How to Improve Patients’ Perceived Quality of Sleep During Hospitalization Through a Multicomponent ‘‘Good Sleep Bundle’’:A Prospective Before and After Controlled Study
Introduction: Despite sound evidence on the importance of sleep for human beings and its role in healing, hospitalized patients still experience sleep disruption with deleterious effects. Many factors affecting patients’ sleep can be removed or minimized. We evaluated the efficacy of a multicomponen...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Innovative Healthcare Institute
2022-08-01
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| Series: | Global Journal on Quality and Safety in Healthcare |
| Subjects: | |
| Online Access: | https://jqsh.org/doi/pdf/10.36401/JQSH-22-1 |
| _version_ | 1828033617830346752 |
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| author | Barbara Ragonese Valeria Denotti Vincenzina Lo Re Giovanni Vizzini Brigida Corso Giuseppe Arena Rosario Girgenti Maria Luisa Fazzina Fabio Tuzzolino Michele Pilato Angelo Luca |
| author_facet | Barbara Ragonese Valeria Denotti Vincenzina Lo Re Giovanni Vizzini Brigida Corso Giuseppe Arena Rosario Girgenti Maria Luisa Fazzina Fabio Tuzzolino Michele Pilato Angelo Luca |
| author_sort | Barbara Ragonese |
| collection | DOAJ |
| description | Introduction: Despite sound evidence on the importance of sleep for human beings and its role in healing, hospitalized patients still experience sleep disruption with deleterious effects. Many factors affecting patients’ sleep can be removed or minimized. We evaluated the efficacy of a multicomponent Good Sleep Bundle (GSB) developed to improve patients’ perceived quality of sleep, through which we modified environmental factors, timing of nighttime clinical interventions, and actively involved patients in order to positively influence their experience during hospitalization. Methods: In a prospective, before and after controlled study, two different groups of 65 patients each were admitted to a cardiothoracic unit in two different periods, receiving the usual care (control group) and the GSB (GSB group), respectively. Sleep quality was evaluated by the Pittsburgh Sleep Quality Index (PSQI) at the admission, discharge, and 30 days after discharge in all patients enrolled. Comparisons between the two groups evaluated changes in PSQI score from admission to discharge (primary endpoint), and from admission to 30 days after discharge (secondary endpoint). Results: The mean PSQI score difference between admission and discharge was 4.54 (SD 4.11) in the control group, and 2.05 (SD 4.25) in the GSB group. The mean difference in PSQI score change between the two groups, which was the primary endpoint, was 2.49 (SD 4.19). This difference was highly significant (p = 0.0009). Conclusion: The GSB was associated with a highly significant reduction of the negative effects that hospitalization produces on patients’ perceived quality of sleep compared with the usual care group. |
| first_indexed | 2024-04-10T15:22:23Z |
| format | Article |
| id | doaj.art-2c88f7c3454d49e2ad5d72e80489d1de |
| institution | Directory Open Access Journal |
| issn | 2666-2353 2589-9449 |
| language | English |
| last_indexed | 2024-04-10T15:22:23Z |
| publishDate | 2022-08-01 |
| publisher | Innovative Healthcare Institute |
| record_format | Article |
| series | Global Journal on Quality and Safety in Healthcare |
| spelling | doaj.art-2c88f7c3454d49e2ad5d72e80489d1de2023-02-14T13:08:11ZengInnovative Healthcare InstituteGlobal Journal on Quality and Safety in Healthcare2666-23532589-94492022-08-01566410.36401/JQSH-22-1i2589-9449-5-3-56How to Improve Patients’ Perceived Quality of Sleep During Hospitalization Through a Multicomponent ‘‘Good Sleep Bundle’’:A Prospective Before and After Controlled StudyBarbara Ragonese0Valeria Denotti1Vincenzina Lo Re2Giovanni Vizzini3Brigida Corso4Giuseppe Arena5Rosario Girgenti6Maria Luisa Fazzina7Fabio Tuzzolino8Michele Pilato9Angelo Luca101 Quality and Patient Safety Department, Istituto Mediterraneo per i Trapianti e Terapie ad alta Specializzazione (IRCCS-ISMETT), Palermo, Italy2 Quality and Patient Safety Department, University of Pittsburgh Medical Center (UPMC) Italy, Rome, Italy3 Neurology Service, Department of Diagnostic and Therapeutic Services, IRCCS-ISMETT, Palermo, Italy4 Clinical Administration, UPMC