Highlights
- •Children aged 1–3 years require an average 11 h of sleep per night.
- •Hospitalization and associated routines impair sleep quality.
- •This is the first study in which an illuminated musical mobile was used.
- •Illuminated musical mobile improved sleep quality in children hospitalized in a pediatric emergency department.
Abstract
Purpose
The aim of this study is to evaluate the effect of an illuminated musical mobile on
the sleep quality of children hospitalized in a pediatric emergency department.
Design and methods
In this randomized controlled study, 124 children presenting to a pediatric emergency
department who met the inclusion criteria were included in the study. Patients were
randomized into two equal groups. In the intervention group, an illuminated musical
mobile was used to help facilitate sleep. In the control group, routine sleep routines
were continued. Groups were compared according to sleep quality as evaluated by mothers'
observations. Evaluation was performed twice (before intervention – 1st day of hospitalization
and on the intervention day – 2nd day of hospitalization).
Results
Average age of children was 1.86 ± 0.78 years. On the intervention day, nighttime
sleep duration was longer in the intervention group (p < .0001). Also, the frequency of spontaneous awakening (p < .0001), time to fall
asleep after spontaneous awakening (p < .0001) and sleep time problems (p < .0001)
were less in the intervention group.
Conclusıons
An illuminated musical mobile was used for the first time in the pediatric emergency
department and was found to be effective in improving the sleep quality of hospitalized
children aged between 1 and 3 years.
Practice implications
During hospitalization, children's sleep quality can be increased by using methods
and objects suitable for the child's developmental level.
Keywords
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Article info
Publication history
Published online: August 13, 2022
Accepted:
August 6,
2022
Received in revised form:
July 27,
2022
Received:
March 6,
2022
Identification
Copyright
© 2022 Published by Elsevier Inc.
