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- W3196576204 abstract "To report sleep quality and identify related factors. A descriptive cross-sectional study was made with a convenience sample of 129 patients. The differences between 3 periods were evaluated using the Wilcoxon test and Spearman correlation r. Multiple regression analyses were performed to relate independent variables to sleep quality. The Department of Intensive Care Medicine of a tertiary hospital. Patients admitted between February 2016 and December 2017. Questionnaire administration. Items of the modified Freedman questionnaire, and demographic and clinical variables. External factors interfering with sleep quality were noise and constant light exposure in the 3 periods, with significant differences between these periods in nursing care (P = 0.005) and nursing activities (P = 0.019). The other factors affecting sleep quality and identified by the multivariate regression model were age (P = 0.012), daily alcohol intake (P = 0.023), benzodiazepine use during admission to the ICU (P = 0.01) and comorbidities (P = 0.005). There were significant differences in sleepiness between discharge and the first day (P ≤ 0.029) and between discharge and half stay (P = 0.001). Noise and light were the most annoying factors, but statistical significance was only reached for nursing activities and care. Age, alcohol intake, benzodiazepine use in the ICU and a higher comorbidity index had a negative impact upon sleep. Sleepiness was reduced at the end of stay. Describir la calidad del sueño e identificar los factores que la afectan. Estudio observacional descriptivo y transversal realizado con una muestra de conveniencia de 129 pacientes. La diferencia entre los 3 tiempos se calculó mediante la prueba de Wilcoxon y la correlación entre variables mediante la r de Spearman. Con análisis de regresión múltiple se relacionaron las variables independientes con «calidad del sueño». Servicio de Medicina Intensiva de un hospital terciario. Pacientes ingresados en la unidad entre febrero de 2016 y diciembre de 2017. Administración de un cuestionario. Ítems del cuestionario Freedman modificado, variables demográficas y de episodio. Los factores que más afectaron a la calidad del sueño en los 3 tiempos de forma constante fueron el ruido y la luz. Hubo diferencias entre los 3 tiempos para los cuidados (p = 0,005) y actividades de enfermería (p = 0,019). Mediante el modelo de regresión múltiple se encontró que otros factores que influían en la calidad del sueño eran la edad (p = 0,012), la ingesta habitual de alcohol (p = 0,023), la administración de benzodiacepinas en UCI (p = 0,01) y la comorbilidad (p = 0,005). Resultaron diferencias significativas en somnolencia entre el alta y el primer día (p ≤ 0,029), y entre el alta y la mitad de la estancia (p = 0,001). La somnolencia disminuyó al final de la estancia. Aunque el ruido y la luz fueron los factores más molestos, solo los cuidados y actividades de enfermería resultaron significativos. La edad, la ingesta habitual de alcohol, la administración de benzodiacepinas en UCI y un mayor índice de comorbilidad interfieren negativamente en la calidad del sueño." @default.
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- W3196576204 date "2021-11-01" @default.
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- W3196576204 title "Factors affecting sleep quality in Intensive Care Units" @default.
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- W3196576204 doi "https://doi.org/10.1016/j.medine.2021.08.011" @default.
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