Int J Adv Life Sci Res. Volume 6(2) 1-14 https://doi.org/10.31632/ijalsr.2023.v06i02.001 Received on : 7 th February 2023; Revised version received on :21 st April 2023; Accepted: 3 oth April 2023 1 International Journal of Advancement in Life Sciences Research Online ISSN: 2581-4877 Journal homepage http://ijalsr.org Systematic Review Use of Earplugs and Eye Masks in Patients with Sleep Disorders in the ICU: Systematic Review Triya Yestika Saleha, Yanti Cahyati, Yudi Triguna Nursing Department, Tasikmalaya Health Polytechnic of Ministry of Health (Poltekkes Kemenkes Tasikmalaya), Indonesia * Correspondence E-mail:yantinaufal@gmail.com Abstract The stimuli that can come from the care environment and the development of the disease influence the quality of sleep of patients in intensive care because they can reduce the secretion of melatonin. In contrast, the noise and excessive lighting of the ward will influence a circadian rhythm, impacting parturient disorders (sleep disorders). Therefore, nursing interventions to improve normal circadian rhythms are needed to improve the patient's sleep quality. Wearing earplugs and eye masks is an important and logical way to prevent awakening from sleep caused by external stimuli. This research aimed to determine the effect of ear plugs and eye masks on sleep quality in patients in the intensive care room. The method used is the literature review. This article was taken from Google Scholar for the period 2014–2022. The search and selection procedure based on PRISMA led to the analysis of 20 articles. Results: Based on the analytical results of 20 articles, show that there is an effect of applying ear plugs and eye masks to patients with sleep disorders in the intensive care room. The author recommends the implementation of ear plugs and eye masks in ICU sleep disorder patients because earplugs reduce noise and eye masks function as eye masks so that the light does not directly hit the eyes to improve the quality of sleep in patients in Intensive Care Unit rooms. Keywords: Earplugs, Eye Mask, Sleep Disorders. Introduction Sleep, as one of the basic human needs, is beneficial in forming damaged body cells or a natural sleep healing mechanism. During sleep, the body's organs will rest and maintain the balance of the body's metabolism and biochemistry. Reticular Activating System (RAS) regulates sleep, consisting of the brainstem reticular system, posterior hypothalamus, and basal forebrain. The hypothalamus is the main sleep-secreting center of hypocretin which causes a person to sleep and wake up (Aziz & Warsono, 2022). Sleep is an important part of the life cycle, and any disturbance during sleep affects health; therefore, everyone needs a good night's sleep (Aziz & Warsono, 2022). Sleep quality is the state of a person's sleep after waking up, feeling healthier, and causing freshness (Jayanthi & Hudiyawati, 2019). The quality of sleep of patients admitted to the ICU is critical to their survival and recovery from a life- threatening illness. Patients with critical conditions treated in the ICU experience changes in sleep patterns that can affect sleep quality (Jayanthi & Hudiyawati, 2019). The ICU environment is usually foreign and physically and emotionally uncomfortable for patients and their families. Critical patients inherently experience changes in physiological functions that can weaken organs in the patient's body. In an assessment by Romadon (2018), 50% of those surveyed experienced sleep disturbances in intensive care (Herliani & Kristinawati, 2020) Sleep disorders that are not treated immediately have a serious impact and become chronic. Lack of sleep and poor sleep quality can lead to hypertension and a high risk of stroke. Sleep disorders also