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.
| Original language | English |
|---|---|
| Journal | Sleep Medicine |
| Volume | 59 |
| Pages (from-to) | 42-50 |
| Number of pages | 9 |
| ISSN | 1389-9457 |
| DOIs | |
| Publication status | Published - 07.2019 |
Funding
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.
Research Areas and Centers
- Academic Focus: Center for Infection and Inflammation Research (ZIEL)
- Academic Focus: Center for Brain, Behavior and Metabolism (CBBM)
