Richards-Campbell Sleep Questionnaire Research Articles

Psychometric properties and structural validity of traditional Chinese version of the Richards–Campbell Sleep Questionnaire in intensive care unit patients without physical restraint

BackgroundSleep assessment in the intensive care unit (ICU) is difficult and often unreliable. The most commonly used questionnaire for assessing ICU sleep, the Richards–Campbell Sleep Scale (RCSQ), has not been tested for reliability and construct validity in the Mandarin–Taiwanese speaking population. ObjectiveThe objective of this study was to test the construct validity and criterion validity of the traditional Chinese version of RCSQ (TC-RCSQ) in critically ill patients without physical restraint. MethodsWe adopted a cross-sectional study design. Adults aged 20 years and above were recruited from a plastic surgery ICU of a medical center. The Cronbach's alpha was used to test internal consistency; the validity testing included content validity, criterion validity, and construct validity. Criterion validity was analysed by testing the association of TC-RCSQ with the Chinese version of Verran and Snyder-Halpern Sleep Questionnaire and sleep parameter of actigraphy using the Pearson correlation coefficient; construct validity was analysed using exploratory factor analysis. ResultsA total of 100 patients were included with a mean age of 49.78 years. Internal consistency reliability suggested Cronbach's alpha of 0.93. Moderate to strong correlations of TC-RCSQ with Verran–Snyder-Halpern Sleep Questionnaire were identified (r = 0.36 to 0.80, P < 0.05). We found significant correlations of actigraphic sleep efficiency with difficulty of falling sleep, awakening times, sleep quality, and total score of the TC-RCSQ (r = 0.23, 0.23, 0.20, and 0.23, P < 0.05). One factor (named as overall sleep quality) was extracted by exploratory factor analysis with a total variance explained of 78.40 %, which had good construction validity. ConclusionsThe TC-RCSQ yields satisfactory reliability and validity in critically ill patients. Actigraphic sleep efficiency may be a single index for objectively sleep assessment of sleep quality in patients without physical restraint. Both the TC-RCSQ and actigraphy can aid nurses to evaluate the sleep quality in critically ill patients without physical restraint.

Correlation Between Sleep Continuity and Patient-Reported Sleep Quality in Conscious Critically Ill Patients at High Risk of Reintubation: A Pilot Study.

It is well-established that sleep quality of ICU patients is poor, with sleep being highly fragmented by multiple awakenings. These sleep disruptions are associated with poor outcomes such as prolonged weaning duration from mechanical ventilation. Polysomnography can measure sleep continuity, a parameter associated positively with outcomes in patients treated with noninvasive ventilation, but polysomnography is not routinely available in all ICUs, and simple means to assess sleep quality are needed. The Richards-Campbell sleep questionnaire (RCSQ) assesses sleep quality in ICU patients but is difficult to administrate in patients who are not fully awake, and a simpler sleep numeric rating scale (sleep-NRS) has been proposed as an alternative. We here investigated the relationships between sleep continuity and patients-reported sleep quality. Single-center retrospective study. Medical ICU of Poitiers University Hospital. Seventy-two patients were extubated from mechanical ventilation and at high risk of reintubation. None. We analyzed 52 previously recorded polysomnographies in nonsedated and conscious ICU patients. Sleep was recorded the night after extubation. Sleep continuity was measured using an automated scoring algorithm from one electroencephalogram (EEG) channel of the polysomnography. Patient-reported sleep quality was assessed using RCSQ and sleep-NRS. Sleep continuity could be calculated on 45 polysomnographies (age: 68 [58-77], median [25th-75th]) RCSQ (62 [48-72]) and sleep-NRS (6.0 [5.0-7.0]) were obtained in 21 patients and 34 patients, respectively. Our results show a significant correlation between sleep continuity and sleep-NRS (p = 0.0037; ρ = 0.4844; n = 34) but not with RCSQ score (p = 0.6732; ρ = 0.1005; n = 20). Sleep continuity correlates with patient-reported sleep quality assessed using sleep-NRS and may capture the refreshing part of sleep. Sleep-NRS can be easily administered in ICU patients. Sleep continuity and sleep-NRS are simple tools that may prove useful to evaluate sleep quality in ICU patients.

