The Effect of Nursing Care on Circadian Rhythm
Circadian Rhythm, Chronobiology Disorders, Biological Clock Disturbance
About this trial
This is an interventional supportive care trial for Circadian Rhythm
Eligibility Criteria
Inclusion Criteria:
- Being over 18 years old
- Being literate
- Not having communication difficulties (Sensory losses such as vision and hearing)
- Volunteering to participate in the research.
- Not having a psychiatric diagnosis by a specialist physician
- Being open to communication and cooperation
- Being admitted to the coronary intensive care unit due to Acute Coronary Syndrome and Myocardial Infarction
Exclusion Criteria:
- Having a diagnosed delirium
- Receiving ventilator support
- Using sleeping pills
- Having a diagnosis of dementia
- Insomnia/propensity to sleep as a side effect of the medication used.
Sites / Locations
- Meryem PELİN
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Intervention Group
Control Group
According to their chronotype, the intervention group will then be given sleeping glasses and earplugs at night for those who are in the morning type, and till afternoon during the day for those who are in the evening type. Moreover, patients in the intervention group will be given 5000 Lux daylight during the time they are awake depending on their circadian rhythms. An Android smartwatch will be used to determine patients' sleeping and waking up times, sleep quality and sleep depth. Nursing care will also be provided when patients are awake per their chronotype. Before the study, intensive care nurses will be trained to provide appropriate care according to the circadian rhythm and chronotype to have consistency in the care. Patients will be observed for three days and during this time cortisone and melatonin levels will be checked in both control and intervention groups. At the end of the third day, surveys will be conducted once again with both groups.
All surveys that will be used in the study will be applied to both groups during the first and last interviews. The control group will not have any interventions, only the standard ICU care to be provided.