scholarly journals Remote Diagnosis System of Uremia Complicated with Sleep Disorder and Effectiveness of Nursing Intervention

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Yiqian Wang ◽  
Jing Zhu ◽  
Jun Cao ◽  
Dan Zheng ◽  
Lihua Wang
Keyword(s):  
Sleep Quality ◽  
Sleep Disorder ◽  
Statistical Significance ◽  
Nursing Intervention ◽  
Remote Diagnosis ◽  
Dialysis Patients ◽  
Related Factors ◽  
Inflammatory Status ◽  
Calcium And Phosphorus

This study aimed to analyze the related factors and remote diagnosis of sleep disorders in patients with uremia and to provide the basis for clinical intervention measures. The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate the sleep quality of 100 patients with uremia. The experimental results show that among 100 patients with uremia, 83 patients (83%) were complicated with sleep disorder, and the average PSQI score was (10.73 ± 1.36). The PSQI score was significantly higher in the elderly, patients with long duration of dialysis, patients with elevated CRP, patients with substandard anemia, and patients with substandard calcium and phosphorus, with statistical significance ( P < 0.05 ). The sleep quality of patients with uremia is correlated with depression, age, and penetration age. The worse the sleep quality is, the more severe the depression is. It proved that the sleep quality of dialysis patients is an important factor. Conclusion. Sleep disorder is a common complication in patients with uremia. Age, anemia, calcium and phosphorus abnormality, permeation age, and inflammatory status are important factors affecting sleep quality in dialysis patients.

scholarly journals Evaluation of quality of sleep in women with stress urinary incontinence before and after surgical correction

2018 ◽  
Vol 16 (2) ◽  
Author(s):  
Josyandra Paula de Freitas ◽  
Mariana Pereira Inácio Silvestri ◽  
César Eduardo Fernandes ◽  
Emerson de Oliveira
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Sleep Quality ◽  
Sleep Disorder ◽  
Epworth Sleepiness Scale ◽  
Quality Index ◽  
Pittsburgh Sleep Quality Index ◽  
Quality Of Sleep ◽  
Before And After

ABSTRACT Objective: To evaluate the quality of sleep in women with urinary incontinence before and after sling surgery. Methods: A prospective study of case series of women with urodynamic diagnosis of stress urinary incontinence. To evaluate the subjective quality of sleep, two specific questionnaires were used and validated for the Portuguese Language: Epworth Sleepiness Scale and Pittsburgh Sleep Quality Index. The questionnaires were applied before and 6 months after surgical repair. Results: When analyzing the Epworth Sleepiness Scale, there was an improvement in sleep quality (p=0.0401). For the Pittsburgh Sleep Quality Index, only for sleep disorder there was improvement in quality of sleep after surgery (p=0.0127). Conclusion: Women with urinary incontinence, submitted to surgery with sling, showed improvement in both quality of sleep and sleep disorder.

scholarly journals Time evolution of restless legs syndrome in haemodialysis patients

2019 ◽  
Author(s):  
Irene Capelli ◽  
Fabio Pizza ◽  
Marco Ruggeri ◽  
Lorenzo Gasperoni ◽  
Elisa Carretta ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Kidney Transplantation ◽  
Restless Legs Syndrome ◽  
Statistical Significance ◽  
Dialysis Patients ◽  
Restless Legs ◽  
Continuous Form ◽  
Over Time

Abstract Background Restless legs syndrome (RLS) is characterized by an urge to move the extremities, accompanied by paraesthesiae, in the evening and at night. Uraemic RLS, a type of secondary RLS, occurs commonly in chronic kidney disease and end-stage renal disease. Progression of uraemic RLS over time is unclear. Therefore we investigated the prevalence, progression over time, risk factors and impact on survival of uraemic RLS in a cohort of dialysis patients. Methods We reviewed at the 7-year follow-up a cohort of haemodialysis (HD) patients we had previously investigated for RLS, through interviews, validated questionnaires and analysis of demographic and clinical data. Results At the 7-year follow-up, RLS was present in 16% of patients, with a persistence rate of 33%. A correlation was obtained between RLS and older age, diabetes, low albumin and low body mass index. RLS was associated with reduced overall survival (median survival of 3.3 versus 3.7 years), particularly with the continuous form of RLS (1.61 years). There was a higher incidence of myocardial infarction and peripheral vascular disease, although not reaching statistical significance. RLS patients had absolute higher scores in all quality of life domains. A large majority of study patients (96%) reported being symptom-free within a few days or weeks following kidney transplantation. Conclusions The development of RLS, especially the continuous form, in patients undergoing HD has important consequences associated with decreased survival. Our results indicated an association between uraemic RLS and ageing, diabetes and malnutrition. Considerable efforts should be focused on the treatment of RLS, since it significantly and persistently impacts the quality of life of HD patients. Kidney transplantation could represent an effective treatment option for that RLS impacts on dialysis patients' quality of life, thus confirming the secondary nature of RLS in most HD patients.