Effects of intraoperative sodium oxybate infusion on post-operative sleep quality in patients undergoing gynecological laparoscopic surgery: A randomized clinical trial

Study objectivePost-operative sleep quality is an important factor that influences post-operative recovery. Sodium oxybate has been used to treat sleep disturbances associated with various pathological conditions. However, whether intraoperative intravenous infusion of sodium oxybate improves post-operative sleep quality is unknown. This study aimed to examine the effects of sodium oxybate on the post-operative sleep quality of patients who underwent gynecological laparoscopic surgery. DesignA single-center, prospective, two-arm, double-blinded randomized controlled trial. SettingThe Shengjing Hospital of China Medical University in Liaoning, China. PatientsWe enrolled 180 adult patients (90 for each group) undergoing elective gynecological laparoscopic surgery, and 178 patients (89 for each group) were included in the final analysis. InterventionsPatients were randomly allocated in a 1:1 ratio to receive either sodium oxybate (30 mg kg−1) or an equivalent volume of saline after intubation. The patients, anesthetists, and follow-up staff were blinded to group assignment. MeasurementsThe primary outcome was sleep quality measured using the Richards–Campbell Sleep Questionnaire (RCSQ) on post-operative days (PODs) one and three. Secondary outcomes included post-operative pain measured using the visual analog scale, sleep quality at one and three months post-operatively measured using the Pittsburgh Sleep Quality Index, and factors associated with post-operative sleep quality. Main resultsAnalysis with generalized estimating equations showed that sodium oxybate significantly improved post-operative sleep quality, as represented by increased total RCSQ scores (mean difference (95% CI); 9 (2, 16), P = 0.010) over PODs one and three. There was no difference in post-operative pain between the two groups over PODs one and three or in post-operative sleep quality over one and three months post-operatively. Age, surgery type, start time of surgery, and use of sufentanil-based patient-controlled intravenous analgesia were significantly associated with post-operative sleep quality. ConclusionsIntraoperative sodium oxybate infusion improved post-operative sleep in patients who underwent gynecological laparoscopic surgery.Trial registration.Chinese Clinical Trial Registry, Clinical trial number: ChiCTR2200061460.

The effect of lavender foot baths on postoperative pain and sleep quality in comparison with foot baths with warm water only—A prospective randomized controlled study

IntroductionThe aim of the study was to investigate the effect of warm water (WW) foot bath with or without lavender oil for pain and sleep quality in the patients who undergone abdominal surgeries. Materials and methodThis study was designed as a prospective randomized controlled. The three study groups were defined as the control group (n = 44), the WW foot bath group (n = 46), WW foot bath with the lavender group (n = 40). Foot baths were done for 20 min with 40 °C every night for 3 days after surgery. Visual Analogue Scale and Richard–Campbell Sleep Questionnaire were used during data collection. ResultsA total of 130 patients, mean age 55.99 ± ± 13.05 years, 66 male (51 %), 103 of whom underwent abdominal surgery, were included in the study. When the patients during the postoperative three days were evaluated, decreased pain score and increased sleep quality both the WW and WW foot bath with lavender groups (p < 0.001). Noise-related sleep quality was detected to be lesser in the control group patients on the 3rd day (p < 0.001). ConclusionWW foot bath with or without lavender oil is an uncomplicated, economical, and effective complementary therapy to reduce postoperative pain and improve sleep quality. WW foot baths with essential oils are optionally available in clinics and can be used according to patients' preferences.

