Improving Sleep and Reducing External Stimuli With the Maya
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.
研究概览
研究类型
注册 (预期的)
阶段
- 不适用
联系人和位置
学习联系方式
- 姓名:Bram Tilburgs, Dr.
- 电话号码:0031 24 36155618
- 邮箱:bram.tilburgs@radboudumc.nl
研究联系人备份
- 姓名:Mark van den Boogaard, Dr.
- 电话号码:0031 24 36155618
- 邮箱:mark.vandenboogaard@radboudumc.nl
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
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
学习计划
研究是如何设计的?
设计细节
- 主要用途:其他
- 分配:随机化
- 介入模型:交叉作业
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
其他: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
|
|
其他: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
|
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Quality of sleep
大体时间: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
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
NRS sleep
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间:up to six days
|
Light level (LUX).
This will be measured with a validated application on a mobile phone
|
up to six days
|
|
Sound
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
|
合作者和调查者
调查人员
- 首席研究员:Bram Tilburgs, Dr.、adboudumc, intensive care, research
研究记录日期
研究主要日期
学习开始 (预期的)
初级完成 (预期的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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