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Sleep quality and noise: comparisons between hospital and home settings

Sleep quality and noise: comparisons between hospital and home settings
Sleep quality and noise: comparisons between hospital and home settings
Objective: Children and their parents report poor sleep in hospital and complain about noise. We aimed to measure sleep quality and noise levels in hospital and compare these to the home environment.
Design: Observational within case controlled study.
Setting: Paediatric medical wards at Southampton Children’s Hospital and bedrooms at home.
Participants: Children aged 3-16 years and their co-sleeping parents.
Interventions: Sleep quality was measured using actigraphy for a maximum of 5 nights in each setting. Median sound levels at the bedside were monitored overnight in a sub-group in both settings.
Main outcome measures: Total sleep time, sleep efficiency, median sound levels overnight
Results: 40 children and 16 mothers completed actigraphy in both settings. Children had on average 62.9 minutes, and parents 72.8 minutes per night less sleep in hospital than at home. Both children and parents had poorer sleep quality in hospital compared to home: mean sleep efficiency 77.0% v 83.2% children and 77.1%v88.9% parents respectively. Median sound levels in hospital measured in 8 children averaged 48.6 dBA compared to 34.7 dBA at home and exceeded World Health Organisation recommendations of 30dB.
Conclusions: Children and their mothers have poor quality sleep in paediatric wards. This may impact the child’s behavior, recovery and pain tolerance. Sleep deprivation adds to parental burden and stress levels. Sound levels are significantly elevated in hospital and may contribute to poor sleep. Reduction in noise level could therefore lead to an improvement in sleep impacting both parent and child quality of stay.
0003-9888
Bevan, Rosanna
c1515141-31ae-4fbb-aad5-fc7a55c9ae57
Grantham-Hill, Sarah
d159cb71-c30a-4185-96c6-d7a083b94887
Bowen, Ruth
c68cba19-72e5-493b-9ace-19cc68532d92
Clayton, Esther
8dc1d583-2e8e-4e25-b177-72a503a75223
Grice, Helen
d6f17bf1-9a45-4eb1-82e7-2e1da5ee3a01
Venditti, Holly
46c45c01-6a9b-4a07-9849-10d5969fcd5b
Stickland, Alice
83e43c7d-702e-4a8a-bc09-21259336cf72
Hill, Catherine
867cd0a0-dabc-4152-b4bf-8e9fbc0edf8d
Bevan, Rosanna
c1515141-31ae-4fbb-aad5-fc7a55c9ae57
Grantham-Hill, Sarah
d159cb71-c30a-4185-96c6-d7a083b94887
Bowen, Ruth
c68cba19-72e5-493b-9ace-19cc68532d92
Clayton, Esther
8dc1d583-2e8e-4e25-b177-72a503a75223
Grice, Helen
d6f17bf1-9a45-4eb1-82e7-2e1da5ee3a01
Venditti, Holly
46c45c01-6a9b-4a07-9849-10d5969fcd5b
Stickland, Alice
83e43c7d-702e-4a8a-bc09-21259336cf72
Hill, Catherine
867cd0a0-dabc-4152-b4bf-8e9fbc0edf8d

Bevan, Rosanna, Grantham-Hill, Sarah, Bowen, Ruth, Clayton, Esther, Grice, Helen, Venditti, Holly, Stickland, Alice and Hill, Catherine (2018) Sleep quality and noise: comparisons between hospital and home settings. Archives of Disease in Childhood. (doi:10.1136/archdischild-2018-315168).

Record type: Article

Abstract

Objective: Children and their parents report poor sleep in hospital and complain about noise. We aimed to measure sleep quality and noise levels in hospital and compare these to the home environment.
Design: Observational within case controlled study.
Setting: Paediatric medical wards at Southampton Children’s Hospital and bedrooms at home.
Participants: Children aged 3-16 years and their co-sleeping parents.
Interventions: Sleep quality was measured using actigraphy for a maximum of 5 nights in each setting. Median sound levels at the bedside were monitored overnight in a sub-group in both settings.
Main outcome measures: Total sleep time, sleep efficiency, median sound levels overnight
Results: 40 children and 16 mothers completed actigraphy in both settings. Children had on average 62.9 minutes, and parents 72.8 minutes per night less sleep in hospital than at home. Both children and parents had poorer sleep quality in hospital compared to home: mean sleep efficiency 77.0% v 83.2% children and 77.1%v88.9% parents respectively. Median sound levels in hospital measured in 8 children averaged 48.6 dBA compared to 34.7 dBA at home and exceeded World Health Organisation recommendations of 30dB.
Conclusions: Children and their mothers have poor quality sleep in paediatric wards. This may impact the child’s behavior, recovery and pain tolerance. Sleep deprivation adds to parental burden and stress levels. Sound levels are significantly elevated in hospital and may contribute to poor sleep. Reduction in noise level could therefore lead to an improvement in sleep impacting both parent and child quality of stay.

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More information

Accepted/In Press date: 6 June 2018
e-pub ahead of print date: 17 July 2018

Identifiers

Local EPrints ID: 422713
URI: https://eprints.soton.ac.uk/id/eprint/422713
ISSN: 0003-9888
PURE UUID: 0342b91e-db82-4a31-984d-e524d311e710

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Date deposited: 31 Jul 2018 16:30
Last modified: 13 Mar 2019 18:24

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