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Improving Sleep and Reducing External Stimuli With the Maya

2021年10月4日 更新者: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.

研究概览

地位

尚未招聘

条件

干预/治疗

研究类型

介入性

注册 (预期的)

20

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习联系方式

研究联系人备份

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 及以上 (成人、年长者)

接受健康志愿者

有资格学习的性别

全部

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

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

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

在这里您可以找到参与这项研究的人员和组织。

调查人员

  • 首席研究员:Bram Tilburgs, Dr.、adboudumc, intensive care, research

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (预期的)

2021年11月1日

初级完成 (预期的)

2022年6月1日

研究完成 (预期的)

2022年11月1日

研究注册日期

首次提交

2021年9月13日

首先提交符合 QC 标准的

2021年10月4日

首次发布 (实际的)

2021年10月14日

研究记录更新

最后更新发布 (实际的)

2021年10月14日

上次提交的符合 QC 标准的更新

2021年10月4日

最后验证

2021年10月1日

更多信息

与本研究相关的术语

其他相关的 MeSH 术语

其他研究编号

  • 2021-13078

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

药物和器械信息、研究文件

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研究美国 FDA 监管的设备产品

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