Effectiveness of the 'sleep enhancement' nursing intervention in hospitalized mental health patients.
OBJECTIVE
To determine the effectiveness of the 'sleep enhancement' nursing intervention (Nursing Interventions Classification) in patients hospitalized with mental illness and having a disturbed sleep pattern and to identify the possible effect of psycho-active medications on this disturbed sleep pattern.


METHODS
A quasi-experimental pretest-posttest type study without control group.


METHODS
The study was conducted in all patients admitted to the mental health inpatient unit of University Hospital of Spain from 1 March 2007-31 May 2008. The effectiveness of the 'sleep enhancement' nursing intervention was measured using the Oviedo Sleep Questionnaire score and Nursing Outcome Classification sleep scores at admission and discharge. Psycho-active medication was considered an intervening variable and data were analysed by multivariate analysis of variance for repeated measures.


RESULTS
The study included 291 patients. Consumption of psycho-active medications did not change between admission and discharge and was not statistically significantly different in the multivariate analysis of variance. Oviedo Sleep Questionnaire and Nursing Outcome Classification sleep scores at admission and discharge demonstrated significant sleep improvement after the nursing intervention.


CONCLUSIONS
This nursing intervention could be implemented in patients admitted to a mental health inpatient unit with disturbed sleep pattern, regardless of their consumption of psycho-active medications.
Training and Quality Unit, Jaen University Hospital, Spain. juanm.laguna.sspa@juntadeandalucia.es
Juan Manuel
JM
Laguna-Parras
María Ramona
MR
Jerez-Rojas
Francisco Pedro
FP
García-Fernández
M Dolores
MD
Carrasco-Rodríguez
Inmaculada
I
Nogales-Vargas-Machuca
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications / Q000188:drug therapy / Q000451:nursing*; D008875:Middle Aged; D017060:Patient Satisfaction; D011619:Psychotropic Drugs / Q000009:adverse effects; D012890:Sleep; D012893:Sleep Wake Disorders / Q000150:complications / Q000451:nursing*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult
D011619:Psychotropic Drugs