The Efficacy of Eye Masks and Earplugs Interventions for Sleep Promotion in Critically Ill Patients: A Systematic Review and Meta-Analysis

Using physical devices such as eye masks and earplugs to improve to the quality of sleep in intensive care units (ICUs) is a very important issue. This study was conducted to assess the efficacy of eye masks and earplugs for sleep promotion in critically ill adult patients in the ICU based on variou...

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Autores principales:	Leila Karimi, Farshid Rahimi-Bashar, Seyyede Momeneh Mohammadi, Mohsen Mollahadi, Masoum Khosh-Fetrat, Amir Vahedian-Azimi, Sara Ashtari
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	earplugs eye mask quality of sleep intensive care unit meta-analysis Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/0c3f204f753248cbbcde670ac9b6ca75
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spelling	oai:doaj.org-article:0c3f204f753248cbbcde670ac9b6ca752021-12-03T06:27:31ZThe Efficacy of Eye Masks and Earplugs Interventions for Sleep Promotion in Critically Ill Patients: A Systematic Review and Meta-Analysis1664-064010.3389/fpsyt.2021.791342https://doaj.org/article/0c3f204f753248cbbcde670ac9b6ca752021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyt.2021.791342/fullhttps://doaj.org/toc/1664-0640Using physical devices such as eye masks and earplugs to improve to the quality of sleep in intensive care units (ICUs) is a very important issue. This study was conducted to assess the efficacy of eye masks and earplugs for sleep promotion in critically ill adult patients in the ICU based on various sleep quality assessment tools. PubMed, Scopus, Web of Science, and ProQuest were systematically retrieved until May 2021. Both randomized and non-randomized experimental and quasi-experimental studies were included if they evaluated the efficacy of eye masks and earplugs interventions on sleep outcomes in critically ill patients. The methodological quality was assessed by the Joanna Briggs Institute (JBI) critical appraisal tool. For the main outcome (sleep quality), a mean difference (MD) and confidence intervals (CIs) of 95% were determined. A total of 2,687 participants from 35 studies met the inclusion criteria. Twenty one studies were included in meta-analysis and 14 studies were included in the qualitative analysis. According to the results based on sleep quality assessment tools; overall scores of Pittsburgh Sleep Quality Index (PSQI) and Richards-Campbell Sleep Questionnaire (RCSQ), eye mask and/or earplug interventions have a positive effect on sleep quality. Based on Verran-Snyder-Halpern Sleep Scale (VSHSS), sleep disturbance was significantly lower in the intervention groups. In terms of polysomnography, the use of eye masks and/or earplugs resulted in a significant increase in total sleep time, sleep efficiency, rapid eye movement (REM) time, significant reduction of awaking, and sleep arousals index. The results of the present study suggest that the use of earplugs or eye masks, separately or combined affects sleep improvement in critically ill patients.Systematic Review Registration:https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=145830, PROSPERO: CRD42020145830.Leila KarimiFarshid Rahimi-BasharSeyyede Momeneh MohammadiMohsen MollahadiMasoum Khosh-FetratAmir Vahedian-AzimiSara AshtariFrontiers Media S.A.articleearplugseye maskquality of sleepintensive care unitmeta-analysisPsychiatryRC435-571ENFrontiers in Psychiatry, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	earplugs eye mask quality of sleep intensive care unit meta-analysis Psychiatry RC435-571
spellingShingle	earplugs eye mask quality of sleep intensive care unit meta-analysis Psychiatry RC435-571 Leila Karimi Farshid Rahimi-Bashar Seyyede Momeneh Mohammadi Mohsen Mollahadi Masoum Khosh-Fetrat Amir Vahedian-Azimi Sara Ashtari The Efficacy of Eye Masks and Earplugs Interventions for Sleep Promotion in Critically Ill Patients: A Systematic Review and Meta-Analysis
description	Using physical devices such as eye masks and earplugs to improve to the quality of sleep in intensive care units (ICUs) is a very important issue. This study was conducted to assess the efficacy of eye masks and earplugs for sleep promotion in critically ill adult patients in the ICU based on various sleep quality assessment tools. PubMed, Scopus, Web of Science, and ProQuest were systematically retrieved until May 2021. Both randomized and non-randomized experimental and quasi-experimental studies were included if they evaluated the efficacy of eye masks and earplugs interventions on sleep outcomes in critically ill patients. The methodological quality was assessed by the Joanna Briggs Institute (JBI) critical appraisal tool. For the main outcome (sleep quality), a mean difference (MD) and confidence intervals (CIs) of 95% were determined. A total of 2,687 participants from 35 studies met the inclusion criteria. Twenty one studies were included in meta-analysis and 14 studies were included in the qualitative analysis. According to the results based on sleep quality assessment tools; overall scores of Pittsburgh Sleep Quality Index (PSQI) and Richards-Campbell Sleep Questionnaire (RCSQ), eye mask and/or earplug interventions have a positive effect on sleep quality. Based on Verran-Snyder-Halpern Sleep Scale (VSHSS), sleep disturbance was significantly lower in the intervention groups. In terms of polysomnography, the use of eye masks and/or earplugs resulted in a significant increase in total sleep time, sleep efficiency, rapid eye movement (REM) time, significant reduction of awaking, and sleep arousals index. The results of the present study suggest that the use of earplugs or eye masks, separately or combined affects sleep improvement in critically ill patients.Systematic Review Registration:https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=145830, PROSPERO: CRD42020145830.
format	article
author	Leila Karimi Farshid Rahimi-Bashar Seyyede Momeneh Mohammadi Mohsen Mollahadi Masoum Khosh-Fetrat Amir Vahedian-Azimi Sara Ashtari
author_facet	Leila Karimi Farshid Rahimi-Bashar Seyyede Momeneh Mohammadi Mohsen Mollahadi Masoum Khosh-Fetrat Amir Vahedian-Azimi Sara Ashtari
author_sort	Leila Karimi
title	The Efficacy of Eye Masks and Earplugs Interventions for Sleep Promotion in Critically Ill Patients: A Systematic Review and Meta-Analysis
title_short	The Efficacy of Eye Masks and Earplugs Interventions for Sleep Promotion in Critically Ill Patients: A Systematic Review and Meta-Analysis
title_full	The Efficacy of Eye Masks and Earplugs Interventions for Sleep Promotion in Critically Ill Patients: A Systematic Review and Meta-Analysis
title_fullStr	The Efficacy of Eye Masks and Earplugs Interventions for Sleep Promotion in Critically Ill Patients: A Systematic Review and Meta-Analysis
title_full_unstemmed	The Efficacy of Eye Masks and Earplugs Interventions for Sleep Promotion in Critically Ill Patients: A Systematic Review and Meta-Analysis
title_sort	efficacy of eye masks and earplugs interventions for sleep promotion in critically ill patients: a systematic review and meta-analysis
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/0c3f204f753248cbbcde670ac9b6ca75
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The Efficacy of Eye Masks and Earplugs Interventions for Sleep Promotion in Critically Ill Patients: A Systematic Review and Meta-Analysis

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