A narrative review of interventions for improving sleep and reducing circadian disruption in medical inpatients.

Anxiety / complications Hospitalization Humans Sleep Apnea, Obstructive / diagnosis Sleep Deprivation / etiology Sleep Disorders, Circadian Rhythm / therapy Sleep Initiation and Maintenance Disorders / therapy
Circadian rhythm Hospital Inpatients Sleep

Journal

Sleep medicine
ISSN: 1878-5506
Titre abrégé: Sleep Med
Pays: Netherlands
ID NLM: 100898759

Informations de publication

Date de publication:
07 2019
Historique:
received: 24 06 2018
revised: 07 08 2018
accepted: 14 08 2018
pubmed: 13 11 2018
medline: 4 8 2020
entrez: 13 11 2018
Statut: ppublish

Résumé

Sleep and circadian disruptions are frequently observed in patients across hospital wards. This is alarming, since impaired nocturnal sleep and disruption of a normal circadian rhythm can compromise health and disturb processes involved in recovery from illness (eg, immune functions). With this in mind, the present narrative review discusses how patient characteristics (sleep disorders, anxiety, stress, chronotype, and disease), hospital routines (pain management, timing of medication, nocturnal vital sign monitoring, and physical inactivity), and hospital environment (light and noise) may all contribute to sleep disturbances and circadian misalignment in patients. We also propose hospital-based strategies that may help reduce sleep and circadian disruptions in patients admitted to the hospital.

Identifiants

DOI: 10.1016/j.sleep.2018.08.007 PMID: 30415906
pubmed: 30415906
pii: S1389-9457(18)30314-9
doi: 10.1016/j.sleep.2018.08.007
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

42-50

Commentaires et corrections

Type : CommentIn
Type : CommentIn

Informations de copyright

Copyright © 2018 The Authors. Published by Elsevier B.V. All rights reserved.

Auteurs

Xiao Tan (X)

Department of Neuroscience, Sleep Research Laboratory, Uppsala University, Uppsala, Sweden. Electronic address: xiao.tan@neuro.uu.se.

Lieve van Egmond (L)

Department of Neuroscience, Sleep Research Laboratory, Uppsala University, Uppsala, Sweden.

Markku Partinen (M)

Department of Neurological Sciences, University of Helsinki, Helsinki, Finland; VitalMed Research Center, Helsinki Sleep Clinic, Helsinki, Finland.

Tanja Lange (T)

Department of Rheumatology & Clinical Immunology, University of Lübeck, Lübeck, Germany.

Christian Benedict (C)

Department of Neuroscience, Sleep Research Laboratory, Uppsala University, Uppsala, Sweden. Electronic address: christian.benedict@neuro.uu.se.

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Classifications MeSH

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