The effect of a multicomponent multidisciplinary bundle of interventions on sleep and delirium in medical and surgical intensive care patients

摘要: Sleep deprivation is common among intensive care patients and may be associated with delirium. We investigated whether the implementation of a bundle non-pharmacological interventions, consisting environmental noise light reduction designed to reduce disturbing during night, was improved sleep reduced incidence The study divided into two parts, before after changing our practice. One hundred sixty-seven 171 were screened for delirium pre- post-intervention, respectively. Compliance interventions > 90%. led an increased mean (SD) efficiency index (60.8 (3.5) vs 75.9 (2.2) after, p = 0.031); sound (68.8 (4.2) dB 61.8 (9.1) 0.002) levels (594 (88.2) lux 301 (53.5) 0.003); number awakenings caused by activities overnight (11.0 (1.1) 9.0 (1.2) 0.003). In addition, introduction (55/167 (33%) 24/171 (14%) < 0.001), less time spent in (3.4 (1.4) days 1.2 (0.9) 0.021). Increases lower odds ratio developing (OR 0.90, 95% CI 0.84-0.97). programme as unit effective reducing delirium, we propose similar should implemented more widely.