The Nexus Between Sleep Disturbance and Delirium Among Intensive Care Patients

Article

Delaney, Lori, Litton, Edward and van Haren, Frank. 2021. "The Nexus Between Sleep Disturbance and Delirium Among Intensive Care Patients." Critical Care Nursing Clinics of North America. 33 (2), pp. 155-171. https://doi.org/10.1016/j.cnc.2021.01.001
Article Title

The Nexus Between Sleep Disturbance and Delirium Among Intensive Care Patients

ERA Journal ID212183
Article CategoryArticle
AuthorsDelaney, Lori, Litton, Edward and van Haren, Frank
Journal TitleCritical Care Nursing Clinics of North America
Journal Citation33 (2), pp. 155-171
Number of Pages17
Year2021
PublisherElsevier
Place of PublicationUnited States
ISSN0899-5885
1558-3481
Digital Object Identifier (DOI)https://doi.org/10.1016/j.cnc.2021.01.001
Web Address (URL)https://www.sciencedirect.com/science/article/abs/pii/S0899588521000022
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.

Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420501. Acute care
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Byline AffiliationsQueensland University of Technology
Australian National University
St John of God Health Care, Australia
Fiona Stanley Hospital, Australia
Canberra Hospital, Australia
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