Sleep quality and noise: comparisons between hospital and home settings.
environmental noise
paediatric ward
sleep quality
sound level
Journal
Archives of disease in childhood
ISSN: 1468-2044
Titre abrégé: Arch Dis Child
Pays: England
ID NLM: 0372434
Informations de publication
Date de publication:
02 2019
02 2019
Historique:
received:
14
03
2018
accepted:
09
06
2018
pubmed:
19
7
2018
medline:
26
11
2019
entrez:
19
7
2018
Statut:
ppublish
Résumé
Children and their parents report poor sleep in hospital and complain about noise. To measure sleep quality and noise levels in hospital and compare these with the home environment. Observational within case-controlled study. Paediatric medical wards at Southampton Children's Hospital and bedrooms at home. Participants were children aged 3-16 years and their co-sleeping parents. Sleep quality was measured using actigraphy for a maximum of 5 nights in each setting. Median sound levels at the bedside were monitored overnight in a subgroup in both settings. Total sleep time, sleep efficiency, median sound levels overnight. 40 children and 16 mothers completed actigraphy in both settings. Children had on average 62.9 min, and parents 72.8 min, per night less sleep in hospital than at home. Both children and parents had poorer sleep quality in hospital than at home: mean sleep efficiency 77.0% vs 83.2% for children and 77.1% vs 88.9% for parents, respectively. Median sound levels in hospital measured in 8 children averaged 48.6 dBA compared with 34.7 dBA at home and exceeded World Health Organization recommendations of 30 dB. Children and their mothers have poor quality sleep in paediatric wards. This may affect the child's behaviour, recovery and pain tolerance. Sleep deprivation adds to parental burden and stress. Sound levels are significantly raised in hospital and may contribute to poor sleep. Reduction in the level of noise might lead to an improvement in sleep, affecting the quality of stay of both parent and child.
Sections du résumé
BACKGROUND
Children and their parents report poor sleep in hospital and complain about noise.
OBJECTIVE
To measure sleep quality and noise levels in hospital and compare these with the home environment.
DESIGN
Observational within case-controlled study.
SETTING
Paediatric medical wards at Southampton Children's Hospital and bedrooms at home.
PARTICIPANTS AND METHODS
Participants were children aged 3-16 years and their co-sleeping parents. Sleep quality was measured using actigraphy for a maximum of 5 nights in each setting. Median sound levels at the bedside were monitored overnight in a subgroup in both settings.
MAIN OUTCOME MEASURES
Total sleep time, sleep efficiency, median sound levels overnight.
RESULTS
40 children and 16 mothers completed actigraphy in both settings. Children had on average 62.9 min, and parents 72.8 min, per night less sleep in hospital than at home. Both children and parents had poorer sleep quality in hospital than at home: mean sleep efficiency 77.0% vs 83.2% for children and 77.1% vs 88.9% for parents, respectively. Median sound levels in hospital measured in 8 children averaged 48.6 dBA compared with 34.7 dBA at home and exceeded World Health Organization recommendations of 30 dB.
CONCLUSIONS
Children and their mothers have poor quality sleep in paediatric wards. This may affect the child's behaviour, recovery and pain tolerance. Sleep deprivation adds to parental burden and stress. Sound levels are significantly raised in hospital and may contribute to poor sleep. Reduction in the level of noise might lead to an improvement in sleep, affecting the quality of stay of both parent and child.
Identifiants
pubmed: 30018067
pii: archdischild-2018-315168
doi: 10.1136/archdischild-2018-315168
doi:
Types de publication
Journal Article
Observational Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
147-151Informations de copyright
© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.