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「集中治療室での睡眠改善、薬と非薬物の組み合わせが鍵に」の検索結果

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("intensive care units"[MeSH] OR ICU) AND (sleep[MeSH] OR "sleep quality" OR "sleep disturbance") AND (intervention OR improvement OR management) AND (pharmacologic OR drug OR medication OR nonpharmacologic OR "non-pharmacological" OR multimodal OR combined)

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🔍 PubMed の検索結果

  • Melatonin Use in the ICU: A Systematic Review and Meta-Analysis.

    Brian Hao Yuan Tang, Judith Manalo, Saifur R Chowdhury 他 · Critical care medicine · 2025

    Melatonin has wide-ranging effects on the body, including the regulation of circadian rhythm, and potentiation of cellular immune and antioxidant activities. In critically ill patients, endogenous melatonin has been shown to be markedly deranged and reduced. Therefore, the purpose of this systematic review and meta-analysis was to determine if exogenous supplementation of melatonin improves patien…

    📄 PubMed で読む (PMID: 40662882)
  • The Effect of a Quality Improvement Intervention on Sleep and Delirium in Critically Ill Patients in a Surgical ICU.

    Joseph E Tonna, Anna Dalton, Angela P Presson 他 · Chest · 2021

    Delirium is a deleterious condition affecting up to 60% of patients in the surgical ICU (SICU). Few SICU-focused delirium interventions have been implemented, including those addressing sleep-wake disruption, a modifiable delirium risk factor common in critically ill patients. What is the effect on delirium and sleep quality of a multicomponent nonpharmacologic intervention aimed at improving slee…

    📄 PubMed で読む (PMID: 33773988)
  • Effects of earplugs and eye masks combined with relaxing music on sleep, melatonin and cortisol levels in ICU patients: a randomized controlled trial.

    Rong-Fang Hu, Xiao-Ying Jiang, Kathleen M Hegadoren 他 · Critical care (London, England) · 2015

    Intensive care unit (ICU) environmental factors such as noise and light have been cited as important causes of sleep deprivation in critically ill patients. Previous studies indicated that using earplugs and eye masks can improve REM sleep in healthy subjects in simulated ICU environment, and improve sleep quality in ICU patients. This study aimed to determine the effects of using earplugs and eye…

    📄 PubMed で読む (PMID: 25881268)
  • Patients in the intensive care unit suffer from severe lack of sleep associated with loss of normal melatonin secretion pattern.

    L Shilo, Y Dagan, Y Smorjik 他 · The American journal of the medical sciences · 1999

    Patients hospitalized in the intensive care unit (ICU) tend to become agitated and confused, and many even develop temporary psychoses (the ICU syndrome). We wondered whether the regulation of sleep and the secretion of melatonin is abnormal in ICU patients. Therefore, we studied the association of sleep-wake pattern in patients hospitalized in the ICU, their melatonin secretion rates, and profile…

    📄 PubMed で読む (PMID: 10334113)
  • Sleep in acute care units.

    Ahmed BaHammam · Sleep & breathing = Schlaf & Atmung · 2006

    Patients in the acute care units (ACU) are usually critically ill, making them more susceptible to the unfavorable atmosphere in the hospital. One of these unfavorable factors is sleep disruption and deprivation. Many factors may affect sleep in the ACU, including therapeutic interventions, diagnostic procedures, medications, the underlying disease process, and noise generated in the ACU environme…

    📄 PubMed で読む (PMID: 16435158)
  • Sleep and Circadian Rhythm in Critical Illness.

    Irene Telias, Mary Elizabeth Wilcox · Critical care (London, England) · 2019

    This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2019. Other selected articles can be found online at https://www.biomedcentral.com/collections/annualupdate2019 . Further information about the Annual Update in Intensive Care and Emergency Medicine is available from http://www.springer.com/series/8901 .

    📄 PubMed で読む (PMID: 30850003)
  • Effects of earplugs and eye masks on nocturnal sleep, melatonin and cortisol in a simulated intensive care unit environment.

    Rong-fang Hu, Xiao-ying Jiang, Yi-ming Zeng 他 · Critical care (London, England) · 2010

    Environmental stimulus, especially noise and light, is thought to disrupt sleep in patients in the intensive care unit (ICU). This study aimed to determine the physiological and psychological effects of ICU noise and light, and of earplugs and eye masks, used in these conditions in healthy subjects. Fourteen subjects underwent polysomnography under four conditions: adaptation, baseline, exposure t…

    📄 PubMed で読む (PMID: 20398302)
  • Sleep and delirium in ICU patients: a review of mechanisms and manifestations.

    Milagros I Figueroa-Ramos, Carmen Mabel Arroyo-Novoa, Kathryn A Lee 他 · Intensive care medicine · 2009

    Sleep deprivation and delirium are conditions commonly encountered in intensive care unit patients. Sleep in these patients is characterized by sleep fragmentation, an increase in light sleep, and a decrease of both slow wave sleep and rapid eye movement sleep. The most common types of delirium in this population are hypoactive and mixed-type. Knowledge about the mechanisms of sleep and delirium h…

    📄 PubMed で読む (PMID: 19165463)
  • Prescription patterns of sleep medications for critically ill patients: A nationwide retrospective observational cohort study in Japan.

    Yudai Iwasaki, Hiroyuki Ohbe, Yu Kaiho 他 · Australian critical care : official journal of the Confederation of Australian Critical Care Nurses · 2026

    Sleep disturbance is associated with adverse outcomes, yet evidence guiding its prevention and the real-world use of emerging hypnotics remains limited, underscoring the need to clarify contemporary prescribing patterns in the intensive care unit (ICU) and at discharge. This study investigated real-world usage patterns of sleep medications during ICU stay and their prescribing activity at hospital…

    📄 PubMed で読む (PMID: 42492347)
  • Effects of web neonatal intensive care unit diaries on the mental health, quality of life, sleep quality, care ability, and hormone levels of parents of preterm infants in the neonatal intensive care unit: A randomized controlled trial.

    Xiaoting Li, Ying Lin, Long Huang 他 · Intensive & critical care nursing · 2024

    To examine the effects of web neonatal intensive care unit diaries on the mental health, quality of life, sleep quality, care ability, and hormone levels of parents of preterm infants in the neonatal intensive care unit. Prospective randomized controlled parallel-group clinical trial. Maternal and Child Health Hospital, Fujian, China. The control group received routine neonatal intensive care unit…

    📄 PubMed で読む (PMID: 38583413)