A narrative review of interventions for improving sleep and reducing circadian disruption in medical inpatients

Xiao Tan, Lieve van Egmond, Markku Partinen, Tanja Lange, Christian Benedict*

*Korrespondierende/r Autor/-in für diese Arbeit

Abstract

Sleep and circadian disruptions are frequently observed in patients across hospital wards. This is alarming, since impaired nocturnal sleep and disruption of a normal circadian rhythm can compromise health and disturb processes involved in recovery from illness (eg, immune functions). With this in mind, the present narrative review discusses how patient characteristics (sleep disorders, anxiety, stress, chronotype, and disease), hospital routines (pain management, timing of medication, nocturnal vital sign monitoring, and physical inactivity), and hospital environment (light and noise) may all contribute to sleep disturbances and circadian misalignment in patients. We also propose hospital-based strategies that may help reduce sleep and circadian disruptions in patients admitted to the hospital.

OriginalspracheEnglisch
ZeitschriftSleep Medicine
Jahrgang59
Seiten (von - bis)42-50
Seitenumfang9
ISSN1389-9457
DOIs
PublikationsstatusVeröffentlicht - 07.2019

Fördermittel

Work of C.B. is supported by the Novo Nordisk Foundation ( NNF14OC0009349 ), Swedish Brain Foundation ( FO2016-0092 ), Swedish Research Council ( 2015-03100 ), Foyle Foundation , and The Family Ernfors Fund . Work of X.T. is supported by the Åke Wiberg Foundation ( M17-0088 ) and the Thuring Foundation ( 2017-00313 ). The funders did not have any role in design of the review, interpretation of the discussed literature, or in the writing process. The authors thank Martina Blunder and Misty Attwood for their valuable feedback on the initial draft of this review.

UN SDGs

Dieser Output leistet einen Beitrag zu folgendem(n) Ziel(en) für nachhaltige Entwicklung

  1. SDG 3 – Gesundheit und Wohlergehen
    SDG 3 – Gesundheit und Wohlergehen

Strategische Forschungsbereiche und Zentren

  • Forschungsschwerpunkt: Infektion und Entzündung - Zentrum für Infektions- und Entzündungsforschung Lübeck (ZIEL)
  • Forschungsschwerpunkt: Gehirn, Hormone, Verhalten - Center for Brain, Behavior and Metabolism (CBBM)

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