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Clinical Nursing Research
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The Sleep Experience of Medical and Surgical Patients

Joan E. Tranmer

Kingston General Hospital

Janice Minard

Kingston General Hospital

Lee Ann Fox

Kingston General Hospital

L. Rebelo

Kingston General Hospital

This study described and compared the sleep experience of medical and surgical patients during a hospital stay. During 3 consecutive nights, patients (n = 110) self-reported sleep quality using the Verran and Snyder Sleep Scale (VSH) and potentially disruptive factors using items from the Factors Influencing Sleep Questionnaire (FISQ). Surgical patients, on the first night, received more procedural care (p = .001), less sedative medication (p < .001), reported more sleep disturbance (p = .02), less sleep effectiveness (p = .03), and more need for sleep supplementation (p = .03). Variance in sleep effectiveness was explained by the FISQ score, age, and length of time in hospital (F = 6.86, p < .001). The sleep experience of patients varies between diagnostic groupings and across the hospital stay. Unit environmental and personal factors, factors that are amenable to therapeutic interventions, strongly influence the sleep experience.

Key Words: sleep assessment • medical and surgical patients • sleep effectiveness

Clinical Nursing Research, Vol. 12, No. 2, 159-173 (2003)
DOI: 10.1177/1054773803012002004
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[Abstract] [Full Text] [PDF]