0870 Non-pharmacological Sleep Interventions for Patients after Cardiac Surgery: A Systematic Review and Meta-analysis

Abstract Introduction Patients who have undergone cardiac surgery experience decreased sleep quality, which is associated with patients’ quality of life and mortality. Various interventions were conducted to improve after surgery; however, findings been inconsistent. This systematic review was examine the effects non-pharmacological in patients surgery. Methods The performed following PRISMA guidelines. CINAHL, PubMed, PsycINFO, Embase, Scopus, Web Science searched. Studies included if they a randomized controlled trial that applied intervention underwent reported as an outcome. Excluded studies on non-open-heart (e.g., percutaneous coronary intervention) or theses, dissertations, reviews, study protocols. Quality appraisal assessed using Cochrane Risk Bias tool. Meta-analysis conducted, mean effect size separately calculated for reverse-scored scales, means higher scores indicate poorer quality. Results Twenty (n=1,460 participants) included. most common artery bypass graft, mostly measured subjective questionnaires studies; only 1 both objective measures (Actigraphy). Sleep hospital intensive care unit, ward, outpatient clinic between month before 2 months categorized into educational strategies, complementary medicine relaxation methods, sensory therapies, use device earplugs eye masks). meta-analysis results showed resulted better compared control group. 0.66 regular scoring scales (95% confidence interval [CI], 0.38 0.94) -0.83 reverse CI, -1.23 -0.42), indicated overall effective improving medium-to-large sizes. Conclusion Non-pharmacological improved More should be identify type long-term these sleep. Support (if any)