2021 Volume 8 Pages 134-142
Peripheral intravenous catheterization hinders various daily activities, including sleeping. We aimed to examine the relationship between peripheral intravenous catheter placement and sleep quality by assessing sleep parameters including body movement and subjective sleep quality. An observational study was conducted at an ophthalmic ward of a university hospital in Tokyo. Participants were catheterized in preparation for a surgical procedure the following day (catheterization group). Sleep parameters were observed using a sheet-shaped body vibrometer device, and a sleep quality questionnaire was completed;53 and 55 participants were present in the catheterization and non-catheterization groups, respectively. No significant differences were noted in sleep parameters or subjective sleep quality between the two groups. However, 36.5% of participants in the catheterization group awoke during the night and worried about their inserted catheter, primarily because of 'pain associated with movement' (63.2%). According to the subgroup analysis, the fragmentation index was higher in participants who experienced pain than in participants who did not experience pain associated with movement (p=0.004), and three of the five subjective sleep quality factors were lower in those experiencing pain compared with the other participants. The comparison of the catheterization and non-catherization groups revealed that peripheral intravenous catheter placement did not reduce sleep quality. Catheter placement influenced the sleep quality of patients who experienced pain associated with body movement due to stimulus from the catheter.
