Sleep disturbances in hospitalized patients are linked to poor recovery. In preparation for a future randomized controlled trial, this pilot study evaluated the feasibility and acceptability of a multi-component intervention (I-SLEEP) that educates and empowers inpatients to advocate for fewer nighttime disruptions in order to improve sleep during periods of hospitalization. Eligible inpatients received I-SLEEP, which included an educational video, brochure, sleep kit, and three questions patients can ask their team to reduce nighttime disruptions. Following I-SLEEP, inpatients were surveyed on the primary feasibility outcomes of satisfaction with and use of I-SLEEP components. Inpatients were also surveyed regarding empowerment and understanding of intervention materials. Patient charts were reviewed to collect data on nighttime (11 PM–7 AM) vital sign and blood draws disruptions. Ninety percent (n = 26/29) of patients were satisfied with the brochure and 87% (n = 27/31) with the video. Nearly all (95%, n = 36/37) patients felt empowered to ask their providers to minimize nighttime disruptions and 68% (n = 26/37) intended to alter sleep habits post-discharge. Forty-nine percent (n = 18/37) of patients asked an I-SLEEP question. Patients who asked an I-SLEEP question were significantly more likely to experience nights with fewer disruptions due to nighttime vitals (19% vs. 2.1%, p = 0.008). This pilot study found that I-SLEEP was well-accepted and enabled hospitalized patients to advocate for less disrupted sleep. Educating patients to advocate for reducing nighttime disruptions may be a patient-centered, low-cost strategy to improve patients’ care and in-hospital experience. These results suggest that I-SLEEP is ready to be evaluated against routine care in a future randomized controlled trial. ClinicalTrials.Gov NCT04151251 .

中文翻译：

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试点 I-SLEEP：以患者为中心的教育和授权干预，以改善患者的院内睡眠

住院患者的睡眠障碍与恢复不良有关。为了准备未来的随机对照试验，这项试点研究评估了多组分干预 (I-SLEEP) 的可行性和可接受性，该干预教育并授权住院患者提倡减少夜间干扰以改善住院期间的睡眠。符合条件的住院患者接受了 I-SLEEP，其中包括教育视频、小册子、睡眠套件以及患者可以向其团队提出的三个问题，以减少夜间干扰。在 I-SLEEP 之后，就 I-SLEEP 组件的满意度和使用的主要可行性结果对住院患者进行了调查。住院患者也接受了关于干预材料的授权和理解的调查。审查患者图表以收集夜间（晚上 11 点至早上 7 点）生命体征和抽血中断的数据。90% (n = 26/29) 的患者对手册感到满意，87% (n = 27/31) 的患者对视频感到满意。几乎所有 (95%, n = 36/37) 的患者都感到有权要求他们的提供者最大限度地减少夜间干扰，68% (n = 26/37) 的患者打算在出院后改变睡眠习惯。49% (n = 18/37) 的患者询问了 I-SLEEP 问题。询问 I-SLEEP 问题的患者更有可能经历夜间生命体征引起的干扰较少的夜晚（19% 对 2.1%，p = 0.008）。这项试点研究发现 I-SLEEP 被广泛接受，并使住院患者能够倡导减少睡眠中断。教育患者提倡减少夜间干扰可能是以患者为中心，改善患者护理和住院体验的低成本策略。这些结果表明 I-SLEEP 已准备好在未来的随机对照试验中与常规护理进行评估。ClinicalTrials.Gov NCT04151251。