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

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http://hdl.handle.net/10138/305175

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Tan , X , van Egmond , L , Partinen , M , Lange , T & Benedict , C 2019 , ' A narrative review of interventions for improving sleep and reducing circadian disruption in medical inpatients ' , Sleep Medicine , vol. 59 , pp. 42-50 . https://doi.org/10.1016/j.sleep.2018.08.007

Title: A narrative review of interventions for improving sleep and reducing circadian disruption in medical inpatients
Author: Tan, Xiao; van Egmond, Lieve; Partinen, Markku; Lange, Tanja; Benedict, Christian
Contributor: University of Helsinki, HUS Neurocenter
Date: 2019-07
Language: eng
Number of pages: 9
Belongs to series: Sleep Medicine
ISSN: 1389-9457
URI: http://hdl.handle.net/10138/305175
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. (C) 2018 The Authors. Published by Elsevier B.V.
Subject: Sleep
Circadian rhythm
Hospital
Inpatients
COGNITIVE-BEHAVIORAL THERAPY
CLINICAL-PRACTICE GUIDELINE
RANDOMIZED CONTROLLED-TRIAL
BLUE-ENRICHED LIGHT
LENGTH-OF-STAY
MELATONIN SECRETION
AMERICAN ACADEMY
BETA-BLOCKERS
INSOMNIA
APNEA
3112 Neurosciences
3124 Neurology and psychiatry
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