| 28
Pensar Enfermagem / v.28 n.sup / October 2024
DOI: 10.71861/pensarenf.v28iSup.393
Abstract
Introduction
The id.Care project aims to co-create, develop, implement and evaluate bundles of nursing
interventions that promote a safe environment in the care of people with complex chronic
illnesses, in acute or critical care contexts. One of the axes of the project is the provision of
care. Promoting sleep quality is fundamental to the well-being and recovery of critically ill
patients in intensive care units (ICUs).1,2,3 Sound interventions have the potential to improve
sleep quality, although evidence still limited.
Objective
To evaluate the effect of sound interventions that promote sleep quality of critically ill
patients in ICUs.
Methods
A systematic literature review was conducted in accordance with the PRISMA and SWiM
recommendations. The research question was: What is the effect of a sound interventions
(I) on promoting the sleep quality (O) in ICUs (P)? The research took place in February
2024 in MEDLINE, CINAHL, Cochrane Database of Systematic Reviews, Web of Science
and Scopus databases, with no temporal limit. The keywords used were: Environmental
Health; Inpatients; Nursing care; Sleep Quality; Sound. Studies investigating the impact of
sound interventions on sleep quality in ICUs were included. Two researchers were
responsible for selecting the studies, extracting the data and analysing the risk of bias based
on predefined criteria. The quality of the studies was evaluated in accordance with the
recommendations of the Joanna Briggs Institute Critical Appraisal.
Results
Eleven studies were included. They highlight the use of classical music, relaxation music
and nature sounds. Interventions took place at night, before bedtime, and varied in duration
from five minutes to the whole night. Potential benefits for critically ill patients were
described.
Conclusion
Sound interventions improve sleep quality of critically ill patients in ICUs. Nurses play a
crucial role in managing healthcare environments. The results of this study suggest further
research into the effectiveness of sound intervention.
Keywords
Sleep Quality; Nursing Care; Sound; Environmental Health; Hospitalised Patients.
Bibliography
1. Khater, W, Masha’al, D, Al-Sayaheen, A. Sleep assessment and interventions for patients
living with cancer from the patients’ and nurses’ perspective. International Journal of
Palliative Nursing [Internet]. 2019 [citado 27 de Maio de 2024]; 25(7), 316–324. Disponível
em: 10.12968/ijpn.2019.25.7.316
2. Lewandowska, K, Mędrzycka-Dąbrowska, W, Pilch, D, et al. Sleep Deprivation from the
Perspective of a Patient Hospitalized in the Intensive Care Unit - Qualitative Study.
Healthcare [Internet]. 2020 [citado 27 de Maio de 2024]; 8(3), 351. Disponível em:
https://doi.org/10.3390/healthcare8030351
3. Távora, C, Silva J, Alves, M, et al. Gestão da Insónia em Idosos Hospitalizados. RPMI
[Internet]. 2022 [citado 27 de Maio de 2024]; 29(3), 215–220. Disponível em:
https://revista.spmi.pt/index.php/rpmi/article/view/458
Sound Interventions on Promoting Sleep Quality in
ICUs: a Systematic Review
Rui Guerreiro1
orcid.org/0000-0002-8968-2057
Márcia Silva2
orcid.org/0000-0001-7055-8665
Sílvia Mendonça3
orcid.org/0009-0006-1509-0952
Cândida Durão4
orcid.org/0000-0002-9465-5280
Joana Teixeira5
orcid.org/0000-0001-9237-8120
Helga Henriques6
orcid.org/0000-0003-2946-4485
1Nursing Research, Innovation and Development
Centre of Lisbon (CIDNUR); São José Local Health
Unit, Lisboa, Portugal.
2Nursing Research, Innovation and Development
Centre of Lisbon (CIDNUR); Santa Maria Local
Health Unit, Lisboa, Portugal.
3Nursing Research, Innovation and Development
Centre of Lisbon (CIDNUR), Lisboa, Portugal.
4Nursing Research, Innovation and Development
Centre of Lisbon (CIDNUR), Lisboa, Portugal.
5Nursing Research, Innovation and Development
Centre of Lisbon (CIDNUR), Lisboa; School of
Medicine and Biomedical Sciences –
CINTESIS@RISE, Porto, Portugal.
6 Nursing Research, Innovation and Development
Centre of Lisbon (CIDNUR), Lisboa, Portugal.
Corresponding author:
Rui Guerreiro
E-mail: rguerreiro@esel.pt
