Patienters upplevelser av sin nattsömn på IVA

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Sammanfattning: Background: Sleep is a basic human need and essential for recovery for the critically illpatient. Patients cared for in the ICU often suffer from lack of sleep or abnormal sleep.Disturbed sleep can get several negative effects short term and long term. The careenvironment in the ICU is a challenge for the critical care nurse, in regard of creatingpossibilities for rest and sleep for the patients. Sleep in the ICU is thoroughly investigated butqualitative studies regarding patients’ experiences of their sleep are limited.Aim: The aim of this study was to describe patients´ experience of their night sleep whenbeing cared for in the ICU and factors affecting their sleep experience.Method: Qualitative, descriptive design with inductive approach. Eight semi-structuredinterviews with intensive care patients were recorded and transcribed. The data was analysedby manifest content analysis according to Graneheim and Lundman (1).Results: Three categories with six associated subcategories emerged through analysis of thedata: “positive and negative experiences of night sleep”, “impact of the care environment andnursing on night sleep” and “patient related factors influencing night sleep”.Conclusion: Patients experiences of their night sleep are subjective and vary between bad orno night sleep, and good night sleep. Factors influencing night sleep where either related tothe patient, regarding illness, situation, individual characteristics or needs or to careenvironment or nursing.

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