Sleepless in the hospital: A systematic review of non-pharmacological sleep interventions.
Hospitalized patients
Nonpharmacological intervention
Sleep
Journal
General hospital psychiatry
ISSN: 1873-7714
Titre abrégé: Gen Hosp Psychiatry
Pays: United States
ID NLM: 7905527
Informations de publication
Date de publication:
Historique:
received:
14
02
2019
revised:
23
05
2019
accepted:
23
05
2019
pubmed:
7
6
2019
medline:
31
1
2020
entrez:
7
6
2019
Statut:
ppublish
Résumé
Poor sleep is highly prevalent in inpatient medical settings and has been associated with attenuated healing and worsened outcomes following hospitalization. Although nonpharmacological interventions are preferred, little is known about the best way to intervene in hospital settings. A systematic review of published literature examining nonpharmacological sleep interventions among inpatients in Embase, PsycINFO and PubMed in accordance with PRISMA guidelines. Forty-three of the 1529 originally identified manuscripts met inclusion criteria, encompassing 2713 hospitalized participants from 18 countries comprised of psychiatric and older adult patients living in hospital settings. Main outcomes were subjective and objective measures of sleep duration, quality, and insomnia. Overall, the review was unable to recommend any specific intervention due to the current state of the literature. The majority of included research was limited in quality due to lack of controls, lack of blinding, and reliance on self-reported outcomes. However, the literature suggests melatonin and CBT-I likely have the most promise to improve sleep in inpatient medical settings. Additionally, environmental modifications, including designated quiet time and ear plugs/eye masks, could be easily adopted in the care environment and may support sleep improvement. More rigorous research in nonpharmacological sleep interventions for hospitalized individuals is required to inform clinical recommendations.
Identifiants
pubmed: 31170567
pii: S0163-8343(19)30055-6
doi: 10.1016/j.genhosppsych.2019.05.006
pmc: PMC6620136
mid: NIHMS1530879
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
58-66Subventions
Organisme : NIMH NIH HHS
ID : T32 MH073553
Pays : United States
Informations de copyright
Published by Elsevier Inc.
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