Safety of implementing a sleep protocol in hospitalized patients

Am J Surg. 2019 Jun;217(6):1112-1115. doi: 10.1016/j.amjsurg.2018.10.017. Epub 2018 Oct 14.

Abstract

Background: Although good sleep during hospitalization may promote positive outcomes, some patients and clinicians may have concerns about nursing interventions designed to reduce night-time sleep disturbances.

Methods: A randomized prospective trial of an intervention to promote sleep was conducted with stable, post-operative oncology patients. Eligible patients were randomized to receive usual nursing care overnight or sleep-promoting interventions.

Results: All thirty-seven surgeons in the organization agreed to let their qualified patients participate. One hundred and forty-four patients met the study criteria. Of those, 117 (81%) consented to participate, while 27 (19%) declined. The primary reason for non-enrollment was wanting to be checked on throughout the night (n = 21, 78%). There were no adverse events during the study period. Patients' perceptions of pain and nausea control among the two groups were equivalent.

Conclusion: An intervention to decrease sleep disturbances can be safely executed in a post-operative population while maintaining adequate symptom management.

Keywords: Adults; Hospitalization; Patient experience; Sleep; Surgical patient.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Clinical Protocols
  • Female
  • Hospitalization
  • Humans
  • Male
  • Middle Aged
  • Patient Acceptance of Health Care
  • Patient Safety*
  • Patient-Centered Care / methods
  • Patient-Centered Care / standards
  • Postoperative Care / methods*
  • Postoperative Care / standards
  • Postoperative Complications / etiology
  • Postoperative Complications / prevention & control*
  • Prospective Studies
  • Quality of Health Care
  • Sleep Deprivation / etiology
  • Sleep Deprivation / prevention & control*
  • Treatment Outcome
  • Young Adult