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Sains
Malaysiana 49(2)(2020): http://dx.doi.org/10.17576/jsm-2020-4902-21
Constant Disturbance in Critical Care Units Influenced
Patients' Sleep Quality (Gangguan
Berterusan di Unit Penjagaan Kritikal Mempengaruhi Kualiti Tidur Pesakit)
ZAINAH MOHAMED, GURBINDER KAUR JIT SINGH, AISHAIRMA ARIS, NUR AISHAH
AWANG MAHARUM & LALITHA VELAYOM
Department of Nursing, Pusat
Perubatan Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak,
56000 Kuala Lumpur, Federal Territory, Malaysia
Received: 11 May 2019/Accepted:
30 October 2019
ABSTRACT
The critically ill patients'
experiences and sleep quality are a crucial aspect of quality care
in the critical care setting. The aim of this study was to identify
the perceived sleep quality and patients' experiences during their
stay in critical care units. Data was collected using validated and reliable self-reported questionnaires
by patients on sleep quality in the intensive care unit and intensive
care experience (ICEQ) for two months' duration. A random sampling
was used in participants' selection and 55 patients who fulfilled
the inclusion criteria participated in this study. Descriptive and
Inferential analyses were used in data analysis. Mean age of the
respondents was 52 with 64% male. More than half (58.2%) patients
reported poor sleep quality while in critical care units. Disruption in patients' sleep
was mainly due to noises from medical devices alarms (76.36%) and
constantly taking vital signs e.g. measuring blood pressure (70.90%).
Even though more than half of
the patients (54.5%) reported more frightening experiences while
in critical care units, but overall their experience was either
positive or neutral. Patients
(16.36%) who stayed longer in critical care units between 8 -12
days reported better sleep quality. Reducing noise by minimizing
the alarm sounds and attend to any alarm as soon as possible may
help to promote better outcome for patients' sleep quality and experience
while in critical care. It is important for nurses to plan and cluster
the patient's care to avoid constant disturbance.
Keywords: Critical care; environment; life change events; patients;
sleep deprivation
ABSTRAK
Pengalaman dan kualiti tidur adalah aspek penjagaan yang
penting dalam penjagaan pesakit di unit kritikal. Tujuan kajian ini adalah
untuk mengenal pasti kualiti tidur dan pengalaman pesakit yang dialami semasa
mereka berada di unit penjagaan kritikal. Data dikumpulkan daripada pesakit
selama dua bulan dengan menggunakan soal selidik sleep quality in the intensive care unit and intensive care experience (ICEQ). Pensampelan secara rawak digunakan dalam pemilihan
responden dan 55 pesakit yang memenuhi kriteria rangkuman terlibat dalam kajian
ini. Analisis deskriptif dan Inferensial digunakan dalam analisis data. Min
umur responden adalah 52 tahun dengan 64% adalah lelaki. Majoriti pesakit
(78.2%) tinggal selama sekurang-kurangnya lima hari dalam unit penjagaan
kritikal. Lebih separuh (58.2%) pesakit melaporkan kualiti tidur yang kurang
baik dalam unit penjagaan kritikal. Gangguan tidur pada pesakit terutamanya disebabkan
bunyi daripada penggera peranti perubatan (76.36%) dan sentiasa mengambil
tanda-tanda vital, contohnya mengukur tekanan darah (70.90%). Walaupun lebih
separuh daripada pesakit (54.5%) melaporkan lebih banyak pengalaman yang
menakutkan semasa berada dalam unit penjagaan kritikal, tetapi secara
keseluruhan mereka mengkelaskan pengalaman mereka sebagai positif atau neutral.
Pesakit (16.36%) yang tinggal lebih lama dalam unit penjagaan kritikal antara 8
-12 hari melaporkan kualiti tidur yang lebih baik pada hari-hari akhir mereka
dirawat di unit kritikal. Pengurangan bunyi bising dengan meminimumkan bunyi
penggera dan hadir segera kepada mana-mana penggera dengan secepat mungkin
boleh membantu mempromosikan tidur yang lebih berkualiti kepada pesakit unit
rawatan kritikal. Adalah penting untuk jururawat merancang dan
mengelompokkan penjagaan pesakit untuk mengelakkan gangguan yang berterusan.
Kata kunci: Gangguan tidur; pesakit; persekitaran; perubahan gaya
hidup; rawatan kritikal
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*Corresponding author; email: zaizan@ppukm.ukm.edu.my
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