Sleep disturbance in relatives of palliative patients cared for at home

2012 ◽  
Vol 10 (3) ◽  
pp. 165-170 ◽  
Author(s):  
Maria E. Carlsson

AbstractObjective:The aim of the present pilot study was to investigate insomnia, sleep quality, and daytime sleepiness in relatives of dying patients cared for at home.Method:The study has a descriptive, comparative, and cross-sectional design. The sample consisted of relatives of patients cared for through palliative home care in Uppsala County on 3 specific days. Relatives completed a questionnaire consisting of demographic questions, and items from the Insomnia Severity Index (ISI), the Epworth Sleepiness Scale (ESS), and the Richard Campell Sleep Questionnaire (RCSQ).Results:Seventy-five relatives answered the questionnaire. The average total ISI score was 9.6, with 23% reporting moderate or severe clinical insomnia. The mean sleep duration was 6.5 hours, the mean assessed need of sleep was 8 hours, and the mean discrepancy was 1 hour. The total mean ESS score was 5.6 and only 15% of respondents reported excessive daytime sleepiness. Four percent scored very poor sleep quality, whereas 39% scored very good sleep quality (RCSQ). Two general age- and gender-related patterns were observed. Negative correlations were found between age and sleep problems, with younger relatives reporting more insomnia problems and more daytime sleepiness than did older relatives. The other general pattern was that womens' sleep quality was significantly inferior to that of men. A significant positive correlation was found between ISI and ESS, but not between RCSQ and ESS.Significance of results:The picture of the relatives' sleep condition is fairly complex. A minority reported clinical insomnia problems or excessive daytime sleepiness, and 73% reported getting less sleep than they wanted.

Author(s):  
Mayonara Fabíola Silva Araújo ◽  
Xaíze de Fátima de Medeiros Lopes ◽  
Carolina Virginia Macedo de Azevedo ◽  
Diego de Sousa Dantas ◽  
Jane Carla de Souza

Abstract: Introduction: Changes in the Sleep/Wake Cycle (SWC) of university students can have consequences on physical, mental and social health. In addition, some behaviors adopted at this stage may be associated with SWC impairment. Objective: Therefore, this study aims to identify which factors of social determinants of health (SDH) are associated with poor sleep quality and excessive daytime sleepiness (EDS) in university students. Method: This is a cross-sectional study that included 298 university students, aged between 18 and 35 years; 73.2% of the students were females and from the countryside of the state of Rio Grande do Norte, Brazil. Data were collected from the following questionnaires: Health and Sleep, Munich Chronotype Questionnaire, Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale. To assess the association of SDH with poor sleep quality and excessive daytime sleepiness, Poisson Regression with robust variance was performed. Result: The prevalence of poor sleep quality and excessive daytime sleepiness among the university students was 79.2% and 51.3%, respectively. Between the intermediate determinants of health, a higher prevalence rate of poor sleep quality was observed in students who reported health problems in the previous month (18.4%), smoked (23.5%), drank stimulating beverages close to bedtime (25.8%) and those who used electronic devices before bedtime during the week (18.4%) when compared to those who did not have these behaviors. Regarding excessive daytime sleepiness, students who justified bedtime during the week and wake-up time at the weekend because of the academic demand showed, respectively, 27% and 34% lower prevalence of EDS than the group that did not have these behaviors. Conclusions: The high prevalence of poor sleep quality and EDS observed among university students was associated to biological factors and most of them, behavioral factors.


2019 ◽  
Vol 5 (1) ◽  
pp. e000498
Author(s):  
Karim Khalladi ◽  
Abdulaziz Farooq ◽  
Sofiane Souissi ◽  
Christopher P Herrera ◽  
Karim Chamari ◽  
...  

