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   The Effect of Use of Earplugs on Sleep Quality in Coronary Care Units Patients  
   
نویسنده Baghaie Lakeh Maryam ,Baghaie Lakeh Mojgan ,Khaleghdoost Mohammad Tahereh ,Kazem Nezhad Leyli Ehsan
منبع Journal Of Holistic Nursing And Midwifery - 2018 - دوره : 28 - شماره : 2 - صفحه:93 -100
چکیده    Introduction: sleep deprivation along with subsequent increased blood pressure and heart rate can lead to higher risk among patients admitted to coronary care units (ccus).objective: the aim of this study was to determine the effect of use of earplugs on sleep quality and its domains (sleep disturbance, supplementary sleep and the effectiveness of sleep) in ccu patients.materials and methods: this crossover randomized clinical trial study was carried out on 92 ccu patients in 2 groups of a (using earplugs at the first night and no earplugs at the second night) and b (no earplugs at the first night and using earplugs at the second night). data collection was done using a twopart tool including a researchermade questionnaire on individual and sociodemographic information related to disease and standard scale of verran and snyderhalpern sleep scale (vsh sleep scale). earning higher scores was described as poor sleep quality in the overall quality of sleep and its domains. data analysis was performed using descriptive and inferential statistical methods, anova and generalized estimating equations (gee) logistic regression.results: the results revealed that the female participants made up the majority of samples in both groups a and b (54.2 and 60.4%). the use of earplugs significantly reduced the quality of sleep disturbance domain in both groups a and b (p=0.0001 and p=0.021, respectively), and the supplementary sleep domain in group a (p=0.027). there was no significant difference between the two groups in terms of mean change in overall sleep quality score and its domains within the two nights. finally, the geebased regression test based on controlling the individual and social and diseaseassociated factors indicates the effect of use of earplugs in reducing the quality of sleep (b=3.1 and p=0.0001) and its domains, including sleep disturbance (b=5.59 and p=0.021), supplementary sleep (b=3.33 and p=0.0001) and sleep effectiveness (b=1.43 and p=0.027).conclusion: the negative effects of using earplugs on overall sleep quality and its domains in this study highlights the need to carry out further researches in order to find an effective method to improve sleep quality in ccu patients.
کلیدواژه Ear Protective Devices ,Sleep ,Inpatients ,Coronary Care Units
آدرس Guilan University Of Medical Sciences, Heshmat Medical And Educational Center, ایران, Guilan University Of Medical Sciences, Social Determinants Of Health Research Center (Sdhrc), Department Of Nursing (Medical-Surgical), ایران, Guilan University Of Medical Sciences, Social Determinants Of Health Research Center (Sdhrc), Department Of Nursing (Medical-Surgical), ایران, Guilan University Of Medical Sciences, Social Determinants Of Health Research Center (Sdhrc), ایران
 
     
   
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