Top PDF Effect of Using Eye Mask on Sleep Quality in Cardiac Patients: A Randomized Controlled Trial

Effect of Using Eye Mask on Sleep Quality in Cardiac Patients: A Randomized Controlled Trial

Effect of Using Eye Mask on Sleep Quality in Cardiac Patients: A Randomized Controlled Trial

This was a non-blind randomized controlled trial con- ducted since September to December 2013. The study setting included the two CCUs of Shahid Beheshti Hospi- tal in Kashan, Iran. The study population comprised all patients hospitalized in the study setting. The inclusion criteria were being oriented to time, place, and person, having a cardiac ejection fraction of at least 40%, having no known sleep-disturbing diseases (such as rheumatoid arthritis and migraine), having no known sleep disorders (as mentioned by participants) and receiving no medical treatment during sleeping hours (22:00 - 6:00). The ex- clusion criteria included patient’s reluctance to remain in the study, decreased consciousness, cardiac arrest, and using over-the-counter tranquilizers or hypnotic-seda-
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The Effect of Sleep Hygiene on the Incidence of Cardiac Dysrhythmia in Patients with Myocardial Infarction Hospitalized in Critical Care Units: A Randomized Controlled Trial

The Effect of Sleep Hygiene on the Incidence of Cardiac Dysrhythmia in Patients with Myocardial Infarction Hospitalized in Critical Care Units: A Randomized Controlled Trial

with MI, so that the intervention group experienced less PVCs and PACs on the third day than the second day of hos- pitalization. In agreement with the present study, Jones et al. (15) and Babaee et al. (23) have reported that decreas- ing the environmental light and noises along with using earplug and eye mask could improve the sleep quality in critical care patients. Arab et al. have also compared the ef- fects of earplug and eye mask on sleep quality and reported that earplug was more effective than eye mask (24). In a re- cent study, Hazeri et al. investigated the effect of sleep hy- giene training on nurses’ sleep quality and stated that the intervention was not effective (25). It seems that education interventions might not be much effective solely. However, such trainings might be more effective if accompanied by some environmental modifications such as those imple- mented in the present study.
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Effect of intermittent aerobic exercise on sleep quality and sleep disturbances in patients with rheumatoid arthritis – design of a randomized controlled trial

Effect of intermittent aerobic exercise on sleep quality and sleep disturbances in patients with rheumatoid arthritis – design of a randomized controlled trial

Restorative sleep has an important role in maintaining health [1], with disrupted or lower levels of sleep being related to serious outcomes such as increased risk of morbidities [2,3] and ultimately all-cause mortality [4]. Sleep disturbances and poor sleep quality are prevalent complaints in patients with chronic diseases [5] includ- ing rheumatoid arthritis (RA). RA is a chronic inflam- matory disease associated with increased mortality, high morbidity and reduced health related quality of life [6,7]. It affects between 0.1 and 0.5% of adults in developed countries and is three times more frequent in women than men. In addition to pain and fatigue, poor sleep has been identified as a major concern by patients with RA [8] affecting 50-70% of the patients [9]. Importantly, poor sleep in RA may be affected by pain or may con- tribute to increased pain and fatigue [10-13], and is asso- ciated with depression [14,15] and inflammation [16]. Thus, addressing poor sleep quality may be important in promoting health and well-being in patients with RA.
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PTSD and Sleep

