Patients recovering from cardiac surgery experience significant sleep disturbances near discharge, associated with pain, noise, and routine disruption, highlighting the need for targeted interventions.
May inform sleep protocols near cardiac surgery discharge; leaves open whether targeting factors improves outcomes.
Factors associated with the attempted length, disturbance, effectiveness, and nap supplementation of sleep were analyzed in 97 patients recovering from cardiac surgery a few days before hospital discharge. Patients rated sleep for the prior night and factors that impaired their sleep after transfer from the critical care unit. The group averaged little sleep, with moderate disturbance and effectiveness and low nap supplementation. The disturbance, effectiveness, and attempted length of sleep were associated with an inability to perform their usual routine before sleep, inability to get comfortable, pain, noises, procedural care, and an unfamiliar bed. Patients encounter difficulties with sleep, even near discharge from the hospital. Interventions should be tested to mitigate specific factors that affect selected dimensions of sleep.
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Simpson et al. (1996) studied this question.
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