scholarly journals Sleep, quality of life and mood of nursing professionals of pediatric intensive care units

2016 ◽  
Vol 50 (2) ◽  
pp. 279-285 ◽  
Author(s):  
Priscilla Caetano Guerra ◽  
Nilton Ferraro Oliveira ◽  
Maria Teresa de Sande e Lemos Ramos Ascensão Terreri ◽  
Claudio Arnaldo Len
Keyword(s):  
Quality Of Life ◽  
Intensive Care ◽  
Sleep Quality ◽  
Intensive Care Units ◽  
Statistical Significance ◽  
Pediatric Intensive Care ◽  
Pediatric Intensive Care Units ◽  
Sleeping Problems ◽  
Nursing Professionals

Abstract OBJECTIVE To assess sleep, quality of life and mood of nursing professionals of pediatric intensive care units. METHOD Quantitative, cross-sectional and descriptive study. Professionals grouped by morning, afternoon and evening shifts were assessed by means of the instruments: Morningness-Eveningness Questionnaire; Pittsburgh Sleep Quality Index; Epworth Sleepiness Scale; Generic questionnaire for the assessment of quality of life (SF-36); Beck Depression Inventory; Beck Anxiety Inventory; State-Trait Anxiety Inventory. RESULTS Sample consisted of 168 professionals, with prevalence of neutral typology (57.49%). There was no statistical significance regarding sleep, despite scores showing a poor quality of sleep and excessive daytime sleepiness for the three shifts. Quality of life did not reveal any statistical significance, but in the field "social role functioning" of the evening shift, a lower score was observed (p<0.007). There was no statistical significance regarding levels of anxiety and depression. CONCLUSION The results suggest that these professionals may present sleeping problems, but they do not have lower scores of quality of life or mood disorders. Likely explanations for these findings may include an adaptation to their work type over time and the fact that working with children is rewarding.

scholarly journals The improvement of elderly sleeping quality with progressive muscle relaxation therapy

2020 ◽  
Vol 7 (5) ◽  
pp. 1684
Author(s):  
Emira Apriyeni ◽  
Helena Patricia
Keyword(s):  
Sleep Quality ◽  
Sleep Disorders ◽  
Muscle Relaxation ◽  
The Elderly ◽  
Nursing Intervention ◽  
Progressive Muscle Relaxation ◽  
Control Group ◽  
Relaxation Therapy ◽  
Before And After

Background: Sleep is one part of physiological needs and it is a basic need which is needed by all humans to be able to function optimally. However, the elderly will often experience sleep disorders. Sleep disorders in the elderly will affect the quality of sleep. One of nursing intervention that can improve the elderly sleeping quality is progressive muscle relaxation therapy. This study aims to determine the differences of sleep quality before and after having progressive muscle relaxation therapy toward the elderly with sleep disorders.Methods: This research was conducted at the Tresna Werdha Sabai Nan Aluih Social Home, Sicincin in 2019. The research was conducted for 2 weeks with one-week intervention. This research is a Quasy experiment using one group pre-test and post-test without control group design approach. This study used the sample of 16 respondents taken by purposive sampling. The analysis of data uses dependent T-test with a significance level of 95% (α 0.05).Results: The results of the study found that the average sleep quality of the elderly before being given the intervention was 13.63 and after the intervention it became 8.44 with p value of 0.000.Conclusions: The results showed that there were significant differences before and after the intervention. For this reason, it is recommended for the elderly with sleep disorders to be able to do progressive muscle relaxation therapy to improve sleep quality.  

scholarly journals Sleep quality and anxiety among nurses in tertiary hospitals in China and the influencing factors: A cross-sectional study

2020 ◽  
Author(s):  
Dongbo Wang ◽  
Jing-Lei Lian ◽  
Ming-Rui Hua ◽  
Yu-Da Pan ◽  
De-Min Han
Keyword(s):  
Quality Of Life ◽  
Sleep Quality ◽  
Sleep Disorder ◽  
Influencing Factors ◽  
Working Hours ◽  
Anxiety Symptoms ◽  
Cross Sectional ◽  
Regular Diet ◽  
Tertiary Hospitals

