الفهرس 
Physiological responses during sleepOnly 14 pages are availabe for public view
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Abstract
Critically ill patients frequently experience sleep deprivation, which has detrimental effects such as increased pain perception, impaired cognitive function, and delirium. Aim: To evaluate the effect of implementing nursing interventions bundle on sleep quality and associated delirium among patients at intensive care unit. Design: Quasi-experimental research design was utilized. Setting: General Intensive Care Unit (ICU) of Beni-Suief University Hospital and Anesthesia Intensive Care Unit of Emergency hospital affiliated to Tanta University hospital. Subjects: A convenience sampling of 60 adult critically ill patients who admitted to the selected setting and divided into two equal groups; 30 patients in each (control and study groups). Tools; Tool (I) Patient interview schedule, tool (II) Richard Campbell Sleeping Questionnaire (RCSQ) and tool (III) Intensive Care Delirium Screening Checklist (ICDSC) Results: A highly significant difference was detected between the study and control groups regarding their total sleep quality after applying the intervention bundle (P=0.000). The incidence of delirium was 30% in the control group compared with only 13.33% in study group after the third day of intervention with significant differences (P=0.024). Conclusion: Implementing the nursing intervention bundle can improve sleep quality, decrease pain severity and reduce incidence of associated delirium. Recommendation: Sleep interventions bundle should be integrated into routine care for patients in ICU to promote patient sleep and reduce incidence of delirium.