Quality of Sleep and Factors Affecting Sleep Quality in Hospitalized Patients in the Orthopedics and Traumatology Clinic

Purpose: In this study, our purpose was to determine the sleep quality and the factors affecting sleep quality of the hospitalized patients orthopedics and traumatology clinic.&#x0D; Methods: This study was conducted as a descriptive study in a hospital between March 30 and June 16, 2022. The sample of the study consisted of 200 patients hospitalized in the orthopedics and traumatology clinic. The data of the study were collected through face-to-face interviews with the patients using the ‘’Sociodemographic and Descriptive Characteristics Questionnaire’’ and the ‘’Richard-Campbell Sleep Questionnaire’’.&#x0D; Results: The average Richard-Campbell Sleep Questionnaire scores of the patients were determined to be 43.33±28.31. While there was no statistically significant difference (p&gt;0.05) observed between the gender, preoperative or postoperative status, presence of noise, room lighting, room crowding, attached the body medical devices, treatment interventions during sleep hours, and Richard-Campbell Sleep Questionnaire score averages of the patients; a statistically significant difference was found in the Richard-Campbell Sleep Questionnaire score averages based on pain and medical diagnosis (p

Yoğun Bakım Ünitesinde Yatan Hastaların Uyku Kalitesi ile Algıladıkları Çevresel Stresörler Arasındaki İlişki

This study was conducted to evaluate the relationship between sleep quality and environmental stressors perceived by patients in the intensive care unit. The study was a descriptive, cross-sectional, and correlational study. Data were collected from 175 patients in the intensive care unit between April and December 2021. The mean age of the patients included in the study was 64.7 ± 12.50 years, and the duration of treatment in the intensive care unit was 2.68 ± 0.85 days. The mean score of the Richard-Campbell Sleep Questionnaire was 37.01 ± 17.84, and Intensive Care Unit Environmental Stressors Scale was 131.63 ± 19.18. There was a statically significant negative correlation between The Richard-Campbell Sleep Questionnaire score with the duration of therapy in the intensive care unit (p &lt; 0.001), pain (p &lt; 0.001), and fatigue (p &lt; 0.001). A negative statistically significant correlation was seen between the Intensive Care Unit Environmental Stressors Scale and the Richard-Campbell Sleep Questionnaire (p &lt; 0.001). As a result of this study, the sleep quality of patients in the intensive care unit was found to be affected by environmental stressors. In addition, fatigue and pain were found to have an effect on sleep quality, and environmental factors also affected patients' waking status in the intensive care unit.

Factors influencing sleep quality in the intensive care unit: a descriptive pilot study.

As sleep disturbances are common in the intensive care unit (ICU), this study assessed the sleep quality in the ICU and identified barriers to sleep. Patients admitted to the ICUs of a tertiary hospital between June 2022 and December 2022 who were not mechanically ventilated at enrollment were included. The quality of sleep (QoS) at home was assessed on a visual analog scale as part of an eight-item survey, while the QoS in the ICU was evaluated using the Korean version of the Richards-Campbell Sleep Questionnaire (K-RCSQ). Good QoS was defined by a score of ≥50. Of the 30 patients in the study, 19 reported a QoS score <50. The Spearman correlation coefficient showed no meaningful relationship between the QoS at home and overall K-RCSQ QoS score in the ICU (r=0.16, P=0.40). The most common barriers to sleep were physical discomfort (43%), being awoken for procedures (43%), and feeling unwell (37%); environmental factors including noise (30%) and light (13%) were also identified sources of sleep disruption. Physical discomfort (32 [28-38] vs. 69 [42-80]; P=0.004), patient care interactions (36 [20-48] vs. 54 [36-80]; P=0.044), and feeling unwell (31 [18-42] vs. 54 [40-76]; P=0.013) were associated with lower K-RCSQ scores. In the ICU, physical discomfort, patient care interactions, and feeling unwell were identified as barriers to sleep.