Italy, Rome, Italy1 Quality and Patient Safety Department, Istituto Mediterraneo per i Trapianti e Terapie ad alta Specializzazione (IRCCS-ISMETT), Palermo, Italy5 Corporate Nursing, Technical, and Rehabilitation Services, IRCCS-ISMETT, Palermo, Italy6 Psychology Service, Department of Diagnostic and Therapeutic Services, IRCCS-ISMETT, Palermo, Italy1 Quality and Patient Safety Department, Istituto Mediterraneo per i Trapianti e Terapie ad alta Specializzazione (IRCCS-ISMETT), Palermo, Italy7 Research Office, IRCCS-ISMETT, Palermo, Italy8 Cardiac Surgery and Heart Transplantation Unit, Department for the Treatment and Study of Cardiothoracic Diseases and Cardiothoracic Transplantation, IRCCS-ISMETT, Palermo, Italy9 Department of Diagnostic and Therapeutic Services, IRCCS-ISMETT, Palermo, ItalyIntroduction: Despite sound evidence on the importance of sleep for human beings and its role in healing, hospitalized patients still experience sleep disruption with deleterious effects. Many factors affecting patients’ sleep can be removed or minimized. We evaluated the efficacy of a multicomponent Good Sleep Bundle (GSB) developed to improve patients’ perceived quality of sleep, through which we modified environmental factors, timing of nighttime clinical interventions, and actively involved patients in order to positively influence their experience during hospitalization. Methods: In a prospective, before and after controlled study, two different groups of 65 patients each were admitted to a cardiothoracic unit in two different periods, receiving the usual care (control group) and the GSB (GSB group), respectively. Sleep quality was evaluated by the Pittsburgh Sleep Quality Index (PSQI) at the admission, discharge, and 30 days after discharge in all patients enrolled. Comparisons between the two groups evaluated changes in PSQI score from admission to discharge (primary endpoint), and from admission to 30 days after discharge (secondary endpoint). Results: The mean PSQI score difference between admission and discharge was 4.54 (SD 4.11) in the control group, and 2.05 (SD 4.25) in the GSB group. The mean difference in PSQI score change between the two groups, which was the primary endpoint, was 2.49 (SD 4.19). This difference was highly significant (p = 0.0009). Conclusion: The GSB was associated with a highly significant reduction of the negative effects that hospitalization produces on patients’ perceived quality of sleep compared with the usual care group.https://jqsh.org/doi/pdf/10.36401/JQSH-22-1sleeppatient centered carequality of carepatient experience |
| spellingShingle | Barbara Ragonese Valeria Denotti Vincenzina Lo Re Giovanni Vizzini Brigida Corso Giuseppe Arena Rosario Girgenti Maria Luisa Fazzina Fabio Tuzzolino Michele Pilato Angelo Luca How to Improve Patients’ Perceived Quality of Sleep During Hospitalization Through a Multicomponent ‘‘Good Sleep Bundle’’:A Prospective Before and After Controlled Study Global Journal on Quality and Safety in Healthcare sleep patient centered care quality of care patient experience |
| title | How to Improve Patients’ Perceived Quality of Sleep During Hospitalization Through a Multicomponent ‘‘Good Sleep Bundle’’:A Prospective Before and After Controlled Study |
| title_full | How to Improve Patients’ Perceived Quality of Sleep During Hospitalization Through a Multicomponent ‘‘Good Sleep Bundle’’:A Prospective Before and After Controlled Study |
| title_fullStr | How to Improve Patients’ Perceived Quality of Sleep During Hospitalization Through a Multicomponent ‘‘Good Sleep Bundle’’:A Prospective Before and After Controlled Study |
| title_full_unstemmed | How to Improve Patients’ Perceived Quality of Sleep During Hospitalization Through a Multicomponent ‘‘Good Sleep Bundle’’:A Prospective Before and After Controlled Study |
| title_short | How to Improve Patients’ Perceived Quality of Sleep During Hospitalization Through a Multicomponent ‘‘Good Sleep Bundle’’:A Prospective Before and After Controlled Study |
| title_sort | how to improve patients perceived quality of sleep during hospitalization through a multicomponent good sleep bundle a prospective before and after controlled study |
| topic | sleep patient centered care quality of care patient experience |
| url | https://jqsh.org/doi/pdf/10.36401/JQSH-22-1 |
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