Lkoul Abdelmajid, Oumbarek Keltouma, Bouchriti Youssef, Jniene Asmaa, Dendane Tarek
Laboratory of Biostatistics, Clinical Research and Epidemiology, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat 10010, Morocco.
Geosciences, Environment and Geomatic Laboratory, Department of Earth Sciences, Faculty of Sciences, Ibn Zohr University, Agadir 80000, Morocco.
Adv Respir Med. 2025 Jun 6;93(3):14. doi: 10.3390/arm93030014.
Sleep disturbances are a common and often underestimated complication during intensive care unit (ICU) stays. These disturbances can significantly impact patients' recovery and overall well-being. This study aimed to assess the sleep quality of ICU patients and investigate the environmental and clinical factors that affect sleep quality during their ICU stay.
We conducted a six-month cross-sectional study involving patients who had stayed in the ICU for at least three nights and were oriented to time and place upon discharge. Sleep quality was assessed using the Arabic version of the Freedman Sleep Questionnaire. Both environmental factors (e.g., noise, light, and nursing interventions) and clinical variables (illness severity and pain) were examined. The differences across three time periods were analyzed using the Wilcoxon test and Spearman's correlation. Multiple regression analysis identified the factors influencing sleep quality. Statistical analyses were performed using JAMOVI software (version 2.3.28).
The study enrolled 328 patients, with an average age of 49.74 ± 17.89 years. Of the participants, 75.3% were adults. The primary reasons for admission were circulatory distress (45.73%) and metabolic disorders (24.09%). Sleep quality was significantly lower in the ICU compared to patients' sleep at home (Z = -14.870, < 0.001). The EVA and APACHE II scores had a statistically significant effect on sleep quality ( < 0.001 and = 0.015, respectively). In contrast, the Charlson and Quick SOFA scores did not show significant effects ( = 0.128 and = 0.894). Environmental factors, including noise ( = 0.008), light ( = 0.009), and nursing interventions ( = 0.009), significantly impacted sleep quality.
Patients in the ICU generally reported poor sleep quality. Our findings suggest that improving pain management, minimizing environmental noise, and reducing staff-related disturbances could significantly enhance sleep quality for patients in the intensive care unit (ICU).
睡眠障碍是重症监护病房（ICU）住院期间常见且常被低估的并发症。这些障碍会显著影响患者的康复和整体健康状况。本研究旨在评估ICU患者的睡眠质量，并调查影响其在ICU住院期间睡眠质量的环境和临床因素。
我们进行了一项为期六个月的横断面研究，纳入了在ICU住院至少三晚且出院时对时间和地点有定向能力的患者。使用阿拉伯语版的弗里德曼睡眠问卷评估睡眠质量。同时考察了环境因素（如噪音、光线和护理干预）和临床变量（疾病严重程度和疼痛）。使用威尔科克森检验和斯皮尔曼相关性分析三个时间段的差异。多元回归分析确定影响睡眠质量的因素。使用JAMOVI软件（版本2.3.28）进行统计分析。
该研究纳入了328名患者，平均年龄为49.74±17.89岁。参与者中，75.3%为成年人。入院的主要原因是循环系统窘迫（45.73%）和代谢紊乱（24.09%）。与患者在家中的睡眠相比，ICU患者的睡眠质量显著更低（Z = -14.870，P < 0.001）。EVA和APACHE II评分对睡眠质量有统计学显著影响（分别为P < 0.001和P = 0.015）。相比之下，查尔森和快速序贯器官衰竭评估（Quick SOFA）评分未显示出显著影响（P = 0.128和P = 0.894）。包括噪音（P = 0.008）、光线（P = 0.009）和护理干预（P = 0.009）在内的环境因素对睡眠质量有显著影响。
ICU患者普遍报告睡眠质量较差。我们的研究结果表明，改善疼痛管理、将环境噪音降至最低以及减少与工作人员相关的干扰，可显著提高重症监护病房（ICU）患者的睡眠质量。
