{"id":58519,"date":"2017-04-12T14:32:58","date_gmt":"2017-04-12T21:32:58","guid":{"rendered":"https:\/\/www.chronobiology.com\/circadian-lighting-improves-patient-outcomes-icu\/"},"modified":"2024-07-18T14:52:55","modified_gmt":"2024-07-18T21:52:55","slug":"l-clairage-circadien-am-liore-les-r-sultats-des-patients-en-soins-intensifs","status":"publish","type":"post","link":"https:\/\/dev.chronobiology.com\/fr\/l-clairage-circadien-am-liore-les-r-sultats-des-patients-en-soins-intensifs\/","title":{"rendered":"L’\u00e9clairage circadien am\u00e9liore les r\u00e9sultats des patients en soins intensifs"},"content":{"rendered":"

De nouvelles recherches sugg\u00e8rent que l’\u00e9clairage circadien dans les unit\u00e9s de soins intensifs peut am\u00e9liorer les r\u00e9sultats de ces patients tr\u00e8s malades, \u00e0 la fois maintenant et jusqu’\u00e0 un an apr\u00e8s leur s\u00e9jour \u00e0 l’h\u00f4pital.<\/p>\n

Chaque ann\u00e9e, plus de 4 millions de patients sont admis dans une unit\u00e9 de<\/a> soins intensifs. Ces unit\u00e9s offrent les soins infirmiers personnalis\u00e9s et la haute technologie dont les patients les plus malades de notre pays ont besoin. En raison des taux de mortalit\u00e9 \u00e9lev\u00e9s chez ces patients tr\u00e8s malades, 10 \u00e0 30 % d’entre eux ne quittent jamais l’h\u00f4pital. Parmi ces survivants, nombreux sont ceux qui retourneront \u00e0 l’h\u00f4pital quelques mois plus tard. De nombreuses \u00e9tudes ont \u00e9t\u00e9 men\u00e9es pour trouver des moyens d’aider ces personnes incroyablement malades \u00e0 recouvrer la sant\u00e9 de fa\u00e7on permanente, en r\u00e9duisant le co\u00fbt financier et humain des maladies ou des blessures graves qui n\u00e9cessitent des soins en unit\u00e9 de soins intensifs. De nouvelles \u00e9tudes sugg\u00e8rent que de simples modifications de l’\u00e9clairage pourraient aider les patients des unit\u00e9s de soins intensifs \u00e0 mieux se porter, tant \u00e0 l’h\u00f4pital que dans l’ann\u00e9e qui suit leur sortie.<\/p>\n

L’\u00e9clairage circadien dans les services de soins intensifs : Effets \u00e0 court et \u00e0 long terme<\/h2>\n

Comme de nombreuses chambres d’h\u00f4pital, les chambres de soins intensifs ont tendance \u00e0 avoir le m\u00eame \u00e9clairage fluorescent 24 heures sur 24. Les chercheurs ont modifi\u00e9 cet \u00e9clairage de mani\u00e8re \u00e0 ce qu’il change au cours de la journ\u00e9e de la m\u00eame mani\u00e8re que la lumi\u00e8re ext\u00e9rieure naturelle<\/a>. Les matins commen\u00e7aient par une lumi\u00e8re faible, lourde en tons rouges chauds, qui ressemblait \u00e0 l’aube. \u00c0 8 heures du matin, des lumi\u00e8res bleues plus fortes ont pris le relais et se sont intensifi\u00e9es tout au long de la journ\u00e9e. La lumi\u00e8re a commenc\u00e9 \u00e0 s’affaiblir et \u00e0 se r\u00e9chauffer \u00e0 nouveau le soir, lorsque les sources lumineuses se sont d\u00e9plac\u00e9es vers des niveaux de hauteur inf\u00e9rieurs. Plus tard dans la nuit, la seule lumi\u00e8re \u00e9tait une lumi\u00e8re faible et chaude provenant des plinthes.<\/p>\n

Les patients ont d\u00e9clar\u00e9 qu’ils pr\u00e9f\u00e9raient cet \u00e9clairage, qui les aidait \u00e0 \u00e9valuer l’heure de la journ\u00e9e \u00e0 un moment o\u00f9 beaucoup d’entre eux sont en train de s’\u00e9vanouir. Ils ont estim\u00e9 que leur r\u00e9tablissement \u00e9tait meilleur lorsqu’ils sont sortis de l’h\u00f4pital. Plus important encore, leur taux de r\u00e9cup\u00e9ration \u00e9tait plus \u00e9lev\u00e9 m\u00eame un an apr\u00e8s avoir quitt\u00e9 l’unit\u00e9 de soins intensifs. L’\u00e9clairage circadien semble non seulement contribuer \u00e0 l’orientation des patients, mais aussi avoir d’autres effets sur la sant\u00e9.<\/p>\n

