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ID
Source
Brief title
Health condition
medical diagnosis
Sponsors and support
Intervention
Outcome measures
Primary outcome
The effect of implemented sleep interventions on the experienced and objectively measured quality and quantity of sleep.
Secondary outcome
To explore the potential effects of the interventions on the use of sleep medication, length of stay (including discharge diagnosis: homewards/palliative policy/rehabilitation etc), incidence of delirium and incidence of ICU admissions from the clinical wards.
Background summary
The aim of this study is to implement interventions (such as care-clustering, better mattresses/pillows/blankets, the distribution of earplugs and sleep masks, sleep education to patients, nurses and doctors, adjustment of the hospital rhythm) and to measure whether these interventions have a positive effect on the (experienced and absolute) quality and quantity of sleep in regular hospital wards.
Study objective
No effect of sleep-enhancing interventions on sleep quality and quantity in hospitalised patients
Study design
sleep quality and quantity of the second up to fith night in hospital. Long-term effects measured after 30 days (retrospective medical patient record)
Intervention
Earplugs, sleep masks, posters to increase awareness with medical team, sleep education patients (information flyer, inform about possibility to bring own pillow from home, etcetera), sleep hygiene training nurses and doctors (awareness, “soft” shoes, use little light, if possible place restless patients in single room, during day time: stimulate patients to leave their beds, open curtains and blinds, discourage afternoon naps and caffeine after 15:00 PM, avoid giving I.V. drips overnight if possible or diuretics in the afternoon if not necessary with the aim of reducing nightly toilet visits, take only vitals when necessary), adjust hospital rhythm (only measure vital signs in morning if indicated, wash patients after morning rounds).
Inclusion criteria
>18 years of age, who spent exactly one full night in the hospital (admitted before 3:00 AM), admitted to Acute Medical Units (AOA),internal medicine/nephrology ward ot the vascular diseases/urology unit, and able to give informed consent
Exclusion criteria
<18 years of age, not able to give informed consent (i.e. severe illness, not capable of speaking Dutch, cognitive dysfunction), need to be isolated due to infection prevention measures
Design
Recruitment
IPD sharing statement
Plan description
Followed up by the following (possibly more current) registration
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Other (possibly less up-to-date) registrations in this register
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In other registers
| Register | ID |
|---|---|
| NTR-new | NL7995 |
| Other | METC VUmc : 2019.246 |