Evidence map›Paper›PMID 41663502›Full record

SynthesisScientific reports2026

Effects of non-pharmacological interventions on sleep in patients with critical illness: a systematic review and network meta-analysis.

Yutaka Matsuura, Etsuko Kita, Yukari Taneda, Mikiko Matsuda, Mika Kataoka, Masahiro Masuya, Keiko Fukuroku

Abstract readNetwork Meta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yutaka MatsuuraDivision of Nursing, Mie University Graduate School of Medicine, Tsu, Japan. y-matsuura10@med.mie-u.ac.jp.
Etsuko KitaDivision of Nursing, Mie University Graduate School of Medicine, Tsu, Japan.
Yukari TanedaDivision of Nursing, Mie University Graduate School of Medicine, Tsu, Japan.
Mikiko MatsudaDivision of Nursing, Mie University Graduate School of Medicine, Tsu, Japan.
Mika KataokaDivision of Nursing, Mie University Graduate School of Medicine, Tsu, Japan.
Masahiro MasuyaDivision of Nursing, Mie University Graduate School of Medicine, Tsu, Japan.
Keiko FukurokuDivision of Nursing, Mie University Graduate School of Medicine, Tsu, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adequate sleep is vital for recovery in patients with critical illness, yet sleep in intensive care units (ICUs) is widely disrupted. Although various non-pharmacological strategies have been proposed, evidence remains inconsistent, and the most effective intervention for improving ICU sleep has not been clearly established. In this review, we evaluated the effectiveness of non-pharmacological interventions for sleep promotion and identified the most effective strategies for improving sleep quality among ICU patients. Studies implementing non-pharmacological sleep-promoting interventions and evaluating sleep quality in ICU patients were identified using MEDLINE and Cumulative Index to Nursing and Allied Health Literature. The protocol was registered in PROSPERO (CRD420251184156). Thirty-six studies encompassing 16 intervention types were included. A Bayesian network meta-analysis demonstrated significant improvements for aromatherapy, eye mask, eye mask and earplugs, music therapy, and multicomponent intervention compared with control groups. Surface under the cumulative ranking curves indicated that music therapy (94.9%) had the highest probability of being the most effective intervention, followed by aromatherapy (76.2%). These interventions may improve sleep by reducing environmental disturbances and stabilizing autonomic and neurotransmitter activity.

Indexed as

Critical IllnessSleepSleep QualitySleep Wake DisordersAromatherapyBayes TheoremEar Protective DevicesEye Protective DevicesHumansIntensive Care UnitsMusic TherapyIntensive careNetwork meta-analysisNon-pharmacological interventionsPatients with critical illnessSleep quality

Identifiers

PMID41663502
PMCPMC12954107

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.