Factors Influencing Sleep Quality in Open-Heart Patients in the Postoperative Intensive Care Unit
Abstract
:1. Introduction
2. Materials and Methods
2.1. Design
2.2. Participants
2.3. Data Collection and Instruments
2.4. Statistical Analysis
3. Results
3.1. Demographics, Disease Characteristics, Pain, Anxiety, and Depression
3.2. Sleep Quality
3.3. Factors Affecting Sleep Quality
3.4. Participant-Perceived Factors Affecting Sleep
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Variable | N | % | Range | |
---|---|---|---|---|
Age (mean; SD) | 60.25 | 13.51 | 22–88 | |
Sex | Female | 38 | 32.5 | |
Education | Male | 79 | 67.5 | |
Elementary or lower | 24 | 20.5 | ||
Middle school | 19 | 16.2 | ||
High/vocational school | 26 | 22.2 | ||
College/university | 36 | 30.8 | ||
Graduate school | 12 | 10.3 | ||
Marital status | Single | 12 | 10.3 | |
Married | 92 | 78.6 | ||
Divorced/widowed | 13 | 11.1 | ||
Employment status | Full-/part-time | 60 | 51.3 | |
Unemployed | 17 | 14.5 | ||
Retired | 40 | 34.2 | ||
Type of surgery | Valve repair | 71 | 60.7 | |
CABG | 46 | 39.3 | ||
Hypnotic drugs | No | 47 | 40.2 | |
Yes | 68 | 58.1 | ||
Hx of sleep problems | No | 79 | 67.5 | |
Yes | 38 | 32.5 | ||
Prior ICU experience | Yes | 88 | 75.2 | |
No | 29 | 24.8 | ||
Charlson Comorbidity Index | 0.63 | 0.93 | 0–6 | |
Wound pain | 2.9 | 2.0 | 0–10 | |
Anxiety | 4.7 | 4.2 | 0–17 | |
Depression | 6.9 | 4.5 | 0–20 | |
Sleep quality at home | 7.2 | 2.5 | 1–10 | |
Care activity disturbance | 2.0 | 1.5 | 1–7.7 | |
Noise disturbance | 1.9 | 1.2 | 1–6.6 | |
Sleep quality | 59.9 | 23.5 | 9.5–100 | |
SEI | 70.2 | 9.2 | 50.6–85.9 |
Variable | N | Sleep Quality | |||
---|---|---|---|---|---|
Mean | t/F | p | |||
Sex | Female | 38 | 62.31 | 0.78 | 0.44 |
Male | 79 | 58.71 | |||
Education | Lower school | 24 | 61.00 | 0.79 | 0.54 |
Middle school | 19 | 57.36 | |||
High school | 26 | 64.33 | |||
College | 36 | 60.41 | |||
Graduate school | 12 | 50.38 | |||
Marital status | Single | 12 | 53.17 | 0.58 | 0.56 |
Married | 92 | 60.39 | |||
Divorced/widowed | 13 | 62.45 | |||
Employment status | Full-/part-time | 60 | 58.25 | 0.43 | 0.65 |
Unemployed | 17 | 59.06 | |||
Retired | 40 | 62.68 | |||
Type of surgery | CABG | 46 | 60.3 | 0.16 | 0.87 |
Valve repair | 71 | 59.6 | |||
Hypnotic drugs | No | 47 | 61.00 | 0.34 | 0.74 |
Yes | 68 | 59.48 | |||
Hx of sleep problems | No | 79 | 60.22 | 0.23 | 0.82 |
Yes | 38 | 59.16 | |||
Prior ICU experience | No | 88 | 58.78 | −0.88 | 0.38 |
Yes | 29 | 63.22 |
Age | CCI | Wound Pain | Anxiety | Depression | Care Activity | Noise Disturbance | Sleep at Home | Sleep Quality | |
---|---|---|---|---|---|---|---|---|---|
Age | 1.00 | ||||||||
CCI | 0.17 | 1.00 | |||||||
Wound pain | −0.20 * | −0.12 | 1.00 | ||||||
Anxiety | 0.18 | 0.05 | 0.28 * | 1.00 | |||||
Depression | −0.01 | −0.01 | 0.29 * | 0.63 * | 1.00 | ||||
Care activity | −0.08 | 0.04 | 0.16 | 0.27 * | 0.18 | 1.00 | |||
Noise disturbance | −0.11 | 0.03 | 0.08 | 0.24 | 0.15 | 0.60 * | 1.00 | ||
Sleep at home | −0.15 | −0.15 | 0.08 | −0.22 | −0.14 | −0.21 | −0.07 | 1.00 | |
Sleep quality | 0.04 | 0.08 | −0.13 | −0.22 | −0.26 * | −0.17 | −0.32 * | 0.11 | 1.00 |
Variable | B | t | p | 95% CI | VIF | Adjusted R2 | F |
---|---|---|---|---|---|---|---|
Final model | 0.14 | 10.2 | |||||
Constant | 78.7 | 16.9 | <0.001 | [69.5, 88.0] | |||
Noise disturbance | −5.8 | −3.3 | 0.001 | [−9.3, −2.3] | 1.02 | ||
Depression | −1.1 | −2.5 | 0.013 | [−2.0, −0.2] | 1.02 |
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Lin, T.-R.; Cheng, C.-H.; Wei, J.; Wang, T.-J. Factors Influencing Sleep Quality in Open-Heart Patients in the Postoperative Intensive Care Unit. Healthcare 2022, 10, 2311. https://doi.org/10.3390/healthcare10112311
Lin T-R, Cheng C-H, Wei J, Wang T-J. Factors Influencing Sleep Quality in Open-Heart Patients in the Postoperative Intensive Care Unit. Healthcare. 2022; 10(11):2311. https://doi.org/10.3390/healthcare10112311
Chicago/Turabian StyleLin, Ting-Ru, Ching-Hui Cheng, Jeng Wei, and Tsae-Jyy Wang. 2022. "Factors Influencing Sleep Quality in Open-Heart Patients in the Postoperative Intensive Care Unit" Healthcare 10, no. 11: 2311. https://doi.org/10.3390/healthcare10112311