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Patients' Self-Reported Recovery After an Environmental Intervention Aimed to Support Patient's Circadian Rhythm in Intensive Care
Högskolan Väst.
Østfold University College.
Göteborgs universitet.
Lunds universitet.ORCID iD: 0000-0002-0047-9723
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2021 (English)In: Health Environments Research & Design Journal, ISSN 1937-5867, E-ISSN 2167-5112, Vol. 14, no 4, article id 19375867211001541Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Patients in intensive care units (ICUs) are among the most vulnerable, and they require support to start their recovery. The design of the patient area in the ICU can play a prominent role in both the quality of care and patients' recovery. The lighting environment has the opportunity to restore and strengthen the natural human circadian rhythm and health.

AIM: To evaluate patients' self-reported recovery after being cared for in an ICU room rebuilt according to evidence-based design principles that promote recovery.

METHOD: An intervention was set up in a two-bed patient room including a cycled lighting system. Self-reported recovery was reported at 6 and 12 months after discharge. Data were analyzed using a 2(mechanically ventilated, nonmechanically ventilated) × 2(intervention room, ordinary room) analysis of covariance (ANCOVA) and 2(male, women) × 2(intervention room, ordinary room) ANCOVA.

RESULTS: Data from the different rooms showed no significant main effects for recovery after 6 months, p = .21; however, after 12 months, it become significant, p. < .05. This indicated that patient recovery was positively influenced for patients cared for in the intervention room (M = 8.88, SD = 4.07) compared to the ordinary room (M = 10.90, SD = 4.26). There were no interaction effects for gender or if the patients had been mechanically ventilated either at 6 or 12 months' postdischarge.

CONCLUSIONS: A cycled lighting system may improve patient self-reported recovery after ICU care; however, more research on the topic is needed.

Place, publisher, year, edition, pages
SAGE Open, 2021. Vol. 14, no 4, article id 19375867211001541
Keywords [en]
ANOVA, circadian rhythm, environment, intensive care unit (ICU), lighting, longitudinal, questionnaire, recovery, sleep
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
URN: urn:nbn:se:hb:diva-25201DOI: 10.1177/19375867211001541ISI: 000634026500001PubMedID: 33754878Scopus ID: 2-s2.0-85103189340OAI: oai:DiVA.org:hb-25201DiVA, id: diva2:1539817
Note

Funding agency: Bertil and Britt Svenssons' Foundation.

Available from: 2021-03-25 Created: 2021-03-25 Last updated: 2023-01-17Bibliographically approved

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Lindahl, BeritFridh, Isabell

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