Sleep Promotion among Critically Ill Patients: Earplugs/Eye Mask versus Ocean Sound—A Randomized Controlled Trial Study

Background. Poor sleep quality is common in the intensive care unit (ICU), where several factors including environmental factors contribute to sleep deprivation. Objective. This study aims to assess and compare the effectiveness of earplugs and eye mask versus ocean sound on sleep quality among ICU...

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Main Authors: Abhilasha Chaudhary, Vinay Kumari, Neetu Neetu
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Critical Care Research and Practice
Online Access:http://dx.doi.org/10.1155/2020/8898172
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author Abhilasha Chaudhary
Vinay Kumari
Neetu Neetu
author_facet Abhilasha Chaudhary
Vinay Kumari
Neetu Neetu
author_sort Abhilasha Chaudhary
collection DOAJ
description Background. Poor sleep quality is common in the intensive care unit (ICU), where several factors including environmental factors contribute to sleep deprivation. Objective. This study aims to assess and compare the effectiveness of earplugs and eye mask versus ocean sound on sleep quality among ICU patients. Design. A true experimental crossover design was used. Setting. Medical ICU of the Maharishi Markandeshwar Institute of Medical Sciences and Research Hospital, Mullana, India. Participants. Sixty-eight patients admitted in the medical ICU were randomly allocated by lottery methods into group 1 and group 2. Methods. Nocturnal nine-hour (10 : 00 pm to 7 : 00 am) for a four-night period were measured. Earplugs and eye mask versus ocean sound were crossed over between two groups. Subjective sleep quality of four nights was assessed using a structured sleep quality scale. Scores for each question range from 0 to 3, with a higher score indicating poor sleep quality. Results. Repeated measures ANOVA showed that there was a significant change in the sleep quality score (p=0.001), which showed that sleep quality score was improved after the administration of earplugs and eye mask and ocean sound. Fisher’s LSD post hoc comparison showed a significant difference (p=0.001). Conclusion. Earplugs and eye mask were better than ocean sound in improving sleep quality. Earplugs, eye mask, and ocean sound are safe and cost effective, which could be used as an adjuvant to pharmacological interventions to improve sleep quality among ICU patients. However, further research in this area needs to be conducted. This trial is registered with NCT03215212.
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publishDate 2020-01-01
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spelling doaj-art-d03d39bb36014a1eb178d25352997c7a2025-02-03T01:04:29ZengWileyCritical Care Research and Practice2090-13052090-13132020-01-01202010.1155/2020/88981728898172Sleep Promotion among Critically Ill Patients: Earplugs/Eye Mask versus Ocean Sound—A Randomized Controlled Trial StudyAbhilasha Chaudhary0Vinay Kumari1Neetu Neetu2Department of Nursing, Nepal Medical College and Teaching Hospital, Kathmandu, NepalChitkara School of Health Sciences, Chitkara University, Punjab, IndiaExtendicare Maple View, Sault Ste Marie, Ontario, CanadaBackground. Poor sleep quality is common in the intensive care unit (ICU), where several factors including environmental factors contribute to sleep deprivation. Objective. This study aims to assess and compare the effectiveness of earplugs and eye mask versus ocean sound on sleep quality among ICU patients. Design. A true experimental crossover design was used. Setting. Medical ICU of the Maharishi Markandeshwar Institute of Medical Sciences and Research Hospital, Mullana, India. Participants. Sixty-eight patients admitted in the medical ICU were randomly allocated by lottery methods into group 1 and group 2. Methods. Nocturnal nine-hour (10 : 00 pm to 7 : 00 am) for a four-night period were measured. Earplugs and eye mask versus ocean sound were crossed over between two groups. Subjective sleep quality of four nights was assessed using a structured sleep quality scale. Scores for each question range from 0 to 3, with a higher score indicating poor sleep quality. Results. Repeated measures ANOVA showed that there was a significant change in the sleep quality score (p=0.001), which showed that sleep quality score was improved after the administration of earplugs and eye mask and ocean sound. Fisher’s LSD post hoc comparison showed a significant difference (p=0.001). Conclusion. Earplugs and eye mask were better than ocean sound in improving sleep quality. Earplugs, eye mask, and ocean sound are safe and cost effective, which could be used as an adjuvant to pharmacological interventions to improve sleep quality among ICU patients. However, further research in this area needs to be conducted. This trial is registered with NCT03215212.http://dx.doi.org/10.1155/2020/8898172
spellingShingle Abhilasha Chaudhary
Vinay Kumari
Neetu Neetu
Sleep Promotion among Critically Ill Patients: Earplugs/Eye Mask versus Ocean Sound—A Randomized Controlled Trial Study
Critical Care Research and Practice
title Sleep Promotion among Critically Ill Patients: Earplugs/Eye Mask versus Ocean Sound—A Randomized Controlled Trial Study
title_full Sleep Promotion among Critically Ill Patients: Earplugs/Eye Mask versus Ocean Sound—A Randomized Controlled Trial Study
title_fullStr Sleep Promotion among Critically Ill Patients: Earplugs/Eye Mask versus Ocean Sound—A Randomized Controlled Trial Study
title_full_unstemmed Sleep Promotion among Critically Ill Patients: Earplugs/Eye Mask versus Ocean Sound—A Randomized Controlled Trial Study
title_short Sleep Promotion among Critically Ill Patients: Earplugs/Eye Mask versus Ocean Sound—A Randomized Controlled Trial Study
title_sort sleep promotion among critically ill patients earplugs eye mask versus ocean sound a randomized controlled trial study
url http://dx.doi.org/10.1155/2020/8898172
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AT vinaykumari sleeppromotionamongcriticallyillpatientsearplugseyemaskversusoceansoundarandomizedcontrolledtrialstudy
AT neetuneetu sleeppromotionamongcriticallyillpatientsearplugseyemaskversusoceansoundarandomizedcontrolledtrialstudy