Development of the sleep quality scale for coronary care patients (SQ-CC)

ObjectivesIn this study, it was aimed to develop a valid and reliable measurement instrument to measure sleep quality in coronary care patients. Research methodology/designThis is a methodological study that was carried out with 201 patients at the coronary care unit of a university hospital. The validity and reliability of the scale were tested using exploratory and confirmatory factor analyses, Cronbach’s alpha analysis, and Pearson’s correlation analysis. ResultsThe scale's Cronbach's alpha coefficient was found to be 0.816. There were significant positive relationships between the overall scale and its dimensions. The Pearson’s correlation analysis showed a significant negative relationship between the Sleep Quality Scale for Coronary Care Patients and the Richards-Campbell Sleep Questionnaire. ConclusionThe Sleep Quality Scale for Coronary Care Patients was determined to be a valid and reliable measurement instrument for assessing the sleep quality of patients who are receiving care in coronary care units. Implications for clinical practiceThe scale that was developed in this study can be applied to coronary care patients because it is easy to implement and specific to intensive care settings. This way, the sleep quality levels of patients can be assessed quickly, and nursing interventions for potential problems can be defined. Hence, the emergence of sleep-related health problems can be prevented. Although RCSQ is the most commonly used scale to evaluate the sleep quality of patients treated in the intensive care unit, SQ-CC is thought to be more inclusive in considering noise-, environment-, and patient-related subjective factors. The evaluation of environmental factors can also provide objective data for improvements to be made to eliminate these factors in clinics. Furthermore, the use of this scale in national and international scientific studies where the sleep quality of coronary care patients is evaluated will contribute to not only our colleagues but also the relevant scientific field.

Effects of an interactive handgrip game on surgical patients requiring intensive care: An assessor-blinded randomized controlled trial

ObjectiveTo explore the effect of an interactive handgrip game on psychological distress and handgrip strength among critically ill surgical patients. DesignA randomised controlled trial. SettingA surgical intensive care unit. InterventionParticipants were enrolled in the program within 48 hours of admission to the intensive care unit. Patients in the intervention group played a 20-minute interactive handgrip game twice daily for a maximum of three days in the intensive care unit in addition to routinely passive physical rehabilitation. Patients in the routine care group had a daily target of 20 min of passive physical rehabilitation as needed. MeasurementThe primary outcomes included depression, anxiety, and stress measured using the shortened version of the Depression Anxiety Stress Score scale. The secondary outcomes were perceived sleep evaluated using the Richards–Campbell Sleep Questionnaire, delirium assessed using the Intensive Care Delirium Screening Checklist, and handgrip strength measured using handgrip dynamometry within a handgrip device. ResultsTwo hundred and twenty-seven patients were eligible and 70 patients were recruited in the intervention (n = 35) and routine care groups (n = 35). The patients in the intervention group had lower scores (median = 6.0, 4.0, and 12.0) for depression, anxiety, and stress compared with those in the routine care group (12.0, 12.0, and 20.0; all p < 0.05). The interactive handgrip game did not significantly improve sleep quality and prevent the occurrence of delirium (both p > 0.05). The patients who received the interactive handgrip game intervention exhibited significantly enhanced handgrip strength in both hands over time (both p < 0.001). ConclusionAn interactive handgrip game may benefit the psychological well-being and handgrip strength of critically ill patients. Implications for Clinical PracticeInteractive handgrip games is effective active exercise which should be integrated into routine nursing practice.

Circadian rhythm disturbance and delirium in ICU patients: a prospective cohort study

