Sleep Quality during and after Cardiothoracic Intensive Care and Psychological Health during Recovery

Caruana, N; McKinley, S; Elliott, R; Gholizadeh, L

Sleep Quality during and after Cardiothoracic Intensive Care and Psychological Health during Recovery

Caruana, N McKinley, S Elliott, R

Gholizadeh, L

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Publication Type:: Journal Article
Citation:: Journal of Cardiovascular Nursing, 2018, 33 (4), pp. E40 - E49
Issue Date:: 2018-07-01

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Field	Value	Language
dc.contributor.author	Caruana, N	en_US
dc.contributor.author	McKinley, S	en_US
dc.contributor.author	Elliott, R https://orcid.org/0000-0002-9239-7126	en_US
dc.contributor.author	Gholizadeh, L https://orcid.org/0000-0002-6711-3312	en_US
dc.date.available	2020-05-25T19:10:33Z
dc.date.issued	2018-07-01	en_US
dc.identifier.citation	Journal of Cardiovascular Nursing, 2018, 33 (4), pp. E40 - E49	en_US
dc.identifier.issn	0889-4655	en_US
dc.identifier.uri	http://hdl.handle.net/10453/125407
dc.description.abstract	© 2018 Lippincott Williams and Wilkins. All rights reserved. Background: Intensive care patients experience poor sleep quality. Psychological distress and diminished health-related quality of life (HRQOL) are also common among former intensive care unit (ICU) patients. Coronary artery bypass graft (CABG) surgery is a frequent reason adults require treatment in ICU. The effect of on- versus off-pump surgery on sleep and recovery has not been reported. Objective: The aim of this study was to assess sleep quality of CABG patients during and after ICU, psychological well-being, HRQOL during recovery, and whether on- versus off-pump surgery affects sleep and recovery. Methods: Data were collected in the ICU and hospital ward, and 2 and 6 months after hospital discharge using validated self-report questionnaires. Results: The sample (n = 101) had a mean age of 66.6 ± 11.1 years, was 79% male, and had a median ICU stay of 2 (2-4) days and a mean body mass index of 27.3 ± 4.3; 75% underwent on-pump surgery. Poor sleep was reported by 62% of the patients at 6 months and by 12% of the patients at all time points. Off-pump CABG patients had fewer posttraumatic stress symptoms (P =.02) and better physical HRQOL (P =.01). In multivariate analysis, prehospital insomnia (P =.004), and physical (P <.0005) and mental (P <.0005) HRQOL were independently associated with sleep quality at 6 months. There was no association between on- versus off-pump CABG and sleep quality at 6 months. Conclusions: Sleep quality of postoperative CABG patients was poor in the ICU and hospital ward and up to 6 months after discharge from the hospital. Poor sleep quality at 6 months was associated with prehospital insomnia, and physical and mental HRQOL at 6 months, but not with on- versus off-pump surgery.	en_US
dc.relation.ispartof	Journal of Cardiovascular Nursing	en_US
dc.relation.isbasedon	10.1097/JCN.0000000000000499	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Patient Discharge	en_US
dc.subject.mesh	Coronary Artery Bypass	en_US
dc.subject.mesh	Follow-Up Studies	en_US
dc.subject.mesh	Prospective Studies	en_US
dc.subject.mesh	Mental Health	en_US
dc.subject.mesh	Quality of Life	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Intensive Care Units	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Sleep Wake Disorders	en_US
dc.title	Sleep Quality during and after Cardiothoracic Intensive Care and Psychological Health during Recovery	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	33	en_US
utslib.for	1102 Cardiorespiratory Medicine and Haematology	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	open_access
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	33	en_US

Abstract:

© 2018 Lippincott Williams and Wilkins. All rights reserved. Background: Intensive care patients experience poor sleep quality. Psychological distress and diminished health-related quality of life (HRQOL) are also common among former intensive care unit (ICU) patients. Coronary artery bypass graft (CABG) surgery is a frequent reason adults require treatment in ICU. The effect of on- versus off-pump surgery on sleep and recovery has not been reported. Objective: The aim of this study was to assess sleep quality of CABG patients during and after ICU, psychological well-being, HRQOL during recovery, and whether on- versus off-pump surgery affects sleep and recovery. Methods: Data were collected in the ICU and hospital ward, and 2 and 6 months after hospital discharge using validated self-report questionnaires. Results: The sample (n = 101) had a mean age of 66.6 ± 11.1 years, was 79% male, and had a median ICU stay of 2 (2-4) days and a mean body mass index of 27.3 ± 4.3; 75% underwent on-pump surgery. Poor sleep was reported by 62% of the patients at 6 months and by 12% of the patients at all time points. Off-pump CABG patients had fewer posttraumatic stress symptoms (P =.02) and better physical HRQOL (P =.01). In multivariate analysis, prehospital insomnia (P =.004), and physical (P <.0005) and mental (P <.0005) HRQOL were independently associated with sleep quality at 6 months. There was no association between on- versus off-pump CABG and sleep quality at 6 months. Conclusions: Sleep quality of postoperative CABG patients was poor in the ICU and hospital ward and up to 6 months after discharge from the hospital. Poor sleep quality at 6 months was associated with prehospital insomnia, and physical and mental HRQOL at 6 months, but not with on- versus off-pump surgery.

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http://hdl.handle.net/10453/125407