The effect of eye mask on sleep quality and pain in patients undergoing coronary artery bypass graft surgery: A double-blind randomized controlled trial


Dağcan Şahin N., Nal B., Arslan G. G., Astarcioglu M. A., Parlar A. İ.

Nursing in Critical Care, vol.29, no.6, pp.1346-1354, 2024 (SCI-Expanded) identifier

  • Publication Type: Article / Article
  • Volume: 29 Issue: 6
  • Publication Date: 2024
  • Doi Number: 10.1111/nicc.13157
  • Journal Name: Nursing in Critical Care
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, CINAHL, MEDLINE
  • Page Numbers: pp.1346-1354
  • Keywords: cardiac surgery, eye mask, nursing, pain, sleep quality
  • Kütahya Health Sciences University Affiliated: Yes

Abstract

Background: Pain is one of the common postoperative issues that impair recovery and quality of life in patients undergoing coronary artery bypass graft (CABG) surgery. It leads to prolonged recovery and sleep disturbances in patients. Aim: This study was conducted to examine the effect of eye mask use on sleep quality and pain in patients undergoing CABG surgery. Study Design: A double-blind randomized trial design was employed. The study included 60 patients undergoing CABG surgery. They were divided into intervention and control groups through block randomization. Data were collected using a ‘Demographic Characteristics Form’, the ‘Richards-Campbell Sleep Questionnaire (RCSQ)’ and a ‘Visual Analogue Scale’ (VAS) through face-to-face interviews. While patients in the control group received standard care throughout the night, patients in the intervention group received standard care and used eye mask. All patients were followed up for three nights. The CONSORT was used to report the study. Results: The main outcome of the study, the RCSQ score, was higher in the intervention group at baseline. The intervention group had higher RCSQ scores than the control group at time 1 and time 2. There were no differences between the groups in the secondary outcome, pain levels. The control group had higher pain scores at time 1 and time 2 than the intervention group. Conclusion: The use of an eye mask after CABG surgery is an effective, safe and simple nursing intervention to improve sleep quality and control pain. Relevance to Clinical Practice: Because the use of an eye mask is an independent and unique nursing intervention, nurses should be supported and allowed to practise it.