The effect of increasing duration of family members' presence on sleep status in patients with acute coronary syndrome in cardiac care unit: A randomized controlled trial.
Hossein Bagheri, Fatemeh Norouzi, Maryam Maleki and 4 others
PMID 38424637WHAT IT FOUND
Longer family presence at the bedside was linked to better sleep quality and quantity in patients with acute coronary syndrome in a cardiac care unit.
The extra hour was added to usual care, so it cannot be credited alone.
Key findings
01Patients whose family presence was increased from 1 h to 2 h per day, on top of usual cardiac care unit nursing and medication, had better sleep quality on the intervention nights than patients with routine 1 h visits.
02Sleep quantity was higher in the 2 h family presence group on all three intervention nights, with mean hours 7.89, 7.92 and 8.01 versus 6.91, 6.65 and 6.54 in the routine 1 h group.
03On the first night, the intervention and control groups had sleep quality scores of 25.02 and 26.13 and sleep quantity scores of 6.92 and 6.50 hours, with no significant difference between groups.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Single centre, convenience sample, so the result may not apply to other hospitals or patient groups. Only 90 of 155 patients assessed for eligibility were eligible and included. Only the data analyser was blinded, so patients' own report may be influenced by knowing the visit schedule. Sleep was measured by a questionnaire, so the result depends on patients' own report. Pain, light, noise and usual CCU nursing care and medication were not controlled as separate factors. The interaction between family members and the patient may have influenced the result. The study was done in an Iranian cultural setting, so the finding may not generalize elsewhere.
Declared interests
The authors declared no conflict of interest, and the study received no external funding.
The easy way to misread this
Do not conclude that longer family presence alone caused better sleep. The extra hour was added to usual cardiac care unit nursing and medication, and pain, light, noise and family interactions were not controlled.