BackgroundPatients treated in the intensive care unit (ICU) may experience a reversal of day and night. The circadian rhythm in ICU patients can be disturbed.MethodsTo explore the relationship between ICU delirium and the circadian rhythms of melatonin, cortisol and sleep. A prospective cohort study was carried out in a surgical ICU of a tertiary teaching hospital. Patients who were conscious during the ICU stay after surgery and were scheduled to stay in the ICU for more than 24 h were enrolled. Serum melatonin and plasma cortisol levels were measured three times a day by drawing arterial blood on the first three days after ICU admission. Daily sleep quality was assessed by the Richard-Campbell Sleep Questionnaire (RCSQ). The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) was performed twice a day to screen for ICU delirium.ResultsA total of 76 patients were included in this study, and 17 patients developed delirium during their ICU stay. Melatonin levels were different at 8:00 (p = 0.048) on day 1, at 3:00 (p = 0.002) and at 8:00 (p = 0.009) on day 2, and at all three time points on day 3 (p = 0.032, 0.014, 0.047) between delirium and non-delirium patients. The plasma cortisol level in the delirium patients was significantly lower than that in the non-delirium patients at 16:00 on day 1 (p = 0.025). The changes in melatonin and cortisol secretion levels exhibited obvious biological rhythmicity in non-delirium patients (p < 0.001 for melatonin, p = 0.026 for cortisol), while no rhythmicity was found in melatonin and cortisol secretion levels in the delirium group (p = 0.064 for melatonin, p = 0.454 for cortisol). There was no significant difference in RCSQ scores in the first three days between the two groups.ConclusionsThe disturbance of the circadian rhythm of melatonin and cortisol secretion was associated with the development of delirium in ICU patients. Clinical staff should pay more attention to the importance of maintaining patients’ normal circadian rhythms in the ICU.Trial registrationThe study was registered with the US National Institutes of Health ClinicalTrials.gov(NCT05342987) (25/04/2022).

Sleep during and following critical illness: A narrative review.

Sleep is a complex process influenced by biological and environmental factors. Disturbances of sleep quantity and quality occur frequently in the critically ill and remain prevalent in survivors for at least 12 mo. Sleep disturbances are associated with adverse outcomes across multiple organ systems but are most strongly linked to delirium and cognitive impairment. This review will outline the predisposing and precipitating factors for sleep disturbance, categorised into patient, environmental and treatment-related factors. The objective and subjective methodologies used to quantify sleep during critical illness will be reviewed. While polysomnography remains the gold-standard, its use in the critical care setting still presents many barriers. Other methodologies are needed to better understand the pathophysiology, epidemiology and treatment of sleep disturbance in this population. Subjective outcome measures, including the Richards-Campbell Sleep Questionnaire, are still required for trials involving a greater number of patients and provide valuable insight into patients' experiences of disturbed sleep. Finally, sleep optimisation strategies are reviewed, including intervention bundles, ambient noise and light reduction, quiet time, and the use of ear plugs and eye masks. While drugs to improve sleep are frequently prescribed to patients in the ICU, evidence supporting their effectiveness is lacking.

Effect of the 4-7-8 Breathing Technique on Pain Level and Sleep Quality of Patients After Laparoscopic Bariatric Surgery: A Randomized Controlled Study

Objective: The aim of this study was to determine the effect of the 4-7-8 breathing exercise on pain and sleep quality of patients after laparoscopic bariatric surgery. Methods: A randomized controlled study was performed. Forty participants each were assigned to two groups: experimental and control groups. While routine care was applied to the control group, the experimental group was given 4-7-8 breathing training. A Patient Information Form, Visual Analog Scale (VAS), and Richards–Campbell Sleep Questionnaire (RCSQ) were used for data collection. Results: The mean VAS and RCSQ total scores of the experimental group were 4.62 ± 0.92 and 80.62 ± 7.72, respectively. The mean VAS and RCSQ total scores of the control group were 7.10 ± 0.77 and 67.02 ± 12.6, respectively. There was a statistically significant difference between the mean VAS and RCSQ scores of the experimental and control groups. There was a statistically significant positive linear relationship between the mean VAS score and age in the experimental group (r = 0.352). Furthermore, there was a statistically significant negative linear relationship between the mean age and RCSQ and mean VAS scores in the experimental group. Conclusions: The 4-7-8 breathing exercise significantly affected the patient's pain and sleep quality by reducing pain and improving sleep quality after laparoscopic bariatric surgery.