PTSD and Sleep

Talbot, L. S., Hairston, I. S., Eidelman, P., Gruber, J., & Harvey, A. G. (2009). The effect of mood on sleep onset latency and REM sleep in interepisode bipolar disorder. Journal of Abnormal Psychology, 118, 448-458. doi:10.1037/a0016605 The present study investigates whether interepisode mood regulation impairment contributes to disturbances in sleep onset latency (SOL) and rapid eye movement (REM) sleep. Individuals with interepisode bipolar disorder (n = 28) and healthy controls (n = 28) slept in the laboratory for 2 baseline nights, a happy mood induction night, and a sad mood induction night. There was a significant interaction whereby on the happy mood induction night the bipolar group exhibited significantly longer SOL than did the control group, while there was no difference on the baseline nights. In addition, control participants exhibited shorter SOL on the happy mood induction night compared to the baseline nights, a finding that was not observed in the bipolar group. On the sad mood induction night, participants in both groups had shorter SOL and increased REM density when compared to the baseline nights. Bipolar participants exhibited heightened REM density compared to control participants on both nights. These results raise the possibility that regulation of positive stimuli may be a contributor to difficulties with SOL, while hyperactivity may be characteristic of REM sleep. Villarreal, G., Hamner, M. B., Cañive, J. M., Robert, S., Calais, L. A., Durklaski, V., . . . Qualls, C. (2016). Efficacy of quetiapine monotherapy in posttraumatic stress disorder: A randomized, placebo-controlled trial. American Journal of Psychiatry, 173, 1205-1212. doi:10.1176/ appi.ajp.2016.15070967 Objective: This was a 12-week randomized, placebo-controlled trial to assess the efficacy of quetiapine monotherapy in the treatment of posttraumatic stress disorder (PTSD). Method: Eighty patients were randomly assigned to treatment
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Effect of low level laser therapy on pain, quality of life and sleep in patients with fibromyalgia: study protocol for a double blinded randomized controlled trial

Effect of low level laser therapy on pain, quality of life and sleep in patients with fibromyalgia: study protocol for a double blinded randomized controlled trial

The Twin Laser (MM Optics Ltda., São Carlos, São Paulo, Brazil) will be employed, the active medium of which is made up of a Gallium-Aluminum-Arsenide semiconductor diode, with emission in the 780 nm near infrared wavelength (invisible) and variable power values in the continuous emission mode. The display provides the doses according to the power and application time. The laser will undergo verification of functioning, energy source, points of application and measurement of power. To provide the ‘blinding’ of the study, the laser equip- ment has two identical application points furnished by the manufacturer - one active and the other a placebo (that does not emit energy); both have a sound device and guide light. The points will be named A and B by a researcher who will not participate in the treatment or evaluations. The researcher performing the applications and the evaluators will be unaware of which points received the effective dose and which received the pla- cebo. The patients will also not have access to informa- tion regarding to which group they belong. The points will be identified only at the end of the data acquisition phase.
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Influence of volatile anesthesia versus total intravenous anesthesia on chronic postsurgical pain after cardiac surgery using the Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials criteria: study protocol for a prospective randomi

Influence of volatile anesthesia versus total intravenous anesthesia on chronic postsurgical pain after cardiac surgery using the Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials criteria: study protocol for a prospective randomized controlled trial

Cardiac surgery is one of the most common forms of major surgery, with over 2 million patients undergoing this procedure worldwide each year [1]. Many patients develop chronic postsurgical pain (CPSP), which can occur in the anterior thorax after a median sternotomy [1]. It is estimated that CPSP has an incidence of 11–56% in patients undergoing cardiac or thoracic surgery, de- pending on the study population and length of follow-up [2–5]. CPSP that persists after cardiac surgery is a major clinical problem, because it disturbs daily life and interferes with sleep, mood, and quality of life [6–8]. Considering the large number of patients who undergo cardiac surgery, identifying potential treatments for CPSP is important [9]. In addition to standard postoperative analgesics, it has been suggested that corticosteroids, N-methyl-D-aspartate (NMDA) antagonists, alpha-2 agonists, local anesthetics, and gabapentinoids can reduce the risk of CPSP after car- diac surgery [5]. However, no specific therapy has been demonstrated to protect against CPSP [10–12].
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Effect of ear plugs & eye mask on sleep among ICU patients: A randomized control trial

Effect of ear plugs & eye mask on sleep among ICU patients: A randomized control trial

Sleep is one of the basic human needs required energy conservation, appearance and physical well During sleep, certain hormones such as serotonin and the growth hormone are released and chemical changes and increased cellular nutrition take place so as to make the body ready for the activities of the next day. It promotes repair, re organization, memory enhancement, learning functions and causes reduction in stress, anxiety and neurological pressures and helps the individual in recovering energy for better focus, adaptability, adjustment and enjoying daily activities (Mohammad et al., 2012). Sleep may not reach significance for an individual until it is lacking or disturbed. At that point, an individual may become short-tempered, irritable, over reactive and unable to cope effectively with situations or people. Sleep is a complex, active process that is programmed by man’s circadian rhythm. This 24-hour biological clock is based on a day-night cycle, which programs human to sleep at night and
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Effect of Eye Mask on Sleep Quality in Patients with Acute Coronary
Syndrome

