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Hospital Noise and Sleep Disruption
2 Minute EBP Challenge
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Stay up-to-date the easy way! |
How would you answer this question?
In hospitalized patients, noises at night while the patient is sleeping can be disruptive. Which statement is most accurate about hospital noise?
a. Noises do not cause cardiovascular stress.
b. Voices bother patients the most.
c. Hospitalized patients do not enter REM sleep.
d. Electronic noises were more arousing.
The correct answer is "d" electronic noises were more arousing.
View the video response on YouTube.
Hospitals are noisy places. All one has to do is to spend a few nights as a patient to realize that it is difficult to sleep due to noise and interruptions. Dr. Buxton and colleagues investigated sleep and hospital noise and found that sleep was more disrupted by electronic noises than by voices. Sounds were more likely to arouse the patient in non-REM sleep than in REM sleep which is deeper.
The researchers found that noises disrupted sleep and raised the patient's heart rate leading to cardiovascular stress. The authors quote previous research that demonstrates that interrupted sleep leads to hypertension, cardiovascular disease, impaired immune function, stress, depression and memory deficits.
Nurses can be aware of the negative effects of disrupted sleep and plan for periods of uninterrupted sleep for their patients, understanding that noises disrupt sleep and cause physiologic stress.
From: Buxton, O.M., et al. (2012). Sleep disruption due to hospital noises: A prospective evaluation. Ann Intern Med, online ahead of print. Retrieved July 20, 2012 from http://annals.org/article.aspx?articleid=1181876.
Congratulations to Sarah Brossa who won a copy of my What You Don't Know About Vital Signs DVD for answering this week's question correctly. Congratulations Sarah!
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Best wishes,
David W. Woodruff, MSN, RN-BC, CNS, CMSRN, CEN
President, Ed4Nurses, Inc.
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