Impact of Noninvasive Ventilation on Quality of Sleep among Patients Admitted to the Critical Care Unit

Document Type

Article

Publication Title

Indian Journal of Critical Care Medicine

Abstract

Background and aims: Patients in critical care units (CCUs) on noninvasive ventilation (NIV) may experience sleep disturbances due to various reasons. Identifying the variables that affect a patient’s sleep quality is essential for the medical treatment process, as it ensures the maintenance of a regular sleep cycle. The study aimed to assess the impact of NIV on the quality of sleep among patients admitted to the CCU. Patients and methods: This observational questionnaire study was conducted between July 2023 to February 2024, which included 84 subjects who received NIV for more than 24 hours. The sleep quality was assessed using The St. Mary’s Hospital (SMH) Sleep Questionnaire. The impact of NIV on sleep quality and sleep-disruptive factors was analyzed. Results: A total of 84 subjects (71.4% weaned and 28.5% intubated) were included, and a significant association was found between the impact of NIV and sleep quality (p < 0.05). Leakage from the NIV mask impacted the quality of sleep (χ² = 15.6) and falling back to sleep (χ² = 18.4). Discomfort with the NIV mask interruption from sleep (χ² = 15.8), quality of sleep (χ² = 23.6), and falling back to sleep (χ² = 22.3). Excessive air from the ventilator impacted the quality of sleep (χ² = 13.5) and falling back to sleep (χ² = 13.5). Nasal and oral dryness influenced the quality of sleep (χ² = 9.79) and alertness (χ² = 14.6). The major factors that interfered with sleep were thirst (84.5%), pain (60.7%), and light (58.3%). Conclusion: Our study highlights that the impact of NIV on sleep quality among patients in critical care is significant, with factors such as masleakage, discomfort, excessive air delivery, and dryness affecting sleep negatively. Addressing these issues can potentially improve sleep qualitand reduce the need for intubation.

First Page

424

Last Page

430

DOI

10.5005/jp-journals-10071-24962

Publication Date

5-1-2025

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