Effect of Eye Mask on Sleep Quality in Patients with Acute Coronary Syndrome

Patients admitted to CCU have lower sleep quality than the time they are at home. Quality and quantity of poor sleep as a stress- ful situation will cause the secretion of epi- nephrine and norepinephrine which by itself can increase palpitation, breathing rate, blood pressure level and level of myocardial need to oxygen, cardiac dysrhythmia and reduc- tion of renal perfusion. Eventually these fac- tors can exacerbate ischemia and infarction and finally cause myocardial infarction. Pa- tients admitted to intensive care units might not have good quality sleep at night which may be influenced by various internal factors such as pain, discomfort, drugs, anxiety, stress, aging and external factors such as monitors’ noise, waking up frequently by nurses, lighting, temperature of the environ- ment, and nursing and therapeutic care. 14-20
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Effect of Illness Perception Correction - Based Educational Program on Quality Of Life and Self- Care in Patients with Heart Failure: a Randomized Controlled Trial

Effect of Illness Perception Correction - Based Educational Program on Quality Of Life and Self- Care in Patients with Heart Failure: a Randomized Controlled Trial

patients per group. By considering the attrition rate of 10 % during the study period, the final sample size rose to 39 patients in each group. Thus, 78 eligible patients were recruited between April and July 2014 from the Cardiac Internal Medicine ward and Coronary Care Unit in Rajaei Heart Center affiliated to Iran University of Medical Sciences (Tehran, Iran). Before randomization, the participants who met all inclusion criteria signed written informed consent forms. Envelope shuffling randomization method was used for random allocation which was conducted by a research nurse. Thus, participants were randomly assigned into two groups of intervention and control with 1:1 allocation ratio. In the intervention group, illness perception correction- based education was provided for each patient. The education was based on Leventhal self-regulation model. 16 It was carried out face-to-face, individually, and
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Effect of etelcalcetide on cardiac hypertrophy in hemodialysis patients: a randomized controlled trial (ETECAR HD)

Effect of etelcalcetide on cardiac hypertrophy in hemodialysis patients: a randomized controlled trial (ETECAR HD)

565 KD, MK and RO designed the study and wrote the draft of the manuscript. 566 ML, CL, RE and RR-S provided feasibility expertise and data quality control. 567 RM performed most laboratory measurements and contributed to data qual- 568 ity control. RO is the guarantor of this work and, as such, had full access to 569 all the data in the study and takes responsibility for the integrity of the data 570 and the accuracy of the data analysis. All authors read and approved the final 571 manuscript.

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A dietary supplement to improve the quality of sleep: a randomized placebo controlled trial

A dietary supplement to improve the quality of sleep: a randomized placebo controlled trial

Finding mild therapeutic agents to improve sleep and to avoid hypnotic drug consumption would be very useful. Very few studies with adequate methodology have been performed to assess the impact of dietary supplement therapies on sleep improvement. In a meta-analysis including 16 randomised trials and 1093 patients and summarizing evidence of the effect of valerian, sleep was improved in significantly more patients (RR: 1.8, 95% CI = 1.2-2.9), without side effects [28]. However, the authors found many methodological problems, publication bias, and considerable variation in valerian doses and prepara- tions, and treatment duration that led them to conclude the need for further studies. Melatonin has also shown clinically meaningful improvements in sleep quality, morning alertness, sleep onset latency and quality of life in primary insomnia patients aged over 55 years [11,12]. A fixed combination of valerian and hops was shown to favourably influence sleep in a similar way as melatonin [29,30].
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Lutein and Zeaxanthin Isomers Effect on Sleep
Quality: A Randomized Placebo-Controlled Trial

Lutein and Zeaxanthin Isomers Effect on Sleep Quality: A Randomized Placebo-Controlled Trial

