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Effects of Environmental Factors on Sleep Patterns in Traumatic Brain Injured Adults in the Rehabilitation Setting
Başlık:
Effects of Environmental Factors on Sleep Patterns in Traumatic Brain Injured Adults in the Rehabilitation Setting
Yazar:
Amato, Shelly C., author.
ISBN:
9780438093089
Yazar Ek Girişi:
Fiziksel Tanımlama:
1 electronic resource (190 pages)
Genel Not:
Source: Dissertation Abstracts International, Volume: 79-10(E), Section: B.
Committee members: Mary K. Anthony; Yea-Jyh Chen; Sheau-Huey Chiu; Jeffrey Ciesla; Mary Beth Spitznagel.
Özet:
Each year in the United States an estimated 1.7 million people sustain traumatic brain injuries, resulting in impairments in function, cognition, emotion, and behavior. In addition, disrupted sleep patterns are common after traumatic brain injury with prevalence rates between 30% and 84%. A variety of factors contributes to changes in sleep patterns including the underlying illness, neuronal changes that occur with brain injury, and psychological factors. In addition, environmental factors related to the hospital setting can be a stressor for individuals recovering from illness or injury. Altered sleep patterns have been shown to affect cognition, mood, and reported fatigue, which can negatively affect the recovery process. The purposes of this study were to: (a) describe sleep patterns of adults with traumatic brain injury in the acute rehabilitation setting; and (b) examine the effects of environmental stressors (light and patient care activities) on patterns of sleep. The stress process model was used to guide this study.
The descriptive, correlational, explanatory study was conducted on an acute traumatic brain injury rehabilitation unit located in a 67-bed inpatient rehabilitation hospital. A non-probability convenience sample of 64 traumatic brain injured subjects 18 years of age or older was recruited. Subjects wore an actiwatch for 48 hours to collect light and sleep data. Nursing staff documented all patient care activities performed during nighttime hours.
Hierarchical multiple regression analysis was used to determine the effects of light exposure and patient care activities on quantity and quality of sleep. Results indicated that total sleep time was not explained by either direct patient care activities or light. Nighttime sleep duration and sleep efficiency was explained by patient care activities, while the entire model explained wake time after sleep onset.
Findings from this study provide information about the effects of environmental stressors on sleep outcomes in persons with traumatic brain injury in the rehabilitation setting. This information will serve as the basis for examining the necessity and timing of nursing care activities and associated light exposure during nighttime hours. Findings will be useful when evaluating standard care practices and provide a basis for making policy changes that optimize sleep in the hospital setting.
Notlar:
School code: 0101
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Yer Numarası | Demirbaş Numarası | Shelf Location | Lokasyon / Statüsü / İade Tarihi |
---|---|---|---|
XX(687075.1) | 687075-1001 | Proquest E-Tez Koleksiyonu | Arıyor... |
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