PENGARUH PAPARAN CAHAYA TERANG TERHADAP KONDISI FISIOLOGIS PASIEN YANG DIRAWAT DI RUANG ICU
DOI:
https://doi.org/10.32584/jikmb.v4i1.670Keywords:
light exposure, ICU room, ICU's patients, circadian rhythmAbstract
Background: Patients in the ICU are exposed to 24 hours of light exposure to abnormally low light levels during the day and constant light disturbances throughout the night. Prolonged abnormal light exposure can impact the circadian rhythm, which may indirectly affect the patient's physiological condition. Objectives: This literature review aims to determine the effect of light exposure on the physiological condition of patients in the ICU, including heart rate, mean arterial pressure (MAP), body temperature and sleep quality and offer possible alternative options. Methods: Qualitative synthesis by collecting research articles for the last five years from Google Scholar, Science Direct, Scopus, Medline, CINAHL, PubMed, and ProQuest. Results: There were 5 international journals with experimental and observational research designs. Abnormal light exposure in the ICU has an effect on increasing the heart rate and decreasing the quality of sleep of the patient. Conclusion: Compared to a decrease in nighttime light levels, an increase in artificial light during the day may be more promising to support the improvement of the patient's physiological condition.
References
Bani Younis M, Hayajneh F, Alshraideh JA. (2019). Effect of noise and light levels on sleep of intensive care unit patients. Nursing in Critical Care, 1–6. https://doi.org/10.1111/nicc.12490
Bion, V., Lowe, A. S., Puthucheary, Z., & Montgomery, H. (2018). Reducing sound and light exposure to improve sleep on the adult intensive care unit: An inclusive narrative review. Journal of the Intensive Care Society, 19(2); 138–146. https://doi.org/10.1177/1751143717740803
Chellappa S.L., Lasauskaite Ruta and Cajochen Christian. (2017) In a Heartbeat: Light and Cardiovascular Physiology. Frontiers in Neurology, 8:541. https://doi.org/10.3389/fneur.2017.00541
Czempik, P. F., Jarosińska, A., Machlowska, K., & Pluta, M. (2020). Impact of Light Intensity on Sleep of Patients in the Intensive Care Unit: A Prospective Observational Study. Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 24(1); 33–37. https://doi.org/10.5005/jp-journals-10071-23323
Durrington, H. J., Clark, R., Greer, R., Martial, F. P., Blaikley, J., Dark, P., Lucas, R. J., & Ray, D. W. (2017). 'In a dark place, we find ourselves': light intensity in critical care units. Intensive Care Medicine Experimental, 5(1); 9. https://doi.org/10.1186/s40635-017-0122-9
Durrington, H.J. (2017). Light Intensity on Intensive Care Units - A Short Review. Journal of Intensive and Critical Care, 3(2); 23. https://doi.org/10.21767/2471-8505.100082
Engwall, Marie., Fridh, Isabell., Jutengren, Göran., Bergbom, Ingegerd., Sterner, Anders and Lindahl, Berit. (2017). The effect of cycled lighting in the intensive care unit on sleep, activity and physiological parameters: A pilot study. Intensive Critical Care Nursing, 41; 26-32. http://dx.doi.org/10.1016/j.iccn.2017.01.009
Fatima, Masha., Zafar, Hamza., Sana, M.T. and Shafique, Muhammad. (2018). Investigating the Effect of Different Wavelength of Light on Heart Rate Variability and Perfusion Index. 2018 2nd International Conference on Biomedical Engineering (IBIOMED), 16-19. https://doi.org/10.1109/IBIOMED.2018.8534794
Fisk, A.S., Tam, S.K.E., Brown, L.A., Vyazovskiy, V.V., Bannerman, D.M and Peirson, S.N. (2018). Light and Cognition: Roles for Circadian Rhythms, Sleep, and Arousal. Frontiers in Neurology, 9(56). https://doi.org/10.3389/fneur.2018.00056
Hadi. (2017). Factors Affecting Sleep Disorders of Patients in The Intensive Care Unit (ICU). Proceedings of the International Conference on Applied Science and Health, 2; 206-211.
Izza, E.L. (2019). Non-Pharmacological Therapies To Improve Patient Sleep Quality In ICU/CCU: Literature Review. International Conference of Kerta Cendekia Nursing Academy, 1; 19-25.
Kaplow, Roberta. (2017). Sleep Disturbances and Critical Illness. Journal of Intensive and Critical Care, 3(4); 39. https://doi.org/10.21767/2471-8505.100098
Korompeli, A., Kavrochorianou, N., Molcan, L., Muurlink, O., Boutzouka, E., Myrianthefs, P., & Fildissis, G. (2019). Light affects heart rate's 24-h rhythmicity in intensive care unit patients: an observational study. Nursing In Critical Care, 24(5); 320–325. https://doi.org/10.1111/nicc.12433
Luetz, Alawi., Piazena, Helmut., Weiss, Björn., Finke, Annette., Willemeit Thomas and Claudia Spies. (2016). Patient-centered lighting environments to improve health care in the intensive care unit. Clinical Health Promotion Centre, 6(1); 5-12. https://doi.org/10.29102/clinhp.16002
M.W.Suleiman, Jafar, M., & Abdelraziq, I.R. (2015). The effect of light intensity on employees health in pharmaceutical companies. Environmental Science: An Indian Journal, 10(2); 50-54.
Ministry of Health & Family Welfare Government of India. (2015). Guidelines For Implementation Of “KAYAKALP†Initiative. India. https://nhm.gov.in/images/pdf/in-focus/Implementation_Guidebook_for_Kayakalp.pdf
Pisani, M. A., Friese, R. S., Gehlbach, B. K., Schwab, R. J., Weinhouse, G. L., & Jones, S. F. (2015). Sleep in the intensive care unit. American Journal Of Respiratory And Critical Care Medicine, 191(7); 731–738. https://doi.org/10.1164/rccm.201411-2099CI
Downloads
Published
Issue
Section
License
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).

This work is licensed under a Creative Commons Attribution 4.0 International License.
