Sleep Friendly Ward: A Pilot Project in a Level II Hospital
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25754/pjp.2021.20190 |
Resumo: | Introduction and objectives: During illness, good quality sleep can potentiate recovery, since it influences immunity and homeostasis. Hospitalization causes a disturbance in daily routine, with a negative impact on sleep habits. This project aimed to implement measures to minimize sleep disruption during hospitalization in a pediatric ward. Methods: Prospective and longitudinal study, comprising three phases: evaluation of sleep conditions during hospitalization in the pediatric ward; application of measures to improve sleep; evaluation of the implemented measures. Questionnaires were distributed to caregivers/adolescents and health care professionals and later analyzed on SPSS Statistics23. Results and discussion: In phase one (n=30, mean age of 4.5 years old), the sleep quality in the pediatric ward was inferior compared to home (sleep classification 0-10, 6.7 vs 8.8; nighttime awakenings 2.1 vs 1.2). Pain, noise, lights, therapeutic administration, alarms and other patients were the main reasons for nighttime awakenings. Health care professionals (n=36) agreed that sleep schedules were needed in the ward. In phase two, several sleep measures were applied: schedules were defined to turn on/off lights and screens, napping was promoted, there was a reduction of noise and alarms during the night, among others. Flyers with healthy sleep habits were distributed. In phase 3 (n=55, mean age of 7.9 years old), the children/adolescents that knew about the project had fewer nighttime awakenings (p=0.03) and better classification of sleep (p=0.02). This project shows that sleep quality in the pediatric ward can be improved and that hospitalization can be an opportunity to learn healthy sleep habits. |
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Sleep Friendly Ward: A Pilot Project in a Level II HospitalOriginal articlesIntroduction and objectives: During illness, good quality sleep can potentiate recovery, since it influences immunity and homeostasis. Hospitalization causes a disturbance in daily routine, with a negative impact on sleep habits. This project aimed to implement measures to minimize sleep disruption during hospitalization in a pediatric ward. Methods: Prospective and longitudinal study, comprising three phases: evaluation of sleep conditions during hospitalization in the pediatric ward; application of measures to improve sleep; evaluation of the implemented measures. Questionnaires were distributed to caregivers/adolescents and health care professionals and later analyzed on SPSS Statistics23. Results and discussion: In phase one (n=30, mean age of 4.5 years old), the sleep quality in the pediatric ward was inferior compared to home (sleep classification 0-10, 6.7 vs 8.8; nighttime awakenings 2.1 vs 1.2). Pain, noise, lights, therapeutic administration, alarms and other patients were the main reasons for nighttime awakenings. Health care professionals (n=36) agreed that sleep schedules were needed in the ward. In phase two, several sleep measures were applied: schedules were defined to turn on/off lights and screens, napping was promoted, there was a reduction of noise and alarms during the night, among others. Flyers with healthy sleep habits were distributed. In phase 3 (n=55, mean age of 7.9 years old), the children/adolescents that knew about the project had fewer nighttime awakenings (p=0.03) and better classification of sleep (p=0.02). This project shows that sleep quality in the pediatric ward can be improved and that hospitalization can be an opportunity to learn healthy sleep habits.Introdução e objetivos: Na doença, um sono de qualidade é fundamental à recuperação, pela sua influência na imunidade e homeostasia. A hospitalização é por si só uma disrupção da rotina, com impacto nos hábitos de sono. Este projeto tem por objetivo adotar medidas para minimizar a disrupção do sono durante a hospitalização. Métodos: Estudo prospetivo, longitudinal, com três fases: avaliação das condições do sono durante o internamento na Enfermaria de Pediatria; aplicação de medidas para promoção do sono; avaliação do impacto. Distribuição de inquéritos aos pais/adolescentes e profissionais de saúde com análise no SPSS Statistics23. Resultados e discussão: Na 1ª fase (n=30, idade média 4.5 anos), verificou-se que o sono tinha pior qualidade no internamento em relação ao domicílio (classificação 0-10, 6.7 vs. 8.8; despertares noturnos 2.1 vs. 1.2), sendo as principais causas