ObjectiveInsufficient sleep duration and quality has negative effects on athletic performance, injury susceptibility and athlete development. This study aimed to assess the sleep characteristics of professional Qatar Stars League (QSL) soccer players.MethodsIn a cross-sectional study, QSL players (n=111; 23.7±4.8 years) completed three questionnaires to screen sleep disorders: (1) Pittsburgh Sleep Quality Index (PSQI), (2) Insomnia Severity Index (ISI) and (3) Epworth Sleepiness Scale (ESS). Poor sleep quality was defined as PSQI≥5, excessive daytime sleepiness was defined by ESS>8 and insomnia was defined as ISI≥11.ResultsThe prevalence of poor sleep quality (PSQI≥5) was 68.5%, with subthreshold insomnia (ISI≥11) 27.0% and daytime sleepiness 22.5% (ESS>8). Sleep quality was positively associated with insomnia (r=0.42, p<0.001) and daytime sleepiness (r=0.23, p=0.018). Age, anthropometry, body composition and ethnicity were not associated with any of the reported sleep quality parameters.ConclusionThe prevalence of poor sleep quality (68.5%) reported should concern practitioners. Increasing awareness of the importance of sleep relative to athletic performance, recovery, injury and illness appears prudent. Further, regular qualitative/quantitative sleep monitoring may help target subsequent evidence-informed interventions to improve sleep in those demonstrating undesirable sleep traits.


2021 ◽  
Vol 16 (1) ◽  
pp. 163-176
Author(s):  
Suzaily Wahab ◽  

Obstructive sleep apnoea (OSA) has multiple physical and psychosocial effects on individuals. Therefore, this study aims to determine the sleep quality, daytime sleepiness, depression and attention span in patients with OSA. This was a cross-sectional study among patients who were recently diagnosed with OSA in a Malaysian hospital. The socio-demographic and clinical data, Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index, Patients Health Questionnaire and Comprehensive Trail Making Test were used as instruments. Findings were analysed and presented using Chi-Square, One-Way ANOVA and Independent- Sample T-test statistical analyses. Most of the respondents presented with poor sleep quality and impaired attention span. Approximately, half of the respondents had excessive daytime sleepiness. There were significant associations between sleep quality and daytime sleepiness (p-value=0.051), daytime sleepiness with depression (p-value=0.049) and severity of OSA with depression (p-value=0.026). Daytime sleepiness was significantly associated with working status (p-value=0.009) and driving status (p-value=0.033). In conclusion, most patients with OSA had poor sleep quality, excessive daytime sleepiness, and impaired attention span. Hence, OSA should be diagnosed and treated early, particularly in patients who are still working and actively driving.


2019 ◽  
Vol 12 (1) ◽  
pp. 414-419
Author(s):  
Mohammad Hajaghazadeh ◽  
Vahid Zamanzadeh ◽  
Marjan Ghofrani ◽  
Samira Orujlu

Background:Poor sleep quality and sleepiness is a common problem in nurses. The morningness-eveningness preference of nurses may affect their sleep quality.Objective:The objectives of this study were (1) to describe the quality of sleep in a group of hospital nurses and (2) to analyze the effect of shift work and morningness-eveningness on the sleep quality of nurses.Methods:In this cross-sectional study, 120 nurses completed the survey in a university hospital in Iran. The study tools were Pittsburgh Sleep Quality Questionnaire (PSQI), Epworth Sleepiness Scale (ESS), and Morningness-Eveningness Questionnaire (MEQ). Nurses with PSQI>5 and ESS≥10 were considered having poor sleep quality and excessive daytime sleepiness. Nurses were subdivided into morning-, intermediate- and evening-types according to MEQ. Data were analyzed by chi-square, Mann–Whitney U-test, logistic regression, and analysis of covariance (ANCOVA) tests.Results:The mean (±SD) of PSQI and ESS was 6.88(2.18) and 9.5(±3.9), respectively. About 74% of nurses reported poor sleep quality, and near 40% of the nurses had excessive daytime sleepiness. Sixty percent of nurses were intermediate-type, and the remaining was morning (24.2%) and evening (15.8%) types. The sleep quality and daytime sleepiness had a significant relation with shift work. The mean PSQI was significantly different between shift work and non-shift work nurses. The mean PSQI of three main chronotypes was statistically different.Conclusion:Poor sleep quality was prevalent in the nurses and was significantly associated with shift work and chronotype. The sleep preference of nurses would be considered as an important factor in the assignment of shift work by hospital managers.


