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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
Diserahkan: 11 Mei 2019/Diterima: 30 Oktober 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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*Pengarang untuk surat-menyurat; email:
zaizan@ppukm.ukm.edu.my
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