Nighttime medication administration and patient perception of sleep in the intensive care unit

AbstractIntroductionEnvironmental, patient, disease, and care‐related factors can lead to sleep disruption in the intensive care unit (ICU). Medication administration is a potentially modifiable factor in this setting that has not been well described as a target for sleep improvement.ObjectivesTo determine characteristics of nighttime medication administration practices in the ICU, evaluate the effect on patient perceived sleep, and assess the opportunity for pharmacist‐led nighttime medication administration stewardship.MethodsThis was a multicenter, retrospective, observational cohort study. Patients included for chart review had perceived sleep measured using the Richards‐Campbell Sleep Questionnaire (RCSQ). Data were collected on patient characteristics, ICU exposures, and nighttime medications administered. Four RCSQ groups defined for comparison were RCSQ 0–25 indicating “very poor” sleep, 26–50 “poor” sleep, 51–75 “good” sleep, and 76–100 “very good” sleep.ResultsOverall, 115 patients with RCSQ assessments and 435 nighttime medication administrations were included. Nighttime medications were most commonly cardiovascular (28.9%) and central nervous system (21.4%) agents, administered via intravenous (54.5%) and oral (22.7%) routes. Patient characteristics were comparable between the four groups except for history of head trauma. Patients reporting very poor sleep had a significantly higher median number of nighttime medications administered as compared to patients reporting very good sleep (4.0 [interquartile range (IQR) (2, 6)] vs. 2.5 [IQR 1, 4], adjusted p = 0.048). Approximately three‐quarters of nighttime medications occurred between the hours of 22:00–0:59 and 5:00–5:59. Nearly 40% of nighttime medications could have been retimed for daytime administration.ConclusionsUnnecessary nighttime medication administration is common and associated with poor patient perceived sleep in the ICU. Pharmacists are well‐positioned to evaluate timing of medication administration and cluster medication‐related care for daytime hours, when appropriate. Nighttime medication stewardship optimization by pharmacists is an opportunity to improve patient perceived sleep in the ICU.

Hospitalized Patients' Sleep Quality Compared Between Multioccupancy Rooms and Single-Patient Rooms.

To evaluate patients' sleep quality in a former hospital with two-and four-bedded rooms compared to a new hospital that incorporated evidence-based design features, including exclusively single-patient rooms (SPRs). Hospitalized patients often report poor sleep quality due to both patient-related factors and hospital environmental factors. It is unclear if staying in an SPR in a hospital designed as a healing environment is associated with better sleep quality. In a before-after study, sleep quality, duration, and efficiency over 72 hr were measured with a sleep diary, GENEActiv accelerometer, and the Richards-Campbell Sleep Questionnaire (RCSQ) with scores ranging from 0 to 100, with higher scores reflecting better sleep. Participants were either staying alone in the former hospital with two-and four-bedded rooms (Group 1), sharing a room with one to three fellow patients (Group 2), or staying alone in a newly designed hospital with 100% SPRs (Group 3). We included 17 patients in Group 1, 32 patients in Group 2, and 56 patients in Group 3. Univariable linear mixed model analysis, controlling for night number, revealed that the RCSQ total score was lowest in Group 2 compared to the other two groups. In the multivariable analysis, the RCSQ score was also the lowest in Group 2, with a significant effect from covariate "use of night medication." Self-reported sleep quality of hospitalized patients in a hospital with 100% SPRs designed as a healing environment was slightly better than that of patients staying in multioccupancy rooms with fellow patients.

Investigating The Relationship Among Coronavirus Anxiety, Smartphone Addiction, And Sleep Quality During Covid-19 Pandemic

This research aimed to examine the correlations between coronavirus anxiety, smartphone addiction, and sleep quality during the COVID-19 pandemic. Material and Methods: This study had a cross-sectional descriptive and correlational design and. Snowball sampling was used. Data collection was done online with individuals from different cities around Turkey between May – June 2021. The study was completed with 684 participants in total. For data collection, a personal information form, the Coronavirus Anxiety Scale, the Smartphone Addiction Scale, and the Richards-Campbell Sleep Questionnaire were used. Results: The participants had mean scores of 2.33±3.34 for the Coronavirus Anxiety Scale, 33.33±11.69 for the Smartphone Addiction Scale, and 61.29±22.75 for the Richards-Campbell Sleep Questionnaire. We found a negative correlation between mean sleep quality scores and mean coronavirus anxiety and smartphone addiction levels and a statistically significant positive correlation between mean coronavirus anxiety and smartphone addiction scores.&#x0D; Conclusion: This study revealed some correlations between coronavirus anxiety, smartphone addiction, and sleep quality in the general population during the COVID-19 pandemic. As coronavirus anxiety increased, sleep quality was found to decrease and smartphone addiction to increase. Besides, sleep quality was reduced as smartphone addiction increased.

