TY - JOUR
T1 - A narrative review of interventions for improving sleep and reducing circadian disruption in medical inpatients
AU - Tan, Xiao
AU - van Egmond, Lieve
AU - Partinen, Markku
AU - Lange, Tanja
AU - Benedict, Christian
N1 - Funding Information:
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.
Publisher Copyright:
© 2018 The Authors
Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.
PY - 2019/7
Y1 - 2019/7
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85056154520&partnerID=8YFLogxK
U2 - 10.1016/j.sleep.2018.08.007
DO - 10.1016/j.sleep.2018.08.007
M3 - Scientific review articles
C2 - 30415906
AN - SCOPUS:85056154520
SN - 1389-9457
VL - 59
SP - 42
EP - 50
JO - Sleep Medicine
JF - Sleep Medicine
ER -
