probl Cardiol. 2005; 30(12):625-62. DOI: 10.1016/j.cpcardiol.2005.07.002. View

Schiza S, Simantirakis E, Bouloukaki I, Mermigkis C, Arfanakis D, Chrysostomakis S . Sleep patterns in patients with acute coronary syndromes. Sleep Med. 2010; 11(2):149-53. DOI: 10.1016/j.sleep.2009.07.016. View

Fontana C, Pittiglio L . Sleep deprivation among critical care patients. Crit Care Nurs Q. 2009; 33(1):75-81. DOI: 10.1097/CNQ.0b013e3181c8e030. View

Rabat A, Bouyer J, Aran J, Courtiere A, Mayo W, Le Moal M . Deleterious effects of an environmental noise on sleep and contribution of its physical components in a rat model. Brain Res. 2004; 1009(1-2):88-97. DOI: 10.1016/j.brainres.2004.02.046. View

Elliott R, McKinley S, Cistulli P . The quality and duration of sleep in the intensive care setting: an integrative review. Int J Nurs Stud. 2010; 48(3):384-400. DOI: 10.1016/j.ijnurstu.2010.11.006. View

Kawase T, Maki A, Kanno A, Nakasato N, Sato M, Kobayashi T . Contralateral white noise attenuates 40-Hz auditory steady-state fields but not N100m in auditory evoked fields. Neuroimage. 2011; 59(2):1037-42. DOI: 10.1016/j.neuroimage.2011.08.108. View

10.

Williamson J . The effects of ocean sounds on sleep after coronary artery bypass graft surgery. Am J Crit Care. 1992; 1(1):91-7. View

11.

Spencer J, Moran D, Lee A, Talbert D . White noise and sleep induction. Arch Dis Child. 1990; 65(1):135-7. PMC: 1792397. DOI: 10.1136/adc.65.1.135. View

12.

Lawson N, Thompson K, Saunders G, Saiz J, Richardson J, Brown D . Sound intensity and noise evaluation in a critical care unit. Am J Crit Care. 2010; 19(6):e88-98. DOI: 10.4037/ajcc2010180. View

13.

Xie H, Kang J, Mills G . Clinical review: The impact of noise on patients' sleep and the effectiveness of noise reduction strategies in intensive care units. Crit Care. 2009; 13(2):208. PMC: 2689451. DOI: 10.1186/cc7154. View

14.

Farrahi Moghaddam J, Nakhaee N, Sheibani V, Garrusi B, Amirkafi A . Reliability and validity of the Persian version of the Pittsburgh Sleep Quality Index (PSQI-P). Sleep Breath. 2011; 16(1):79-82. DOI: 10.1007/s11325-010-0478-5. View

15.

Pirrera S, De Valck E, Cluydts R . Nocturnal road traffic noise: A review on its assessment and consequences on sleep and health. Environ Int. 2010; 36(5):492-8. DOI: 10.1016/j.envint.2010.03.007. View

16.

Aghaie B, Rejeh N, Heravi-Karimooi M, Ebadi A, Moradian S, Vaismoradi M . Effect of nature-based sound therapy on agitation and anxiety in coronary artery bypass graft patients during the weaning of mechanical ventilation: A randomised clinical trial. Int J Nurs Stud. 2013; 51(4):526-38. DOI: 10.1016/j.ijnurstu.2013.08.003. View

17.

Stanchina M, Abu-Hijleh M, Chaudhry B, Carlisle C, Millman R . The influence of white noise on sleep in subjects exposed to ICU noise. Sleep Med. 2005; 6(5):423-8. DOI: 10.1016/j.sleep.2004.12.004. View

18.

Buysse D, Reynolds 3rd C, Monk T, BERMAN S, Kupfer D . The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989; 28(2):193-213. DOI: 10.1016/0165-1781(89)90047-4. View

19.

Lautenbacher S, Kundermann B, Krieg J . Sleep deprivation and pain perception. Sleep Med Rev. 2006; 10(5):357-69. DOI: 10.1016/j.smrv.2005.08.001. View