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Effect of illuminated musical mobile on sleep quality of children hospitalized in pediatric emergency departments

Published:August 13, 2022DOI:https://doi.org/10.1016/j.pedn.2022.08.004

      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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