European Journal of Biomedical and Pharmaceutical Sciences

ASSESSMENT OF SLEEP DEPRIVATION AND MEDICATIONS USED IN ICU PATIENTS

Sumaiya Tabassum*, Mohammed Safi Ur Rahman, Shaik Ibadullah, Syed Aizaz Ehsan, Mir Mansoor Sultan and Nithin Kondapuram

ABSTRACT

Aim: The aim of study is to assess the sleep deprivation and medication used in ICU patients and to evalu0ate the factors affecting sleep in ICU patients. Objectives: (1) The primary objective is to assess the sleep pattern of ICU patients. (2) To analyze the factors affecting the sleep. (3) To study the medication used in ICU and justify the purpose. (4) To determine whether any treatment is given for sleep disturbance if any and in accordance with guideline. (5) To determine whether pharmacological treatment given shown any impact on sleep Cycle of patients. (6) To improve the quality of sleep in ICU patients. Background: Sleep is one of the important physiological process for both physical and mental health. Sleep deprivation is usually seen ICU patients due to many pathological and environmental factors. It can sometime be due to medication involved in treatment of patients. Methodology: This is a prospective study carries out for a period of six months in different ICU departments. A total of 157 patient case data was collected. Sleep questionnaire was aid used to determine sleep impairment in all ICU admitted patients. These were noted in the data collection form. Data pertaining to age, gender, diagnosis, lab reports and treatment given (drug prescribed, brand/generic, dose, route, frequency and duration) was collected. Results: Sleep deprivation was seen in 75% of total 157 patients. 73.9% (116) of patients complained pain as the major factor responsible for sleep impairment along with 70.7% (111) ICU discomfort followed by 69.4% (109) noise,66.9 % (105) light, 65.6% (103) diagnostic testing ,65.0% (102) oxygen finger probe discomfort and (51.6% (81) orthopnea. Medications which are used in ICU affect sleep i.e. 62.5% of them cause insomnia and show negative impact on sleep where as 12.5 % of drugs shows positive impact on sleep. Conclusion: Sleep deprivation was observed in ICU patient and therefore the factors causing sleep deprivation in ICU patients should be monitored and appropriate methods to minimize the sleep disruption and the drugs alternatives non-pharmacological therapies should be given to prevent sleep deprivation in ICU patients. The methods of relaxing we examined included massage, music, and aromatherapy, and they appeared to have a modest impact. This study requires further evaluation and implementation to reduce the sleep deprivation in ICU patients.

Keywords: Sleep, ICU patients, Sleep deprivation, Environmental factors medications.