Unit:
Κατεύθυνση Κλινική Νοσηλευτική: Εντατική και Επείγουσα ΝοσηλευτικήLibrary of the School of Health Sciences
Supervisors info:
Σταματάκης Αντώνιος, Αναπλ. Καθηγητής, Νοσηλευτική, ΕΚΠΑ
Φιλντίσης Γεώργιος, Καθηγητής, Νοσηλευτική, ΕΚΠΑ
Κατσούλας Θεόδωρος, Επίκ. Καθηγητής, Νοσηλευτική, ΕΚΠΑ
Original Title:
Οι κιρκάδιοι ρυθμοί σε ασθενείς αυξημένης φροντίδας
Translated title:
Circadian rhythms in critical care patients
Summary:
Introduction: Human behavior and physiology present repetitive 24-hour cycles, circadian rhythms. A critical care illness, that requires hospitalization at the Intensive Care Unit (ICU), affects the homeostasis of the patient’s organism, which in combination with the inhospitable ICU environment can lead to disturbance of their circadian rhythms. The disturbances of circadian rhythms in critical ill patients, treated in the ICU, can lead to negative outcome of their disease. Aim: This review aims to analyze, from the existing literature, some of the factors contributing to circadian rhythms disorders in ICU patients and how these disorders are expresses in patients. Methodology: PubMed, Scopus, ScienceDirect and Google Scholar online databases were searched to identify relevant studies that were published in English until October 2018. Results: This review looked at how factors such as light, noise, feeding, cause disordes in the circadian rhythms of patients hospitalized in the ICU, but also how these disorders are expressed in patients, for example with sleep fragmentation and disorders of the secretion of melatonin. Conclusions: The ICU structure does not enhance circadian rhythmicity of hospitalized patients, but with the appropriate actions, both environmental and interventional, can lead to enhancement and improvement of critical care patients’ circadian rhythms.
Main subject category:
Health Sciences
Keywords:
Circadian rhythms, Circadian dysrhythmias, Intensive Care Unit, Light, Noise, Mechanical ventilation, Feeding, Medication, Sleep, Sleep disorders, Melatonin, Immune system, Memory, Cognitive disorders, Growth hormone, Melatonin uses, Growth hormone uses
