Nonpharmacological interventions to promote sleep in the adult critical patients unit: a scoping review

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dc.article.number101159
dc.catalogadoryvc
dc.contributor.authorCarrera Fabia, María Paz
dc.contributor.authorAlegría Vargas, Leyla
dc.contributor.authorBrockmann Veloso, Pablo Edmundo
dc.contributor.authorRepetto Lisboa, Paula Beatriz
dc.contributor.authorLeonard, Douglas
dc.contributor.authorCádiz, Rodrigo
dc.contributor.authorParedes, Fabio
dc.contributor.authorRojas Gualy, Idalid
dc.contributor.authorMoya Digmann, Ana Verónica
dc.contributor.authorOviedo Alvarez, Vanessa Andrea
dc.contributor.authorGarcía, Patricio
dc.contributor.authorHenríquez-Beltrán, Mario
dc.contributor.authorBakker, Jan
dc.date.accessioned2025-03-10T20:42:45Z
dc.date.available2025-03-10T20:42:45Z
dc.date.issued2025
dc.description.abstractBackground: Sleep and circadian rhythms are markedly altered in intensive care unit (ICU) patients. Numerous factors related to the patient and the ICU environment affect the ability to initiate and maintain sleep. Therefore, nonpharmacological interventions could play an essential role in improving sleep and circadian rhythm. Objective: The aim of this study was to examine nonpharmacological interventions evaluated for promoting sleep in adult ICUs. Methods: A scoping review was conducted, including randomised controlled trials, nonrandomised controlled trials, quasi-experimental trials, and other controlled studies investigating the effects of nonpharmacological interventions promoting sleep in adult ICU patients. Results: A total of 57 articles and 14 ongoing trials were included in the review, of which 38 were randomised clinical trials. Nine nonpharmacological interventions to improve sleep in critically ill patients were evaluated: earplugs and/or eye masks, aromatherapy, bundles, music intervention, massage or acupressure, noise masking, bright light, and dynamic light. Most included trials simultaneously assessed the effect of more than one intervention on perceived sleep quality using questionnaires. The association between the interventions and improved sleep varied. In the case of multicomponent interventions, it is difficult to identify which components might have influenced sleep improvement. Conclusions: Numerous studies have evaluated various nonpharmacological interventions to promote sleep in critically ill patients, several of which improved perceived sleep quality. However, the substantial variability of the assessed interventions and their implementation complicates drawing reliable conclusions. Registration: The protocol for this scoping review was registered with the Open Science Framework under the identifier https://doi.org/10.17605/OSF.IO/MPEQ5.
dc.description.funderANID FONDECYT No. 1201772
dc.description.funderResearch Department of the School of Nursing of the Pontifiicia Universidad Católica de Chile
dc.fechaingreso.objetodigital2025-03-10
dc.format.extent16 páginas
dc.fuente.origenScopus
dc.identifier.doi10.1016/j.aucc.2024.101159
dc.identifier.issn10367314
dc.identifier.scopusidSCOPUS_ID:85214835917
dc.identifier.urihttps://doi.org/10.1016/j.aucc.2024.101159
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/102476
dc.information.autorucEscuela de Enfermería; Carrera Fabia, María Paz; S/I; 156153
dc.information.autorucEscuela de Enfermería; Alegría Vargas, Leyla; 0000-0002-0930-4452; 121090
dc.information.autorucEscuela de Medicina; Brockmann Veloso, Pablo Edmundo; 0000-0002-0899-6282; 16588
dc.information.autorucEscuela de Psicología; Repetto Lisboa, Paula Beatriz; 0000-0002-0331-7375; 73877
dc.information.autorucEscuela de Enfermería; Rojas Gualy, Idalid; S/I; 217575
dc.information.autorucEscuela de Enfermería; Moya Digmann, Ana Verónica; S/I; 8956
dc.information.autorucEscuela de Medicina; Oviedo Alvarez, Vanessa Andrea; S/I; 1009275
dc.information.autorucEscuela de Medicina; Bakker, Jan; 0000-0003-2236-7391; 1044227
dc.issue.numero3
dc.language.isoen
dc.nota.accesocontenido completo
dc.publisherElsevier Ireland Ltd
dc.revistaAustralian Critical Care
dc.rightsacceso abierto
dc.rights.licenseCC BY NC ND Atribución-NoComercial-SinDerivadas 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectCritical care
dc.subjectLight
dc.subjectNoise
dc.subjectScoping review
dc.subjectSleep
dc.subjectSleep quality
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titleNonpharmacological interventions to promote sleep in the adult critical patients unit: a scoping review
dc.typeartículo
dc.volumen38
sipa.codpersvinculados156153
sipa.codpersvinculados121090
sipa.codpersvinculados16588
sipa.codpersvinculados73877
sipa.codpersvinculados217575
sipa.codpersvinculados8956
sipa.codpersvinculados1009275
sipa.codpersvinculados1044227
sipa.trazabilidadScopus;2025-01-19
sipa.trazabilidadORCID;2025-03-03
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