A QUASI -EXPERIMENTAL STUDY TO ASSESS THE EFFECTIVENESS OF ‘DREAM BUNDLE’ ON SLEEP AMONG PATIENTS ADMITTED IN ICU AT A TERTIARY HOSPITAL
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Abstract
Background: For any individual, sleep and rest are important for physical and psychological well-being. However, poor-quality sleep and sleep complications have been reported frequently in ICU patients as a cause of irritability, restlessness, and declined cognitive activity amongst other adverse effects. Diverse interventions such as aromatherapy, relaxation therapy, and music have been applied to improve sleep in ICU patients. However, they have not been able to provide consistent positive outcomes. In this study, we evaluated the effect of slow soothing music along with the overnight wearing of an eye mask and earplugs on sleep in ICU patients. The study aimed to assess and compare sleep quality among the experimental group and control group before and after dream bundle intervention.
Methods: An experimental research approach with a quasi-experimental design with a purposive sampling technique was used. Data for Sociodemographic proforma, vital parameters, and Richard Campbell sleep questionnaire was collected for 50 patients. Dream bundle implementation was given to the experimental group for five nights, and the control group received routine care. The post-test assessment was taken for 5 days from both the groups.
Results: The control group showed no significant difference in pre/post scores (t=2.01 < table t=2.02), while the experimental group demonstrated a significant difference (t=9.32 > table t=2.02) after Dream bundle assessment.
Conclusion: Dream Bundle is effective in enhancing quality sleep in ICU Patients.
Highlights:
The "Dream Bundle" intervention, comprising soothing music, overnight eye mask usage, and earplugs, significantly improved sleep quality among ICU patients.
Post-intervention, the experimental group demonstrated a substantial improvement in sleep quality, notably with a majority experiencing excellent sleep. Additionally, stronger associations were found between physiological parameters in the experimental group.