apontadas: dor, ruído, luminosidade, administração de medicação, alarmes e outros doentes. Consenso entre as respostas dos profissionais (n=36) acerca da necessidade da criação de regras na Enfermaria. Na 2ª fase foram aplicadas medidas: criação de horários para apagar/acender as luzes e ecrãs, promoção da sesta, redução do ruído e alarmes durante a noite, entre outras. Adicionalmente, foram distribuídos folhetos informativos sobre higiene do sono. Na 3ª fase (n=55, idade média 7.9 anos), verificou-se que crianças/adolescentes com conhecimento do projeto apresentavam menos despertares noturnos (p=0.03) e melhor classificação do sono (p=0.02). Este projeto mostrou ser possível melhorar a qualidade do sono em internamento e que a hospitalização pode ser uma oportunidade de aprendizagem de hábitos de sono saudáveis.Sociedade Portuguesa de Pediatria2021-07-16info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25754/pjp.2021.20190eng2184-44532184-3333Manuel, Ana RuteFiúza Ribeiro, AndreiaCompleto, SaraSilva, SofiaLoureiro, Helena Cristinainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-08-03T02:58:09Zoai:ojs.revistas.rcaap.pt:article/20190Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:25:35.132499Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Sleep Friendly Ward: A Pilot Project in a Level II Hospital |
title |
Sleep Friendly Ward: A Pilot Project in a Level II Hospital |
spellingShingle |
Sleep Friendly Ward: A Pilot Project in a Level II Hospital Manuel, Ana Rute Original articles |
title_short |
Sleep Friendly Ward: A Pilot Project in a Level II Hospital |
title_full |
Sleep Friendly Ward: A Pilot Project in a Level II Hospital |
title_fullStr |
Sleep Friendly Ward: A Pilot Project in a Level II Hospital |
title_full_unstemmed |
Sleep Friendly Ward: A Pilot Project in a Level II Hospital |
title_sort |
Sleep Friendly Ward: A Pilot Project in a Level II Hospital |
author |
Manuel, Ana Rute |
author_facet |
Manuel, Ana Rute Fiúza Ribeiro, Andreia Completo, Sara Silva, Sofia Loureiro, Helena Cristina |
author_role |
author |
author2 |
Fiúza Ribeiro, Andreia Completo, Sara Silva, Sofia Loureiro, Helena Cristina |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Manuel, Ana Rute Fiúza Ribeiro, Andreia Completo, Sara Silva, Sofia Loureiro, Helena Cristina |
dc.subject.por.fl_str_mv |
Original articles |
topic |
Original articles |
description |
Introduction and objectives: During illness, good quality sleep can potentiate recovery, since it influences immunity and homeostasis. Hospitalization causes a disturbance in daily routine, with a negative impact on sleep habits. This project aimed to implement measures to minimize sleep disruption during hospitalization in a pediatric ward. Methods: Prospective and longitudinal study, comprising three phases: evaluation of sleep conditions during hospitalization in the pediatric ward; application of measures to improve sleep; evaluation of the implemented measures. Questionnaires were distributed to caregivers/adolescents and health care professionals and later analyzed on SPSS Statistics23. Results and discussion: In phase one (n=30, mean age of 4.5 years old), the sleep quality in the pediatric ward was inferior compared to home (sleep classification 0-10, 6.7 vs 8.8; nighttime awakenings 2.1 vs 1.2). Pain, noise, lights, therapeutic administration, alarms and other patients were the main reasons for nighttime awakenings. Health care professionals (n=36) agreed that sleep schedules were needed in the ward. In phase two, several sleep measures were applied: schedules were defined to turn on/off lights and screens, napping was promoted, there was a reduction of noise and alarms during the night, among others. Flyers with healthy sleep habits were distributed. In phase 3 (n=55, mean age of 7.9 years old), the children/adolescents that knew about the project had fewer nighttime awakenings (p=0.03) and better classification of sleep (p=0.02). This project shows that sleep quality in the pediatric ward can be improved and that hospitalization can be an opportunity to learn healthy sleep habits. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-07-16 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25754/pjp.2021.20190 |
url |
https://doi.org/10.25754/pjp.2021.20190 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2184-4453 2184-3333 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Pediatria |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Pediatria |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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