Sleep in Hospitalised Patients: Difference between revisions

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== Introduction ==
== Introduction ==
Sleep is an essential daily requirement for the development and maintenance of mind and body. A good sleep quality consists of a sufficient amount of uninterrupted sleep, age-appropriate naps and a sleep schedule that fits with individual's natural biological rhythms. Proper sleep allows the body to engage in circadian rhythms that build-up of energy stores for metabolic processes, neuronal remodelling for synaptic function, memory consolidation, and the assimilation of complex motor systems. <ref name=":0">Burger P, Van den Ende ES, Lukman W, Burchell GL, Steur LM, Merten H, Nanayakkara PW, Gemke RJ. S[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9672415/ leep in hospitalized pediatric and adult patients–A systematic review and meta-analysis]. Sleep Medicine: X. 2022 Dec 1;4:100059.</ref> <ref>Reddy S, Reddy V, Sharma S. [https://www.ncbi.nlm.nih.gov/books/NBK519507/ Physiology, circadian rhythm.]</ref>The sleep/wake cycle is necessary to replenish and heal the body to ensure that it can function properly. It helps repair and replenish cellular components necessary for biological functions that become depleted during wakeful hours.


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So, sleep is crucial for the well-being of unwell individuals who are hospitalised. However, reports suggest that sleep is disrupted in the hospital environment, which impacts the healing process. Changes in the normal sleep pattern have a negative impact on the medical conditions, mental health, cognitive performance and recovery of the hospitalised individuals. Hospitalised patients are at risk for sleep disturbances.<ref>Brinkman JE, Reddy V, Sharma S. [[Physiology of sleep]].</ref><ref name=":1">Kulpatcharapong S, Chewcharat P, Ruxrungtham K, Gonlachanvit S, Patcharatrakul T, Chaitusaney B, Muntham D, Reutrakul S, Chirakalwasan N. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7157800/#B4 Sleep quality of hospitalized patients, contributing factors, and prevalence of associated disorders.] Sleep disorders. 2020 Jan 20;2020.</ref>
 
== Factors affecting Sleep ==
Various factors<ref name=":1" /> affect sleep in hospitalized patients lead to poor sleep quality. They include:
 
* disease-related factors (e.g. pain, discomfort, disease severity, co-morbidities, medications),
* environmental factors (e.g. care-related routines, light and sound disturbance, doctor and nurse interruptions),
* psychological factors (e.g. anxiety or stress or fatigue) and
* social factors (e.g. changed parenting strategies for hospitalized children, loss of bedtime routines)<ref name=":0" />
 
Poor sleep quality and sleep deprivation affects the functioning of various organs, weakening immune system, increasing cardiovascular events, impairing cognitive function impairment, and increasing risk of falling and bone fracture in elderly. It is seen that sleep deprivation may impact recovery, prolong length of stay in the hospital, reduce subjective well-being, and result in poor patient perception of hospitalized care.<ref name=":0" />


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Revision as of 12:41, 6 March 2024

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Introduction[edit | edit source]

Sleep is an essential daily requirement for the development and maintenance of mind and body. A good sleep quality consists of a sufficient amount of uninterrupted sleep, age-appropriate naps and a sleep schedule that fits with individual's natural biological rhythms. Proper sleep allows the body to engage in circadian rhythms that build-up of energy stores for metabolic processes, neuronal remodelling for synaptic function, memory consolidation, and the assimilation of complex motor systems. [1] [2]The sleep/wake cycle is necessary to replenish and heal the body to ensure that it can function properly. It helps repair and replenish cellular components necessary for biological functions that become depleted during wakeful hours.

So, sleep is crucial for the well-being of unwell individuals who are hospitalised. However, reports suggest that sleep is disrupted in the hospital environment, which impacts the healing process. Changes in the normal sleep pattern have a negative impact on the medical conditions, mental health, cognitive performance and recovery of the hospitalised individuals. Hospitalised patients are at risk for sleep disturbances.[3][4]

Factors affecting Sleep[edit | edit source]

Various factors[4] affect sleep in hospitalized patients lead to poor sleep quality. They include:

  • disease-related factors (e.g. pain, discomfort, disease severity, co-morbidities, medications),
  • environmental factors (e.g. care-related routines, light and sound disturbance, doctor and nurse interruptions),
  • psychological factors (e.g. anxiety or stress or fatigue) and
  • social factors (e.g. changed parenting strategies for hospitalized children, loss of bedtime routines)[1]

Poor sleep quality and sleep deprivation affects the functioning of various organs, weakening immune system, increasing cardiovascular events, impairing cognitive function impairment, and increasing risk of falling and bone fracture in elderly. It is seen that sleep deprivation may impact recovery, prolong length of stay in the hospital, reduce subjective well-being, and result in poor patient perception of hospitalized care.[1]

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Resources[edit | edit source]

  • bulleted list
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  1. numbered list
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References[edit | edit source]

  1. 1.0 1.1 1.2 Burger P, Van den Ende ES, Lukman W, Burchell GL, Steur LM, Merten H, Nanayakkara PW, Gemke RJ. Sleep in hospitalized pediatric and adult patients–A systematic review and meta-analysis. Sleep Medicine: X. 2022 Dec 1;4:100059.
  2. Reddy S, Reddy V, Sharma S. Physiology, circadian rhythm.
  3. Brinkman JE, Reddy V, Sharma S. Physiology of sleep.
  4. 4.0 4.1 Kulpatcharapong S, Chewcharat P, Ruxrungtham K, Gonlachanvit S, Patcharatrakul T, Chaitusaney B, Muntham D, Reutrakul S, Chirakalwasan N. Sleep quality of hospitalized patients, contributing factors, and prevalence of associated disorders. Sleep disorders. 2020 Jan 20;2020.