Observational studyNursing in critical care2025
Sleep Quality and Disruptive Factors in Intensive Care Units: A Comparison Between Mechanically Ventilated and Spontaneously Breathing Patients.
Observational study in Nursing in critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
3 citing papers in PubMed.
- Clinical Care Interaction and Patient Sleep in the Intensive Care Unit: A Secondary Data Analysis.Nursing in critical care · 2026Article
- Perioperative sleep management in cardiac surgery: an evidence-oriented narrative review of pharmacological, behavioral, and respiratory support strategies.Frontiers in cardiovascular medicine · 2026Review
- Explainable deep-learning models to predict diaphragmatic dysfunction and cognitive stress in ICU patients under mechanical ventilation.Frontiers in physiology · 2026Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSleep disturbances are common in intensive care units (ICUs) and negatively impact patient outcomes. Understanding differences in sleep quality and disrupting factors between patients receiving mechanical ventilation (MV) and spontaneously breathing patients (SBP) is essential for improving ICU care.
aimTo compare sleep quality and sleep-disrupting factors between patients receiving MV and SBP during their ICU stay. STUDY
designThis observational study was conducted in a 16-bed ICU in Türkiye. A total of 186 ICU patients (62 receiving MV and 124 SBP) were included. Sleep quality and disrupting factors were assessed using the Modified Freedman Sleep Quality Questionnaire (mFSQQ) and Richards-Campbell Sleep Questionnaire (RCSQ) at 24-h admission (T0) and pre-discharge (T1).
resultsSleep quality scores were significantly lower in patients receiving MV than in SBP (p < 0.05). At T0, patients receiving MV experienced greater sleep disruptions due to pain and vital sign monitoring, while SBP had more disturbances from nursing interventions, medication administration and alarms (p < 0.05). By T1, sleep disturbances from pain, medical interventions and diagnostic procedures had significantly decreased in both groups (p < 0.05); however, environmental factors such as noise, lighting and staff conversations remained major disruptors. Repeated measures analysis showed a significant time effect for sleep disruptions from pain, nursing interventions, vital sign monitoring and medication administration (p < 0.001), while no time effect was found for noise, light or staff conversations.
conclusionAlthough patients receiving MV had lower sleep quality, ICU environmental factors were a major source of sleep fragmentation for all patients. These findings emphasise the need for ICU-wide and targeted interventions to optimise sleep quality. RELEVANCE TO CLINICAL PRACTICE: Implementing tailored sleep protocols and optimising ICU care can reduce sleep disruptions, enhance patient comfort and improve recovery by addressing both patient-specific and environmental factors.
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