Abstract Background: The purpose of the study was to investigate to understand the situation of sleep quality and anxiety among nurses in tertiary hospitals in China, and analyze their influencing factors.Methods: A cross-sectional survey was performed for nurses in Beijing tertiary hospitals including Beijing Tongren hospital, Anzhen Hospital and Beijing Children Hospital. The Pittsburgh Sleep Quality Indes (PSQI) and Zung Self-Rating Anxiety Scale (SAS) were used to measured the sleep quality and anxiety symptoms, respectively. Survey of quality of life in nurses was measured by 36-item Short Form Health Survey (SF-36). Spearman’s correlations analysis and logistic regression analysis was used to understand the influencing factors with sleep disorder, anxiety symptoms and quality of sleep. Quality of life (both PCS and MCS) were affected by influencing factors including marital status, working years, education background, income monthly, working hours, regular diet, physical exercise, sleep disorder, anxiety symptoms, felling of stress, and stress from economic, social, occupational.Results: 643 registered nurses in three tertiary hospitals were surveyed, 517 (80.4%) returned questionnaires were valid for analysis. The average PSQI score was 7.71±3.62, including 372 participants that scores were above 5 (72.0%). The average SAS score was 45.18±9.90,including 157 participants with a SAS score ＞ 50 (30.4%) that had different anxiety symptoms. The nurses’ sleep quality were affected by some factors including income monthly, working hours, regular diet, physical exercise, stress from economic, social, occupational. Education background, income monthly, working hours, regular diet and economic stress, social stress, occupational stress have significantly related to anxiety symptoms. Correlation between sleep disorder and anxiety severity was positive for nurses.Conclusions: The situation of sleep disorder and anxiety symptoms among nurses in tertiary hospitals in China were very serious. The problem has negative effect on physical and mental health in nurses which reminded hospital administrators should take preventive actions. In addition, the results of the study hinted that promotion of health lifestyle, effort-reward balance and providing social support may be significant to decrease the poor sleep quality and anxiety symptoms and increase quality of life in nurses.

scholarly journals PENGARUH TERAPI POSISI LATERAL KANAN TERHADAP KUALITAS TIDUR PASIEN GAGAL JANTUNG DI RSUP M DJAMIL PADANG

2019 ◽  
Vol 8 (1) ◽  
pp. 117
Author(s):  
Marnila Yesni
Keyword(s):  
Heart Failure ◽  
Sleep Quality ◽  
Nursing Intervention ◽  
Lateral Position ◽  
Control Group ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Heart Failure Patients ◽  
Significant Difference

The heart failure disease incident rate is high in the world and Indonesia. Heart failure patients suffer from poor sleep quality. This affects the disease recovery process and increases the mortality and morbidity rates. Patients need an intervention to overcome the issue and the role of a nurse is highly needed to overcome it. The purpose of this research was to identify the effects of nursing intervention of therapy of right lateral position on the sleep quality of heart failure patients. The method used was the Quasi Experiment with the pre and post test control group consisting of 15 respondents of intervention group and 14 respondents of control group treated at RSUP M Djamil Padang, determined according to the inclusion criteria. The results of research indicated that there was a significant difference in the sleep quality of right lateral position group and the control group with the value (p = value = 0,001). The statistics test used was the independent T test. Sleep is the necessity of human beings. By giving the intervention of therapy of right lateral position, the issue of poor sleep quality in heart failure patients may be resolved. Health care service, particularly nurses, is advised to apply this therapy as an independent nursing intervention to increase the sleep quality of heart failure patients treated at the hospital.

scholarly journals Nursing Intervention Based on Smart Medical Care on the Sleep Quality of Cardiology Patients

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Guifang Gao ◽  
Jingjing Su
Keyword(s):  
Sleep Quality ◽  
Sleep Duration ◽  
Rapid Development ◽  
Nursing Intervention ◽  
Sensor Data ◽  
Control Group ◽  
Record System ◽  
Gradual Improvement ◽  
Main Research

