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Critical Care

, 17:R91

First Online: 24 May 2013Received: 18 January 2013Revised: 08 March 2013Accepted: 24 May 2013

Abstract

IntroductionFamily members of critically ill patients often experience increased incidence of physical and mental health issues. One of the first ways family members suffer is by losing sleep. The purpose of this study is to understand sleep quality, levels of fatigue and anxiety, and factors contributing to poor sleep in adult family members of critically ill patients.

MethodsA questionnaire was designed to evaluate sleep, fatigue and anxiety during the intensive care unit ICU admission. We incorporated three validated instruments: General Sleep Disturbance Scale GSDS, Beck Anxiety Index BAI and Lee Fatigue Scale NRS-F. Adult family members of patients in ICU for more than 24 hours were approached for questionnaire completion. Patient demographics were recorded.

ResultsThe study population consisted of 94 respondents, 49.1 ± 12.9 years, 52.7% male; 43.6% were children and 21.3% were spouses of ICU patients. Sleep quality was rated as poor-very poor by 43.5% of respondents, and good-very good by 15.2%. The most common factors contributing to poor sleep were anxiety 43.6%, tension 28.7% and fear 24.5%. Respondents- most common suggestions to improve sleep were more information regarding the patient-s health 24.5% and relaxation techniques 21.3%. Mean GSDS score was 38.2 ± 19.3, with 58.1% of respondents experiencing moderate to severe sleep disturbance. Mean BAI was 12.3 ± 10.2, with 20.7% of respondents experiencing moderate to severe anxiety. Mean NRS-F was 3.8 ± 2.5, with 57.6% of respondents experiencing moderate to high fatigue. Family members who spent one or more nights in the hospital had significantly higher GSDS, BAI and NRS-F scores. The patient-s Acute Physiology and Chronic Health Evaluation APACHE II score at survey completion correlated significantly with family members- GSDS, BAI and NRS-F.

ConclusionThe majority of family members of ICU patients experience moderate to severe sleep disturbance and fatigue, and mild anxiety.

Keywordssleep, fatigue anxiety family members intensive care unit questionnaire study AbbreviationsAPACHE IIAcute Physiology and Chronic Health Evaluation II

BAIBeck Anxiety Index

GSDSGeneral Sleep Disturbance Scale

NRS-FNumerical Rating Scale for Fatigue: also known as the Lee Fatigue Scale

Electronic supplementary materialThe online version of this article doi:10.1186-cc12736 contains supplementary material, which is available to authorized users.

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Autor: Alex Day - Samer Haj-Bakri - Stephanie Lubchansky - Sangeeta Mehta

Fuente: https://link.springer.com/







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