Author(s):  
Siddalingaiah H. S. ◽  
Aditi Chaudhuri ◽  
Chandrakala D. ◽  
Amarjeet Singh

Background: Residency is a stressful period in the career of a medical professional. Excessive daytime sleepiness (EDS) is a major problem among resident doctors due to long work hours, stress, sleep deprivation, shift work, lack of sleep hygiene and other lifestyle related factors. The sleep problems and related factors need to be studied among resident doctors to know if any cumulative effect exists. Methods: A cross sectional study design with pre-validated sleep assessment proforma, Epworth sleepiness scale (ESS), and sleep hygiene index (SHI) as study tools which were self-administered among a total of 428 enrolled eligible resident doctors. Results: A total of 350 resident doctors returned the filled proforma, ESS and SHI (response rate 81.7%). Prevalence of EDS was found to be highest in 2nd (51.1%), 3rd (55.2%) and 5th (47.1%) semesters. Socio-demographic factors did not vary much across semesters except for slight increase in quantity of coffee/tea intake. No major changes in shift pattern, total sleep hours were found across semesters but work hours differed significantly. Sleep latency was least in 3rd semester where EDS was highest. Similarly, sleep quality, sleep hygiene and weekly sleep hours were least in 2nd and 3rd semester where EDS prevalence was high. In addition, as per visual analogue scale ratings by resident doctors, those in 2nd and 3rd semesters were maximally tired and maximally sleepy which is consistent with the finding of high prevalence of EDS in these semesters as recorded by ESS. Conclusions: Sleep quality, sleep quantity, sleep hygiene and weekly work hours emerged as important and sensitive predictors of EDS across study semesters. These components must be present in any intervention package to address EDS especially in the first three semesters of residency program and other similar occupational settings. 


Author(s):  
Mayonara Fabíola Silva Araújo ◽  
Xaíze de Fátima de Medeiros Lopes ◽  
Carolina Virginia Macedo de Azevedo ◽  
Diego de Sousa Dantas ◽  
Jane Carla de Souza

Abstract: Introduction: Changes in the Sleep/Wake Cycle (SWC) of university students can have consequences on physical, mental and social health. In addition, some behaviors adopted at this stage may be associated with SWC impairment. Objective: Therefore, this study aims to identify which factors of social determinants of health (SDH) are associated with poor sleep quality and excessive daytime sleepiness (EDS) in university students. Method: This is a cross-sectional study that included 298 university students, aged between 18 and 35 years; 73.2% of the students were females and from the countryside of the state of Rio Grande do Norte, Brazil. Data were collected from the following questionnaires: Health and Sleep, Munich Chronotype Questionnaire, Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale. To assess the association of SDH with poor sleep quality and excessive daytime sleepiness, Poisson Regression with robust variance was performed. Result: The prevalence of poor sleep quality and excessive daytime sleepiness among the university students was 79.2% and 51.3%, respectively. Between the intermediate determinants of health, a higher prevalence rate of poor sleep quality was observed in students who reported health problems in the previous month (18.4%), smoked (23.5%), drank stimulating beverages close to bedtime (25.8%) and those who used electronic devices before bedtime during the week (18.4%) when compared to those who did not have these behaviors. Regarding excessive daytime sleepiness, students who justified bedtime during the week and wake-up time at the weekend because of the academic demand showed, respectively, 27% and 34% lower prevalence of EDS than the group that did not have these behaviors. Conclusions: The high prevalence of poor sleep quality and EDS observed among university students was associated to biological factors and most of them, behavioral factors.


2021 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
AnantprakashSiddharthkumar Saraf ◽  
HarshalShriram Sathe ◽  
Manoj Talapalliwar ◽  
Vrushti Patil ◽  
Vinay Kumar ◽  
...  

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