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The Nexus Between Sleep Disturbance and Delirium Among Intensive Care Patients.

Authors :
Delaney LJ
Litton E
Van Haren F
Source :
Critical care nursing clinics of North America [Crit Care Nurs Clin North Am] 2021 Jun; Vol. 33 (2), pp. 155-171. Date of Electronic Publication: 2021 Apr 28.
Publication Year :
2021

Abstract

Sleep in intensive care is hampered due to many factors; the clinical environment itself exacerbates sleep disturbance. Research suggests that interventions aimed at improving sleep quality have produced positive effects in reducing incidences and duration of delirium. Sleep disturbance is well documented among intensive care patients; however, its prognostic impact is not fully understood. Delirium, disproportionally prevalent among intensive care patients, has significant prognostic factors related to patient outcomes, in which sleep disturbance often is present. The relationship between sleep disturbance and delirium is complex, sharing commonalities in relation to neurobiological and neurohormonal alterations, which may contribute to a bidirectional relationship.<br />Competing Interests: Disclosure The authors have nothing to disclose.<br /> (Copyright © 2021 Elsevier Inc. All rights reserved.)

Details

Language :
English
ISSN :
1558-3481
Volume :
33
Issue :
2
Database :
MEDLINE
Journal :
Critical care nursing clinics of North America
Publication Type :
Academic Journal
Accession number :
34023083
Full Text :
https://doi.org/10.1016/j.cnc.2021.01.001