NCT04666142

Brief Summary

The research was carried out in randomized controlled experimental type in order to determine the effect of light in ICU on patients' sleep quality and physiological parameters. The cases were assigned to the experimental and control groups according to the simple randomization method. The research universe; Between May 2019 and December 2019, sick individuals who were admitted to the 5 isolation rooms in the Reanimation Intensive Care clinic in the education and research hospital in Istanbul were formed. The research sample is; As a result of the power made for the study to be experimentally designed; a total of 148, with a minimum of 74 for each group. In collecting data; Patient Information Form, Numerical Pain Rating Scale, Richards Campbell Sleep Scale, Glaskow Coma Scale, Richmond Agitation Sedation Scale, Bedside Monitors were used to measure physiological parameters. The data obtained as a result of the research were made using the package program named SPSS (IBM SPSS Statistics 24).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
148

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started May 2019

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 2, 2019

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 5, 2019

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 28, 2019

Completed
11 months until next milestone

First Submitted

Initial submission to the registry

November 11, 2020

Completed
1 month until next milestone

First Posted

Study publicly available on registry

December 14, 2020

Completed
Last Updated

December 16, 2020

Status Verified

November 1, 2020

Enrollment Period

2 months

First QC Date

November 11, 2020

Last Update Submit

December 11, 2020

Conditions

Keywords

Sleep QualityLightIntensive Care Unit

Outcome Measures

Primary Outcomes (1)

  • Change in sleep time with light intervention in experimental and control groups in the intensive care unit

    A recirculating lighting system was installed in the isolation room for the experimental group in line with evidence-based design principles. Light fixture 120 cm from the floor. high and light shining up. The system was set up to operate at varying levels of 9 lights, illumination for 24 hours. No application other than the standard lighting system of the ICU was applied to the individuals in the control group. Actiwatch device was placed on the arm of the sick individuals. Thanks to this device, the sleep time of the individuals was recorded.

    After the patient was admitted to the intensive care unit, 48 hours of sleep time was recorded.

Secondary Outcomes (4)

  • The effect of light on the patient's systolic and diastolic blood pressure in the experimental and control groups in the intensive care unit.

    The systolic and diastolic blood pressure of the patient who was admitted to the intensive care unit was recorded for 48 hours.

  • The effect of light on patient's heart rate in intensive care unit in experimental and control groups.

    The heart rate of the patient, who was admitted to the intensive care unit, was recorded for 48 hours.

  • The effect of light on patient's respiratory rate in intensive care unit in experimental and control groups.

    The respiration of the patient who was admitted to intensive care unit was recorded for 48 hours.

  • The effect of light on the patient's body temperature in the intensive care unit in the experimental and control groups.

    The body temperature of the patient who was admitted to intensive care unit was recorded for 48 hours.

Study Arms (8)

Individual Characteristics of the Individuals in the Experimental and Control Groups

ACTIVE COMPARATOR

The personal characteristics of the individuals included in the study were examined.

Other: Comparison of the personal characteristics of the experimental and control groups

Disease Characteristics of the Individuals in Experimental and Control Groups

ACTIVE COMPARATOR

The intensive care experience of the individuals included in the study, their status of receiving respiratory support, and the reason for staying in the intensive care unit were explained.

Other: Comparison of the personal characteristics of the experimental and control groups

Distribution of Findings Regarding Sleep Activity of the Individuals in Both Groups

ACTIVE COMPARATOR

The personal characteristics of the individuals in the experimental and control groups regarding sleep were examined.

Other: Comparison of the personal characteristics of the experimental and control groups

Comparison of the Individuals in the experimental and control groups after 24 hours of sleep

ACTIVE COMPARATOR

The effect of light after 24 hours in the experimental and control groups of individuals hospitalized in the intensive care unit was examined.

Other: Light applied experimental group, control group treated with standard intensive care lighting

Comparison of physiological parameters of individuals in both groups after 24 hours

ACTIVE COMPARATOR

Comparison of the physiological parameters of the individuals in the experimental and control groups 24 hours after their admission to the ICU.

Other: Light applied experimental group, control group treated with standard intensive care lighting

Comparison of the Sleep Times of the Individuals in Both Groups 48 Hours After Intensive Care

ACTIVE COMPARATOR

The effect of light after 48 hours in the experimental and control groups of individuals hospitalized in the intensive care unit was examined.

Other: Light applied experimental group, control group treated with standard intensive care lighting

Comparison of physiological parameters of individuals in both groups after 48 hours

ACTIVE COMPARATOR

Comparison of the physiological parameters of the individuals in the experimental and control groups 48 hours after their admission to the ICU.

Other: Light applied experimental group, control group treated with standard intensive care lighting

Distribution of Total Sleep Times of the Individuals in the Experimental and Control Groups

ACTIVE COMPARATOR

The sleep times of the individuals in both groups were compared

Other: Light applied experimental group, control group treated with standard intensive care lighting

Interventions

General characteristics of the individuals in the experimental and control groups were compared.

Disease Characteristics of the Individuals in Experimental and Control GroupsDistribution of Findings Regarding Sleep Activity of the Individuals in Both GroupsIndividual Characteristics of the Individuals in the Experimental and Control Groups

According to the results of randomization, the group to which the lighting system will be applied was assigned as "experiment", and the group that will continue standard ICU lighting as "control"

Comparison of physiological parameters of individuals in both groups after 24 hoursComparison of physiological parameters of individuals in both groups after 48 hoursComparison of the Individuals in the experimental and control groups after 24 hours of sleepComparison of the Sleep Times of the Individuals in Both Groups 48 Hours After Intensive CareDistribution of Total Sleep Times of the Individuals in the Experimental and Control Groups

Eligibility Criteria

Age18 Years - 88 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • years of age or older,
  • Not having a problem in terms of consciousness and sense organs
  • A score of 9 or above on the Glaskow Coma Scale (GCS),
  • Richmond Agitation-Sedation Scale (RASS) score was determined as -1,0,1.

You may not qualify if:

  • Be under the age of 18
  • Having a problem in terms of consciousness and sense organs,
  • A GCS score below 9,
  • Receiving inotropic support,
  • Being fully sedated,
  • Having a chronic disease such as chronic heart disease, dementia, psychosis,
  • Identified as having severe brain injury.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Istanbul Education Research Hospital

Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Sleep Initiation and Maintenance Disorders

Interventions

Control Groups

Condition Hierarchy (Ancestors)

Sleep Disorders, IntrinsicDyssomniasSleep Wake DisordersNervous System DiseasesMental Disorders

Intervention Hierarchy (Ancestors)

Epidemiologic Research DesignEpidemiologic MethodsInvestigative TechniquesResearch DesignMethods

Study Officials

  • kübra pamuk, graduate

    Istanbul University - Cerrahpasa

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Masking Details
The principle of "loyalty and confidentiality" was adhered to by assuring individuals that their identities and personal information obtained from them would not be disclosed to anyone other than the researcher or that the information would not be allowed to be accessed by anyone other than the intended purpose.
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Model Details: According to the results of randomization, the group to which the lighting system will be applied was assigned as "experiment", and the group that will continue standard ICU lighting as "control"
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator- nurse

Study Record Dates

First Submitted

November 11, 2020

First Posted

December 14, 2020

Study Start

May 2, 2019

Primary Completion

July 5, 2019

Study Completion

December 28, 2019

Last Updated

December 16, 2020

Record last verified: 2020-11

Data Sharing

IPD Sharing
Will not share

Locations