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Patients’ Self-Reported Recovery After an Environmental Intervention Aimed to Support Patient’s Circadian Rhythm in Intensive Care

Engwall, Marie ; Jutengren, Göran ; Bergbom, Ingegerd ; Lindahl, Berit LU and Fridh, Isabell (2021) In Health Environments Research and Design Journal 14(4). p.194-210
Abstract

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... (More)

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.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
ANOVA, circadian rhythm, environment, intensive care unit (ICU), lighting, longitudinal, questionnaire, recovery, sleep
in
Health Environments Research and Design Journal
volume
14
issue
4
pages
194 - 210
publisher
Center for Health Design
external identifiers
  • scopus:85103189340
  • pmid:33754878
ISSN
1937-5867
DOI
10.1177/19375867211001541
language
English
LU publication?
yes
id
38c3a9b4-43be-4ff2-b920-56d6b8d2bd90
date added to LUP
2021-04-09 08:47:26
date last changed
2024-04-06 02:02:06
@article{38c3a9b4-43be-4ff2-b920-56d6b8d2bd90,
  abstract     = {{<p>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. &lt;.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.</p>}},
  author       = {{Engwall, Marie and Jutengren, Göran and Bergbom, Ingegerd and Lindahl, Berit and Fridh, Isabell}},
  issn         = {{1937-5867}},
  keywords     = {{ANOVA; circadian rhythm; environment; intensive care unit (ICU); lighting; longitudinal; questionnaire; recovery; sleep}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{194--210}},
  publisher    = {{Center for Health Design}},
  series       = {{Health Environments Research and Design Journal}},
  title        = {{Patients’ Self-Reported Recovery After an Environmental Intervention Aimed to Support Patient’s Circadian Rhythm in Intensive Care}},
  url          = {{http://dx.doi.org/10.1177/19375867211001541}},
  doi          = {{10.1177/19375867211001541}},
  volume       = {{14}},
  year         = {{2021}},
}