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Poor Sleep Quality in Critically Ill Patients

Indonesian Contemporary Nursing Journal (ICON Journal) · Vol. 10 No. 2 (2026) · pp. 154–165

DOI
10.20956/icon.v10i2.43865
ISSN
2686-116X, 2528-2557
Published
2026-02-17
Publisher
Faculty of Nursing, Universitas Hasanuddin
Language
en

Abstract

Aims: This study aimed to evaluate the sleep quality of critically ill patients in Indonesia. Additional aims are to compare sleep quality among patients using both the Richards-Campbell Sleep Questionnaire (RCSQ) and smartwatch-based data. Methods: A descriptive cross-sectional study was conducted involving adult critically ill patients in three hospitals in Indonesia. A total of 437 patients completed the RCSQ, with 26 of these individuals additionally utilizing a smartwatch to objectively assess sleep quality. A frequency distribution was employed to analyze all samples exhibiting poor quality, alongside the Mann-Whitney test to compare RCSQ and smartwatch scores. Results: Among 437 participants, 217 patients (49.7%) were classified as having poor sleep quality based on a mean (±SD) RCSQ score of 59.26±24.8, below a cut-off point of 63.4. Mean (±SD) scores across RCSQ domains were as follows: the sleep depth (60.87±27.97), sleep latency (56.68±27.99), awakening (56.99±27.10), sleep continuity (59.30±28.28), and sleep quality (59.30±28.28). The measurement results from smartwatch data indicated an overall sleep quality score of 72.42±9.72. No significant difference was observed between the total score of RCSQ and smartwatch sleep quality (p=0.297). Conclusion: Critically ill patients demonstrated generally poor sleep quality, with sleep latency and awakening being the most affected domains

Keywords

Collaboration network of the authors

36 authors · 103 co-authorship links · 2 across different organisations

Hover or tap a name to highlight its co-authors. Double-click to open the author's page.

  • Universitas Halu Oleo
  • Universitas Muhammadiyah Bengkulu
  • University of Surabaya
  • Affiliation unknown
  • Different organisations
  • Same organisation
  • Affiliation unknown
  • Thicker line = more joint articles · bigger circle = more articles
Show as table
Co-authorOrganisationJoint articles
Sarah Astia NingsihAffiliation unknown1
SubardinAffiliation unknown1
Andi TenriawaruUniversitas Halu Oleo1
La Ode Muhammad Ilham SetiawanUniversitas Halu Oleo1
Azeslim AzeslimUniversitas Halu Oleo1
Andi TenriawaruUniversitas Halu Oleo1
Muhammad Arya Al FajarAffiliation unknown1
Arga WiradarmaAffiliation unknown1
Siti RahmahAffiliation unknown1
Rifa'atus ShalihahAffiliation unknown1
TaslimAffiliation unknown1
Dewi SartikaAffiliation unknown1
Ardi WijayaAffiliation unknown1
Andi YahyaAffiliation unknown1
RG Guntur AlamAffiliation unknown1
Muhammad ImanullahUniversitas Muhammadiyah Bengkulu1
SunardiAffiliation unknown1
Anang KadarsahAffiliation unknown1
KrisdiantoAffiliation unknown1
Aminuddin Prahatama PutraAffiliation unknown1
Eko SuhartonoAffiliation unknown1
Joniarto ParungUniversity of Surabaya1
Nemuel Daniel PahAffiliation unknown1
Jerry AgusJerry Agus Arlianto ArliantoAffiliation unknown1
Indri HapsariAffiliation unknown1
Olyvia NovawandaAffiliation unknown1

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) https://journal.unhas.ac.id/index.php/icon/oai, first harvested 2 Nov 2026, last seen 2 Nov 2026.
Original metadata (oai_dc)
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	<dc:title xml:lang="en">Poor Sleep Quality in Critically Ill Patients</dc:title>
	<dc:creator xml:lang="en">Sri Setiyarini</dc:creator>
	<dc:creator xml:lang="en">Desy Listyaningrum</dc:creator>
	<dc:creator xml:lang="en">Irni Fuzi Wijayanti</dc:creator>
	<dc:creator xml:lang="en">Setyo Triatmojo</dc:creator>
	<dc:creator xml:lang="en">Hersinta Retno Martani</dc:creator>
	<dc:creator xml:lang="en">Yunita Cahyaningsih</dc:creator>
	<dc:creator xml:lang="en">Gunawan</dc:creator>
	<dc:creator xml:lang="en">Hardi Apriyanto</dc:creator>
	<dc:creator xml:lang="en">Endang Suryaningsih</dc:creator>
	<dc:creator xml:lang="en">Husna Yulianingsih</dc:creator>
	<dc:subject xml:lang="en">critical illness</dc:subject>
	<dc:subject xml:lang="en">ICU</dc:subject>
	<dc:subject xml:lang="en">sleep quality</dc:subject>
	<dc:description xml:lang="en">Aims: This study aimed to evaluate the sleep quality of critically ill patients in Indonesia. Additional aims are to compare sleep quality among patients using both the Richards-Campbell Sleep Questionnaire (RCSQ) and smartwatch-based data. 
Methods: A descriptive cross-sectional study was conducted involving adult critically ill patients in three hospitals in Indonesia. A total of 437 patients completed the RCSQ, with 26 of these individuals additionally utilizing a smartwatch to objectively assess sleep quality. A frequency distribution was employed to analyze all samples exhibiting poor quality, alongside the Mann-Whitney test to compare RCSQ and smartwatch scores. 
Results:  Among 437 participants, 217 patients (49.7%) were classified as having poor sleep quality based on a mean (±SD) RCSQ score of 59.26±24.8, below a cut-off point of 63.4. Mean (±SD) scores across RCSQ domains were as follows: the sleep depth (60.87±27.97), sleep latency (56.68±27.99), awakening (56.99±27.10), sleep continuity (59.30±28.28), and sleep quality (59.30±28.28). The measurement results from smartwatch data indicated an overall sleep quality score of 72.42±9.72. No significant difference was observed between the total score of RCSQ and smartwatch sleep quality (p=0.297). 
Conclusion: Critically ill patients demonstrated generally poor sleep quality, with sleep latency and awakening being the most affected domains</dc:description>
	<dc:publisher xml:lang="en">Faculty of Nursing, Universitas Hasanuddin</dc:publisher>
	<dc:date>2026-02-17</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://journal.unhas.ac.id/index.php/icon/article/view/43865</dc:identifier>
	<dc:identifier>10.20956/icon.v10i2.43865</dc:identifier>
	<dc:source xml:lang="en">Indonesian Contemporary Nursing Journal (ICON Journal); Vol. 10 No. 2 (2026): Volume 10 Number 2 February 2026; 154-165</dc:source>
	<dc:source>2686-116X</dc:source>
	<dc:source>2528-2557</dc:source>
	<dc:source>10.20956/icon.v10i2</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://journal.unhas.ac.id/index.php/icon/article/view/43865/14144</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2026 Indonesian Contemporary Nursing Journal (indones.contemp.nurs.j.)</dc:rights>
</oai_dc:dc>