With the rapid development of society and the gradual improvement of people’s living standards, patients with cardiovascular diseases have higher standards and requirements for daily health care and quality of life. The main research of this article is based on the observation of the effect of smart medical nursing intervention on the sleep quality of cardiology patients. The convenience sampling method was used to randomly select 80 cardiology patients from the electronic medical record system of the hospital, and the patients were randomly divided into two groups. One group was the control group. The routine nursing method was adopted, and a dedicated nurse paid attention to the sleep status; the other group was the control group. The research group adopts targeted nursing methods. This paper selects three kinds of sensor data as features. When collecting each scene record, it is first divided into sleeping and awake states, and then the classified time is composed of time segments, and these time segments are finally accumulated into sleep duration. Using sleep time, waking time, and sleep duration as input, the participants were divided into good sleepers and poor sleepers. Through a self-made questionnaire survey, the factors that have an adverse effect on the patient’s sleep are divided into 7 aspects. Using the method of internal continuity measurement, Cronbach’s coefficient a is 0.811, suggesting that the internal consistency is better, and the calculation reliability and validity are 86.1% and 83.4%, respectively, suggesting that the table can be used for sleep in hospitalized patients. The P values of the study group and the control group were 0.420, 0.764, 0.740, 0.881, 0.842, 0.119, and 0.342 P > 0.05 . The results show that the application of smart medical services has a certain effect on the patient's sleep quality.

scholarly journals Application Effect of Detail Nursing in Neurosurgery Patients

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Yongqi Li ◽  
Fengmei Xu
Keyword(s):  
Quality Of Life ◽  
Retrospective Analysis ◽  
Clinical Application ◽  
Statistical Significance ◽  
Social Activity ◽  
Nursing Intervention ◽  
Analysis Method ◽  
Nursing Satisfaction

Objective: To explore the effect of detail nursing in neurosurgery. Methods: 72 cases of neurosurgery patients in our hospital from July 2018 to June 2020 were selected as the research sample, and they were divided into detail nursing group and routine nursing group, with 36 cases in each group. The retrospective analysis method was used to compare the effect of nursing intervention between the two groups. Results: The scores of anxiety (23.25±1.97*), depression (25.75±2.53*) and social activity ability (23.13±2.36*) in detail nursing group were higher than those in routine nursing group; The nursing satisfaction of detail nursing group was 35 cases (97.22%), significantly higher than that of routine nursing group 26 cases (72.22%), P < 0.05, with statistical significance. Conclusion: Through the details of neurosurgery patients nursing means, to improve the prognosis of patients with recovery and improve the quality of life have significant effect, can reduce the complications of patients with prognosis, improve the patient's cognition of details of nursing, reduce the contradiction between doctors and patients, improve nursing satisfaction, has high clinical application and promotion value.

scholarly journals Impact of COVID-19 pandemic on the sleep quality of medical professionals in Brazil

2021 ◽  
Vol 79 (2) ◽  
pp. 149-155
Author(s):  
Janaína Mariana de Araújo Miranda Brito-Marques ◽  
Clélia Maria Ribeiro Franco ◽  
Paulo Roberto de Brito-Marques ◽  
Sandra Cristina Gonçalves Martinez ◽  
Gilmar Fernandes do Prado
Keyword(s):  
Depressive Symptoms ◽  
Sleep Quality ◽  
Health Professionals ◽  
Well Being ◽  
Poor Sleep ◽  
World Population ◽  
Psychological Resilience ◽  
Online Questionnaire ◽  
Related Factors

ABSTRACT Introduction: Coronavirus pandemic began in China in 2019 (COVID-19), causing not only public health problems but also great psychological distress, especially for physicians involved in coping with the virus or those of the risk group in social isolation, and this represents a challenge for the psychological resilience in the world population. Studies showed that health professionals had psychological symptoms such as depression, anxiety, insomnia, stress, among others. Objectives: To investigate the quality of sleep and the prevalence rate of sleeping disorders among physicians during COVID-19 pandemic, and identify the psychological and social factors associated with the condition. Methods: A cross-sectional study of an online questionnaire was applied for physicians in Brazil. Among the 332 participants included, 227 were women. Sociodemographic assessment was used in the questionnaire, as well as the scale of impact on the events of modifications caused by COVID-19, assessment on sleep quality (PSQI), presence and severity of insomnia (ISI), depressive symptoms (PHQ-9), and anxiety (GAD-7). Results: Most physicians (65.6%) had changes in sleep. Poor sleep quality was reported by 73.1%, depressive symptoms were present in 75.8%, and anxiety in 73.4%. Conclusion: Our study found that more than 70% of the physicians assessed had impaired sleep quality, characterizing insomnia symptoms during COVID-19 outbreak. Related factors included an environment of isolation, concerns about COVID-19 outbreak and symptoms of anxiety and depression. Special interventions are needed to promote health professionals’ mental well-being and implement changes in this scenario.

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