Logistic regression technique is comparable to complex machine learning algorithms in predicting cognitive impairment related to post intensive care syndrome

To evaluate the performance of machine learning (ML) models and to compare it with logistic regression (LR) technique in predicting cognitive impairment related to post intensive care syndrome (PICS-CI). We conducted a prospective observational study of ICU patients at two tertiary hospitals. A cohort of 2079 patients was screened, and finally 481 patients were included. Seven different ML models were considered, decision tree (DT), random forest (RF), XGBoost, neural network (NN), naïve bayes (NB), and support vector machine (SVM), and compared with logistic regression (LR). Discriminative ability was evaluated by area under the receiver operating characteristic curve (AUC), calibration belt plots, and Hosmer–Lemeshow test was used to assess calibration. Decision curve analysis was performed to quantify clinical utility. Duration of delirium, poor Richards–Campbell sleep questionnaire (RCSQ) score, advanced age, and sepsis were the most frequent and important candidates risk factors for PICS-CI. All ML models showed good performance (AUC range: 0.822–0.906). NN model had the highest AUC (0.906 [95% CI 0.857–0.955]), which was slightly higher than, but not significantly different from that of LR (0.898 [95% CI 0.847–0.949]) (P > 0.05, Delong test). Given the overfitting and complexity of some ML models, the LR model was then used to develop a web-based risk calculator to aid decision-making (https://model871010.shinyapps.io/dynnomapp/). In a low dimensional data, LR may yield as good performance as other complex ML models to predict cognitive impairment after ICU hospitalization.

Postoperative delirium and its influencing factors in elderly patients with lung cancer in the intensive care unit.

In 2020, there were 2,206,771 new cases of lung cancer worldwide, ranking first in mortality rate postoperative delirium (POD) is a common surgical complication and typically occurs 1-3 days after surgery which leads to prolonged hospital stay. The currently available research on POD in elderly patients was mainly carried out in cardiac surgery, orthopedic, and gastroenterology departments. It is necessary to study the incidence and risk factors of delirium in intensive care unit (ICU) elderly patients after lung cancer surgery. This study is a single-center and singe-arm observational study which examined the incidence of and factors affecting POD in elderly patients with lung cancer in ICU at our center from September 2019 to May 2020. 22 relevant variables including arterial oxygen partial pressure, postoperative sedative drug use, and other data were collected. The Confusion Assessment Method of Intensive Care Unit was used to assess the occurrence of POD, the Chinese version of the Richards-Campbell Sleep Questionnaire was used to assess patients' postoperative sleep quality, and the Mini-Mental State Examination was used to assess patients' preoperative cognitive level. Univariate and multivariate logistic regression analyses were conducted to identify the factors affecting POD in elderly ICU patients with lung cancer. Among the 208 elderly ICU patients who underwent surgery for lung cancer, 32 (15.38%) had POD. The results showed that postoperative blood oxygen level, preoperative cognitive level score and postoperative sleep quality score in delirium group were significantly lower than those in non-delirium group (P values were 0.002, 0.000, 0.000, respectively). The proportion of previous coronary heart disease and postoperative sedation use in delirium group was significantly higher than that in non-delirium group (P=0.008 and 0.008, respectively). It was observed that the preoperative Mini-Mental State Examination (MMSE) score and postoperative Richards-Campbell Sleep Questionnaire (RCSQ) score of the delirium group were significantly lower than those of the non-delirium group, and this trend was still observed after adjusting for influencing factors. It is suggested that the difference of cognitive level in elderly lung cancer population has a significant effect on the occurrence of POD. In clinical work, we should pay more attention to patients with preoperative cognitive impairment, hypoxic state, and postoperative sleep disturbance.

