Improving Sleep and Reducing External Stimuli With the Maya
4. oktober 2021 opdateret af: Bram Tilburgs, Radboud University Medical Center
Improving Sleep and Reducing External Stimuli With the Maya: a Pilot Study on Experience, Feasibility and Applicability
Lack of sleep is a large problem for many patients in hospitals. Common causes are nuisances by light and sound. Especially with critically ill patients in the Intensive Care unit (ICU), Medium Care Unit (MCU) and Cardiac Care Unit (CCU), who are are monitored intensively, a lack of sleep often occurs.
Patients with a lack of sleep more offer suffer from delirium, are more often anxious and stressed, and have a longer length of stay in the hospital. Also, patients' lack of sleep enhances nurses workloads during nightshifts. Because of this, there is a strong need for innovative devices which aim to limit the light and sound nuisances and thereby enhance patients' quality of sleep in the ICU, MC and CCU.
The Maya is a special "cover" which can be placed over the head of the bed. As a result patients are able to limit light and sound nuisances and enhance their privacy.
With this pilot-study we aim to determine:
- The feasibility and experiences of patients and healthcare professionals with the Maya.
- To determine the effect size of dependent variables which can be used in future studies.
Studieoversigt
Undersøgelsestype
Interventionel
Tilmelding (Forventet)
20
Fase
- Ikke anvendelig
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiekontakt
- Navn: Bram Tilburgs, Dr.
- Telefonnummer: 0031 24 36155618
- E-mail: bram.tilburgs@radboudumc.nl
Undersøgelse Kontakt Backup
- Navn: Mark van den Boogaard, Dr.
- Telefonnummer: 0031 24 36155618
- E-mail: mark.vandenboogaard@radboudumc.nl
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
18 år og ældre (Voksen, Ældre voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria:
- adult ICU, MC or CCU patients with 5 to 7 expected number of admission days
- patients with an expected Richmond Agitation Sedation Scale (RASS) of >-3 and < +3
- patients who speak Dutch (because of the qualitative evaluation of the Maya)
Exclusion Criteria:
- patients with severe brain damage
- patients with a severe psychiatric disorder
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Andet
- Tildeling: Randomiseret
- Interventionel model: Crossover opgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Andet: Group 1: Maya use on 1st, 3th and 5th day
Group 1 uses the Maya on the 1st, 3th and 5th day and not on the 2nd, 4th and 6th day of their admission to either the ICU, MC or CCU.
|
The Maya is a cover which can be placed over the end of the patients bed.
The Maya aims to reduce light and sound nuisances and enhance patients' privacy
|
|
Andet: Group 2: Maya use on the 2nd, 4th, and 6th day
Group 2 uses the Maya on the 2nd, 4th and 6th day and not on the 1st, 3th, and 5th day of their admission to either the ICU, MC or CCU.
|
The Maya is a cover which can be placed over the end of the patients bed.
The Maya aims to reduce light and sound nuisances and enhance patients' privacy
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Quality of sleep
Tidsramme: up to six days
|
patients' quality of sleep is measured once a day with the Richard Campbell Sleep Questionnaire (RCSQ); (minimum score 0 = worst sleep - maximum score 100 = best sleep)
|
up to six days
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
NRS sleep
Tidsramme: up to six days
|
Patients' sleep is measured once a day with the sleep numeric rating scale (NRS sleep); (minimum score 0 = worst sleep - maximum score 10 = best sleep)
|
up to six days
|
|
Anxiety
Tidsramme: up to six days
|
Patients' anxiety is measured once a day with the Daily Assesment of symptoms of Anxiety (DAS-A); (minimum score 0 = no anxiety - maximum score 24 = a lot of anxiety)
|
up to six days
|
|
NRS Stress
Tidsramme: up to six days
|
Patients' stress is measured once a day with the stress numeric rating scale (NRS-stress); (minimum score 0 = no stress - maximum score 10 = most imaginable stress)
|
up to six days
|
|
Arousal
Tidsramme: up to six days
|
patients' arousal is measured once a day with the Richmond Agitation Sedation Scale (RASS); (minimum score -5 = no reaction - maximum score = 4 very agitated)
|
up to six days
|
|
Delirium CCU
Tidsramme: up to six days
|
CCU patients' delirium is measured once a day with the delirium observation scale (DOSS); (minimum score 0 = no delirium; a score of >= 3 means delirium; maximum score 65)
|
up to six days
|
|
Delirium ICU/MC
Tidsramme: up to seven days
|
ICU/MC patients' delirium is measured once a day with the Intensive Care Delirium Checklist (ICDSC); (minimum score 0 = no delirium; a score of 1 - 3 means subsyndromal delirium; a score of 4 - 8 means delirium; maximum score 8)
|
up to seven days
|
|
Light
Tidsramme: up to six days
|
Light level (LUX).
This will be measured with a validated application on a mobile phone
|
up to six days
|
|
Sound
Tidsramme: up to six days
|
Sound levels (decibel).
This will be measured with a validated application on a mobile phone
|
up to six days
|
|
Hart rate
Tidsramme: up to six days
|
hart rate is measured with a heart rate monitor and reported every two hours as beats per minute (BPM)
|
up to six days
|
|
Respiratory rate
Tidsramme: up to six days
|
Respiratory rate is measured every two hours with a respiratory rate monitor and reported as rate per minute
|
up to six days
|
|
oxygen saturation
Tidsramme: up to six days
|
Oxygen saturation is measured every two hours with a oxygen saturation monitor and reported as a percentage
|
up to six days
|
|
Blood pressure
Tidsramme: up to six days
|
Blood pressure is measured every two hours with a intra-arterial catheter or a bloodpressure cuff and reported as diastolic value and systolic value (mmHg)
|
up to six days
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Efterforskere
- Ledende efterforsker: Bram Tilburgs, Dr., adboudumc, intensive care, research
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart (Forventet)
1. november 2021
Primær færdiggørelse (Forventet)
1. juni 2022
Studieafslutning (Forventet)
1. november 2022
Datoer for studieregistrering
Først indsendt
13. september 2021
Først indsendt, der opfyldte QC-kriterier
4. oktober 2021
Først opslået (Faktiske)
14. oktober 2021
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
14. oktober 2021
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
4. oktober 2021
Sidst verificeret
1. oktober 2021
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 2021-13078
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
INGEN
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Ingen
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