Potential participants completed a short questionnaire to determine eligibility for the study. Subjects were required to be exposed to blue-light from screen time for a minimum of 4 h/d with an additional requirement of 2-3 h of outside activity/d. These requirements were selected to assure a minimum level of blue light exposure. Additional requirements included at least one or more of the following computer vision symptoms: digital eyestrain, eye fatigue, blurry vision, difficulty focusing, dry and irritated eyes, headaches and neck and/or back pain. Participants were in good general health, had corrected visual acuity of 20/20 or better and were not taking medication that may interfere with sleep patterns. The subjects were also screened to ensure the viewing of screens at a distance of 3 feet or less and had no current or previous history of ocular pathology. Subjects wearing corrective glasses were not considered for the study primarily because of the potential interference with glare testing from reflection and coating- mediated light absorption of the glass’s lenses.
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The Effect of Levodopa on Motor Function Outcome in Patients with Ischemic Stroke: A Double-Blind, Placebo-Controlled, Randomized Clinical Trial

The Effect of Levodopa on Motor Function Outcome in Patients with Ischemic Stroke: A Double-Blind, Placebo-Controlled, Randomized Clinical Trial

At first, those patients diagnosed with depression according to diagnostic criteria of DSM- 4 and cardiovascular disease (based on examination of the heart, electrocardiography and echocardiography underwent treatment with selective serotonin reuptake inhibitors: SSRIs and tricyclic antidepressants were excluded from the study. Then, patients with ischemic stroke in the middle cerebral artery (MCA) with a 1:1 ratio were randomly included in the study. They were assigned in two groups of levodopa or placebo with the knowledge of a member of the research team who was not involved in the survey questionnaire to determine the clinical outcome.
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Multiprofessional educational action reduces stress and anxiety in surgical cardiac patients: randomized controlled study

Multiprofessional educational action reduces stress and anxiety in surgical cardiac patients: randomized controlled study

This study was a randomized controlled clinical trial aimed at investigating stress and anxiety levels in patients before and after undergoing cardiac surgery following an educational intervention by the multiprofessional health care team through a group. The proposal to evaluate differentiated care in the period prior to admission for cardiac surgery when compared to the existing standard management resulted in significantly lower levels of stress and anxiety in the GI patients in the pre- operative phase. Lower salivary cortisol levels in the IG in comparison with the CG were observed at the pre-operative moment in this study. This demonstrates that the educational action performed prior to cardiac surgery interfered with the patients’ stress level. The action implemented through a group, with a multidisciplinary health care team, allowed to guide the patients regarding all the processes to be performed in the period of hospitalization. Informing the patients about the surgical procedure, hospitalization time, possible complications, physical therapy rehabilitation, and nursing, nutritional, pharmaceutical, psychological, medical care as well as other care measures involved in their treatment made the patients more participatory in the care process, because they interacted with the team before the beginning of hospitalization. Furthermore, patients have the opportunity to clarify their doubts and soften their main afflictions. Salivary cortisol has been used as a quantitative, non-invasive measure of stress assessment in different populations (Betti et al., 2017; Huda et al., 2018; Bastin et al., 2018). It is a method of choice in research because it measures the amount of the non-bound and biologically active hormone (Kothgassner et al., 2016). However, the literature lacks information on quantitative stress
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Sleep Hygiene for Children With Neurodevelopmental Disabilities

Sleep Hygiene for Children With Neurodevelopmental Disabilities

During the night, low-functioning children may wander around the house, disrupting their own sleep and that of family members and potentially posing significant safety concerns. In response, some parents create “fortified cribs” with safety netting or stronger and higher side rails or remove all the furniture from the room. These are generally constructed by the caregiver in secret be- cause of fear of professional disapproval. Alarm systems may provide an additional measure of safety, because they alert caregivers when the child has left the bedroom during the night. Children with NDDs often sleep better in their own home environments, because their sleep and behavior may deteriorate in a strange place where the bed, visual environment, voices, sounds, and smells are unfamiliar.
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Effect of adjuvant sleep hygiene psychoeducation and lorazepam on depression and sleep quality in patients with major depressive disorders: results from a randomized three-arm intervention

Effect of adjuvant sleep hygiene psychoeducation and lorazepam on depression and sleep quality in patients with major depressive disorders: results from a randomized three-arm intervention

