Patients' Self-Reported Recovery After an Environmental Intervention Aimed to Support Patient's Circadian Rhythm in Intensive Care.

Aftercare Circadian Rhythm Critical Care Female Humans Intensive Care Units Male Patient Discharge Self Report
ANOVA circadian rhythm environment intensive care unit (ICU) lighting longitudinal questionnaire recovery sleep

Journal

HERD
ISSN: 2167-5112
Titre abrégé: HERD
Pays: United States
ID NLM: 101537529

Informations de publication

Date de publication:
Oct 2021
Historique:
pubmed: 24 3 2021
medline: 1 2 2022
entrez: 23 3 2021
Statut: ppublish

Résumé

Patients in intensive care units (ICUs) are among the most vulnerable, and they require support to start their recovery. The design of the patient area in the ICU can play a prominent role in both the quality of care and patients' recovery. The lighting environment has the opportunity to restore and strengthen the natural human circadian rhythm and health. To evaluate patients' self-reported recovery after being cared for in an ICU room rebuilt according to evidence-based design principles that promote recovery. An intervention was set up in a two-bed patient room including a cycled lighting system. Self-reported recovery was reported at 6 and 12 months after discharge. Data were analyzed using a 2(mechanically ventilated, nonmechanically ventilated) × 2(intervention room, ordinary room) analysis of covariance (ANCOVA) and 2(male, women) × 2(intervention room, ordinary room) ANCOVA. Data from the different rooms showed no significant main effects for recovery after 6 months, A cycled lighting system may improve patient self-reported recovery after ICU care; however, more research on the topic is needed.

Sections du résumé

BACKGROUND BACKGROUND
Patients in intensive care units (ICUs) are among the most vulnerable, and they require support to start their recovery. The design of the patient area in the ICU can play a prominent role in both the quality of care and patients' recovery. The lighting environment has the opportunity to restore and strengthen the natural human circadian rhythm and health.
AIM OBJECTIVE
To evaluate patients' self-reported recovery after being cared for in an ICU room rebuilt according to evidence-based design principles that promote recovery.
METHOD METHODS
An intervention was set up in a two-bed patient room including a cycled lighting system. Self-reported recovery was reported at 6 and 12 months after discharge. Data were analyzed using a 2(mechanically ventilated, nonmechanically ventilated) × 2(intervention room, ordinary room) analysis of covariance (ANCOVA) and 2(male, women) × 2(intervention room, ordinary room) ANCOVA.
RESULTS RESULTS
Data from the different rooms showed no significant main effects for recovery after 6 months,
CONCLUSIONS CONCLUSIONS
A cycled lighting system may improve patient self-reported recovery after ICU care; however, more research on the topic is needed.

Identifiants

DOI: 10.1177/19375867211001541 PMID: 33754878 PMC: PMC8597201
pubmed: 33754878
doi: 10.1177/19375867211001541
pmc: PMC8597201
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

194-210

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Auteurs

Marie Engwall (M)

387496Department of Health Sciences, University West, Trollhättan, Sweden.
ORCID: 0000-0001-7968-0421

Göran Jutengren (G)

Faculty of Health and Welfare, Østfold University College, Halden, Norway.

Ingegerd Bergbom (I)

Institute of Health and Caring Sciences, Sahlgrenska Academy, 3570Gothenburg University, Sweden.

Berit Lindahl (B)

Department of Health Sciences, Faculty of Medicine, 5193University of Lund, Sweden.

Isabell Fridh (I)

Faculty of Caring Sciences, Work Life and Social Welfare, 1802University of Borås, Sweden.
Department of Anesthesiology, Surgery, and Intensive Care, Sahlgrenska University Hospital, Gothenburg, Sweden.
ORCID: 0000-0002-9828-961X

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Classifications MeSH

questionsmedicales.fr › Administration des services de santé › Gestion des soins aux patients › Services de santé polyvalents › Soins de santé primaires › Continuité des soins › Post-cure › Patients' Self-Reported Recovery After an...
questionsmedicales.fr › Phénomènes physiologiques › Phénomènes chronobiologiques › Périodicité › Rythme circadien › Patients' Self-Reported Recovery After an...
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questionsmedicales.fr › Administration des services de santé › Gestion des soins aux patients › Services de santé polyvalents › Soins de santé primaires › Continuité des soins › Sortie du patient › Patients' Self-Reported Recovery After an...
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