L’\u00e9clairage semble particuli\u00e8rement important dans les unit\u00e9s de soins intensifs, o\u00f9 la lumi\u00e8re vive 24 heures sur 24, combin\u00e9e \u00e0 l’arriv\u00e9e de nombreux patients inconscients, peut entra\u00eener une d\u00e9sorientation. Les patients ont trouv\u00e9 l’\u00e9clairage circadien apaisant et ont d\u00e9clar\u00e9 qu’il les calmait tout en facilitant leur orientation. L’incidence du d\u00e9lire<\/a>, un trouble mental qui frappe de nombreux patients des unit\u00e9s de soins intensifs, \u00e9tait \u00e9galement plus faible<\/a>.<\/p>\n

L’importance de l’\u00e9clairage dans les \u00e9tablissements de sant\u00e9<\/h2>\n

Ce n’est pas la premi\u00e8re ou la seule \u00e9tude de chronobiologie \u00e0 montrer que l’\u00e9clairage dans les h\u00f4pitaux peut faire une diff\u00e9rence significative. Des recherches ant\u00e9rieures ont montr\u00e9 que l’exposition de souris \u00e0 la lumi\u00e8re bleue dans les 24 heures pr\u00e9c\u00e9dant une intervention chirurgicale pouvait r\u00e9duire les effets ind\u00e9sirables<\/a> tels que l’inflammation et les l\u00e9sions organiques. La lumi\u00e8re bleue semble agir en r\u00e9duisant les niveaux de m\u00e9diateurs inflammatoires dans la circulation sanguine. Cela peut r\u00e9duire l’enflure, la douleur et d’autres complications postop\u00e9ratoires courantes. Il s’agit l\u00e0 d’obstacles courants \u00e0 la gu\u00e9rison, et il est donc logique que les humains s’en sortent mieux lorsque les salles pr\u00e9op\u00e9ratoires utilisent cette longueur d’onde de la lumi\u00e8re.<\/p>\n

Imaginez des h\u00f4pitaux dot\u00e9s d’une lumi\u00e8re con\u00e7ue pour profiter au maximum aux patients \u00e0 des moments cruciaux de leur parcours de soins. C’est peut-\u00eatre l’avenir de la m\u00e9decine. Le contr\u00f4le de l’\u00e9clairage est un moyen rentable d’am\u00e9liorer les r\u00e9sultats pour les patients dans un monde o\u00f9 beaucoup cherchent des moyens de rendre les h\u00f4pitaux plus s\u00fbrs, moins chers et plus efficaces. Nos rythmes circadiens ne s’arr\u00eatent pas lorsque nous sommes malades. Il est donc possible que nous gu\u00e9rissions mieux lorsque nos horloges internes fonctionnent aussi bien que possible pendant notre s\u00e9jour \u00e0 l’h\u00f4pital.<\/p>\n","protected":false},"excerpt":{"rendered":"

De nouvelles recherches sugg\u00e8rent que l’\u00e9clairage circadien dans les unit\u00e9s de soins intensifs peut am\u00e9liorer les r\u00e9sultats de ces patients tr\u00e8s malades, \u00e0 la fois maintenant et jusqu’\u00e0 un an apr\u00e8s leur s\u00e9jour \u00e0 l’h\u00f4pital. Chaque ann\u00e9e, plus de 4 millions de patients sont admis dans une unit\u00e9 de soins intensifs. Ces unit\u00e9s offrent les […]<\/p>\n","protected":false},"author":15,"featured_media":25544,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[174,259,251],"tags":[],"class_list":{"0":"post-58519","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-le-rythme-circadien","8":"category-sante-mentale","9":"category-therapie-par-la-lumiere","10":"entry"},"acf":[],"yoast_head":"\nCircadian Lighting Improves Patient Outcomes in the ICU<\/title>\n<meta name=\"description\" content=\"New research suggests that circadian lighting in the ICU may improve the outcomes of these very ill patients, both now and up to a year 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