Eligible outpatients were approached and recruited between September 2013 and April 2014 at the outpatient’s center of the Farshchian Psychiatry Hospital of Hamedan (Iran). Of the 245 patients approached, 129 (52.65%) met the inclu- sion and exclusion criteria (“Sample” section) and agreed to participate; 120 completed the study (statistical data analysis was made per protocol, and the CONSORT flow diagram [Figure 1] shows sampling and participants’ assignments). Participants were fully informed about the aims of the 8-week study and the voluntary basis of their participation. Further, patients were assured of the anonymous nature of the data gathering. Next, they signed a written informed consent. Thereafter, psychopharmacological treatment of MDD was initiated. Two to three weeks before the study commenced, patients began treatment with citalopram, a standard SSRI, at therapeutic levels (20–40 mg/d), which was kept constant throughout the entire study. Psychiatrists and clinical psychologists not otherwise involved in the study performed a clinical assessment, including a diagnostic inter- view (“Sample” section). Patients completed questionnaires related to sleep disturbances and to depression (“Tools” section) both at the beginning and at the end of the study. The Ethical Committee of the Hamadan University of Medical Sciences approved the study, which was executed accord- ing to the ethical standards laid down in the Declaration of Helsinki. Further, the study was registered in Iranian Registry of Clinical Trials (IRCT number: 2012100411004N1).
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Hypertension and obstructive sleep apnea

Hypertension and obstructive sleep apnea

In these studies, the control involved sham (subtherapeutic) devices, placebo pills, or no treatment. Most, but not all, studies demonstrate a BP lowering effect; however, the responses are widely variable. This variability in response has been attributed to the heterogeneity of enrolled patients in relation to age, OSA severity, sleepiness, and hypertensive status (including coexisting pharmacological antihypertensive treatment), as well as variability in treatment compliance and duration. In general, for studies with CPAP, the greatest antihypertensive effects occurred when nightly compliance was .5 hours and patients had preexisting hypertension and severe OSA. The effects are particularly marked when trials measured 24 hour ABPM where CPAP treatment was associated with reductions in both systolic and diastolic pressures during wakefulness and sleep. 86
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Effect of perioperative sodium bicarbonate administration on renal function following cardiac surgery for infective endocarditis: a randomized, placebo controlled trial

Effect of perioperative sodium bicarbonate administration on renal function following cardiac surgery for infective endocarditis: a randomized, placebo controlled trial

The study protocol was approved by the Institutional Review Board and Hospital Research Ethics Committee of Severance Hospital at Yonsei University College of Medicine (#4-2013-0376) and registered at Clinical- Trials.gov on July 2013 (NCT01920126). The trial was conducted at Yonsei University College of Medicine in Seoul, Korea, between August 2013 and July 2016. After providing written informed consent, 70 patients between 20 and 80 years old, who were scheduled for valvular heart surgery for IE, were enrolled. IE was diagnosed according to the modified Duke criteria [17]. Patients were excluded if they met at least one of these criteria preoperatively: (1) estimated glomerular filtration rate (eGFR) <15 ml/min/ 1.73 m 2 ; (2) receiving renal replacement therapy; (3) re- ceiving intra-aortic balloon pump support; (4) preexisting hypernatremia, alkalosis, or severe pulmonary edema; or (5) chronic moderate dose to high dose corticosteroid therapy (>10 mg/day prednisolone or equivalent).
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Role of clevidipine butyrate in the treatment of acute hypertension in the critical care setting: a review

Role of clevidipine butyrate in the treatment of acute hypertension in the critical care setting: a review

patients, starting at the low end of the dosing range. In clini- cal trials, no differences in safety or effectiveness have been observed in patients older than 65 years compared with younger patients. Clevidipine may be initiated at 1–2 mg/h in patients with moderate to severe renal impairment and in patients with abnormal hepatic function, defined as one or more of the following: elevated serum bilirubin, aspartate aminotrans- ferase/serum glutamic oxaloacetic transaminase, or alanine aminotransferase/serum glutamic pyruvic transaminase. 3,37
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Effect of Foot Orthoses on Ankle and Foot Injuries in Military Service Recruits: A Randomized Controlled Trial

Effect of Foot Orthoses on Ankle and Foot Injuries in Military Service Recruits: A Randomized Controlled Trial

Participants’ demographic and physical activity data before the study, are presented in Table1. Most participants are in their early twenties and they had at least a high school diploma. About 20% of the participants had the history of insole use but the insoles had been non-prescribed, soft and only cushioning. None of the baseline variables differed significantly between the trial and control groups.

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