Kunjappan Aiswarya, Reddy Madhura M, Prabhu Samruddha S, Bhatt Margiben T, Lakshmi R Vani
Department of Respiratory Therapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Department of Respiratory Care Service, Sur Hospital, Ministry of Health, Sur, Oman.
Indian J Crit Care Med. 2025 May;29(5):424-430. doi: 10.5005/jp-journals-10071-24962. Epub 2025 May 8.
Patients in critical care units (CCUs) on noninvasive ventilation (NIV) may experience sleep disturbances due to various reasons. Identifying the variables that affect a patient's sleep quality is essential for the medical treatment process, as it ensures the maintenance of a regular sleep cycle. The study aimed to assess the impact of NIV on the quality of sleep among patients admitted to the CCU.
This observational questionnaire study was conducted between July 2023 to February 2024, which included 84 subjects who received NIV for more than 24 hours. The sleep quality was assessed using The St. Mary's Hospital (SMH) Sleep Questionnaire. The impact of NIV on sleep quality and sleep-disruptive factors was analyzed.
A total of 84 subjects (71.4% weaned and 28.5% intubated) were included, and a significant association was found between the impact of NIV and sleep quality ( < 0.05). Leakage from the NIV mask impacted the quality of sleep (² = 15.6) and falling back to sleep (² = 18.4). Discomfort with the NIV mask interruption from sleep (² = 15.8), quality of sleep (² = 23.6), and falling back to sleep (² = 22.3). Excessive air from the ventilator impacted the quality of sleep (² = 13.5) and falling back to sleep (² = 13.5). Nasal and oral dryness influenced the quality of sleep (² = 9.79) and alertness (² = 14.6). The major factors that interfered with sleep were thirst (84.5%), pain (60.7%), and light (58.3%).
Our study highlights that the impact of NIV on sleep quality among patients in critical care is significant, with factors such as mask leakage, discomfort, excessive air delivery, and dryness affecting sleep negatively. Addressing these issues can potentially improve sleep quality and reduce the need for intubation.
Kunjappan A, Reddy MM, Prabhu SS, Bhatt MT, R Vani Lakshmi. Impact of Noninvasive Ventilation on Quality of Sleep among Patients Admitted to the Critical Care Unit. Indian J Crit Care Med 2025;29(5):424-430.
重症监护病房（CCU）中接受无创通气（NIV）的患者可能因各种原因出现睡眠障碍。识别影响患者睡眠质量的变量对于医疗过程至关重要，因为这能确保维持规律的睡眠周期。本研究旨在评估无创通气对入住CCU患者睡眠质量的影响。
本观察性问卷调查研究于2023年7月至2024年2月进行，纳入84例接受无创通气超过24小时的受试者。使用圣玛丽医院（SMH）睡眠问卷评估睡眠质量。分析无创通气对睡眠质量和睡眠干扰因素的影响。
共纳入84例受试者（71.4%撤机，28.5%插管），发现无创通气的影响与睡眠质量之间存在显著关联（<0.05）。无创通气面罩漏气影响睡眠质量（χ² = 15.6）和再次入睡（χ² = 18.4）。无创通气面罩导致的不适影响睡眠中断（χ² = 15.8）、睡眠质量（χ² = 23.6）和再次入睡（χ² = 22.3）。呼吸机排出的过多气体影响睡眠质量（χ² = 13.5）和再次入睡（χ² = 13.5）。鼻干和口干影响睡眠质量（χ² = 9.79）和警觉性（χ² = 14.6）。干扰睡眠的主要因素是口渴（84.5%）、疼痛（60.7%）和光线（58.3%）。
我们的研究强调，无创通气对重症监护患者睡眠质量的影响显著，面罩漏气、不适、过多气体输送和干燥等因素对睡眠有负面影响。解决这些问题可能会改善睡眠质量并减少插管需求。
Kunjappan A, Reddy MM, Prabhu SS, Bhatt MT, R Vani Lakshmi. 无创通气对入住重症监护病房患者睡眠质量的影响。《印度重症监护医学杂志》2025；29(5):424 - 430。
