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Disturbance of Sleep and Circadian Rhythm in Hospitalized Patients

 Kyung mee Park, Taeyoung Kyong 
 Chronobiology in Medicine, Vol.5(1) : 7-17, 2023-03 
Journal Title
Chronobiology in Medicine
Issue Date
Sleep ; Circadian rhythm ; Insomnia ; Hospital ; Inpatients
Sleep and circadian disturbance are common in hospitalized patients. Problems related to sleep induction, frequent awakening, poor sleep quality, and disturbed circadian rhythm including daytime somnolence and nighttime arousal are frequently observed in the hospital. Disturbance of sleep and circadian rhythm could interfere recovery of the patients, prolong the length of stay, and contribute to patient dissatisfaction. Various factors affect sleep and circadian rhythm disturbance in the hospital. Intrinsic factors are related to patients, including medical and psychiatric conditions, uncontrolled pain, prescribed medications, and physical inactivity. External factors related to the hospital environment such as noisy environment, excessive exposure to artificial light, inappropriate humidity, and temperature are also known interrupters for sleep. Medical care provided by professionals, including nighttime vital sign monitoring, phlebotomy, and medication administration, can also contribute to sleep and circadian rhythm disturbances. This review aims to systematically address sleep and circadian rhythm disturbances in hospitalized patients, discuss factors that affect sleep in the hospital, and suggest non-pharmacological and pharmacological treatment options. Copyright © 2023 Korean Academy of Sleep Medicine.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Hospital Medicine (입원의학과) > 1. Journal Papers
6. Others (기타) > Others (기타) > 1. Journal Papers
Yonsei Authors
Kyong, Tae Young(경태영) ORCID logo https://orcid.org/0000-0001-5846-7808
Park, Kyung Mee(박경미) ORCID logo https://orcid.org/0000-0002-2416-2683
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