作者
Melissa C Bartick, Xia Thai, Timothy Schmidt, Amsalework Altaye, Jo M Solet
发表日期
2010/3
期刊
Journal of hospital medicine: an official publication of the Society of Hospital Medicine
卷号
5
期号
3
页码范围
E20-E24
出版商
Wiley Subscription Services, Inc., A Wiley Company
简介
BACKGROUND
Hospital routines frequently interrupt nighttime sleep. Sedatives promote sleep, but increase the risk of delirium and falls. Few interventional trials have studied sleep promotion in medical‐surgical units and little is known about its impact on sedative use.
OBJECTIVE
To determine causes of sleep disruption, and assess whether decreasing sleep disruptions lowers sedative use in medical‐surgical patients.
DESIGN AND SETTING
Interventional trial with historical controls on a medical‐surgical unit of a community teaching hospital. Nurses, physicians, and patients were blinded to the measurement of as‐needed sedative use.
PATIENTS
Consecutive eligible adults (n = 161 preintervention patients, n = 106 intervention patients).
INTERVENTION
We developed the “Somerville Protocol,” which included the establishment of an 8‐hour “Quiet Time” that began with automated lights‐off and lullaby …
学术搜索中的文章
MC Bartick, X Thai, T Schmidt, A Altaye, JM Solet - Journal of hospital medicine: an official publication of …, 2010