Bed Bath and Sleep in Critically Ill Patients - An Observational Study

Purpose: Critically ill patients are at risk of sleep deprivation. Sleep promotion should be routinely implemented. Passive body heating has the potential to promote sleep. It is not known whether it can be obtained with a bed bath in the intensive care unit. Methods: In this cross-sectional observational study, we compared the sleep of 30 adult critically ill patients in two sequential nights – without and with bed bath, recording potential intervening environmental and clinical factors. Additionally, we monitored the impact of baths on participants' body temperature, checking for correlations between changes triggered by bath and sleep parameters. Sleep was assessed with bispectral index and with Richards-Campbell Sleep Questionnaire. Environmental noise and luminance were measured with decibel and lux meters. Temperature was measured with iButtons sensors. Results: Patients had reduced total sleep time in both nights of observation (medians of 170 and 177 minutes), without reaching deep sleep. There was no difference in sleep between both nights of observation. We recorded high noise levels in both nights of observation (57dB) and bathing nights were associated with greater exposure to light. There was moderate correlation between epigastric temperature oscillation with bathing and sleep volume, but epigastric temperature predicts neither total sleep volume nor continuous sleep volume. Conclusion: In critically ill adult patients, nighttime bed baths do not correlate with sleep, but are associated with increased exposure to light. Post-bath epigastric skin temperature correlates with sleep volume but does not predict it.

Impact of Lavender Herbal Tea on Sleep Quality in Elderly Patients with Poor Sleep Quality: A Randomized Study

Objective: Aromatherapy has been used as a complementary alternative therapy in elderly adults with poor sleep quality. Lavender has sedative, anxiolytic, and analgesic properties. This study aimed to evaluate effect of lavender herbal tea in different doses on sleep quality of elderly people. &#x0D; Material-Method: This study has been designed as a prospective, randomized study with a two-arm parallel design. There were 94 patients aged between 65 and 75 years with a Richards-Campbell Sleep Questionnaire (RCSQ) score of 0.05) or in terms of baseline RCSQ scores (p=0.685). However, 1st-month and 3rd-month RCSQ scores in patients who used 2 g lavender tea bags were significantly higher than those who used 1 g herbal tea bags (p

Effect of acupressure application on patients’ nausea, vomiting, pain, and sleep quality after laparoscopic cholecystectomy: A randomized placebo-controlled study

Background and objectivesNausea, vomiting, pain and insomnia in the postoperative period may cause discomfort, and this may adversely affect the patient's compliance with the treatment. This study was conducted to determine the effect of acupressure on nausea, vomiting, pain, and sleep quality after laparoscopic cholecystectomy. MethodsThis was a randomized controlled experimental study with a placebo group. The sample comprised 188 patients who underwent laparoscopic cholecystectomy (control:64;experimental:64;and placebo:60). Acupressure was performed on the experimental and placebo groups with a wristband for 24 hours. The data were collected at the 0th, 2nd, 6th, 12th, and 24th postoperative hours. Data were collected using the patient introduction form, numeric nausea scale, visual analog scale(VAS), verbal category scale(VCS), and Richards-campbell sleep questionnaire(RCSQ). ResultThe difference between the mean scores of nausea severity and the presence of nausea at the postoperative 0–2, 2–6, and 12–24 hours was statistically significant between the groups and the presence and the severity of nausea was lower in the experimental group (p<0.05). Although not statistically significant, less vomiting was observed in the experimental group patients compared to the control group patients at postoperative 0–2, 2–6, and 12–24 hours. There was no significant difference between the mean VAS and VCS scores of the groups at postoperative 2nd, 6th, and 24th hours (p >0.05). The mean RCSQ total scores of the patients in the experimental group were significantly higher (p<0.001). ConclusionAcupressure applied to the PC6 point after laparoscopic cholecystectomy reduced postoperative nausea and vomiting and positively affected sleep quality.