Evidence-Based Design Features Improve Sleep Quality Among Psychiatric Inpatients

2017 ◽  
Vol 10 (5) ◽  
pp. 52-63 ◽  
Author(s):  
Ryan J. L. Pyrke ◽  
Margaret C. McKinnon ◽  
Heather E. McNeely ◽  
Catherine Ahern ◽  
Karen L. Langstaff ◽  
...  

Objective: The primary aim of the present study was to compare sleep characteristics pre- and post-move into a state-of-the-art mental health facility, which offered private sleeping quarters. Background: Significant evidence points toward sleep disruption among psychiatric inpatients. It is unclear, however, how environmental factors (e.g., dorm-style rooms) impact sleep quality in this population. Methods: To assess sleep quality, a novel objective technology, actigraphy, was used before and after a facility move. Subjective daily interviews were also administered, along with the Horne–Ostberg Morningness–Eveningness Questionnaire and the Pittsburgh Sleep Quality Index. Results: Actigraphy revealed significant improvements in objective sleep quality following the facility move. Interestingly, subjective report of sleep quality did not correlate with the objective measures. Circadian sleep type appeared to play a role in influencing subjective attitudes toward sleep quality. Conclusions: Built environment has a significant effect on the sleep quality of psychiatric inpatients. Given well-documented disruptions in sleep quality present among psychiatric patients undergoing hospitalization, design elements like single patient bedrooms are highly desirable.

2018 ◽  
Vol 16 (2) ◽  
Author(s):  
Josyandra Paula de Freitas ◽  
Mariana Pereira Inácio Silvestri ◽  
César Eduardo Fernandes ◽  
Emerson de Oliveira

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.


2014 ◽  
Vol 2014 ◽  
pp. 1-6
Author(s):  
Alexandre Abilio de Souza Teixeira ◽  
Giselle Soares Passos ◽  
Francieli Silva Ruiz ◽  
Eduardo da Silva Alves ◽  
Dalva Poyares ◽  
...  

Objective. The objective of this study was to correlate metabolic and hormonal parameters before and after 8, 16, and 24 weeks (wk) of moderate aerobic training in individuals with chronic primary insomnia. Method. Four male and sixteen female volunteers (adults, sedentary, and healthy) performed exercise training for 24 weeks. Blood and Pittsburgh Sleep Quality Index (PSQI) was obtained at baseline, 8, 16, and 24 wk of training. Results. PSQI scores decreased after 8, 16, and 24 wk of training regarding baseline values. Indeed, total sleep time (TST) increased after 16 and 24 wk of exercise training regarding baseline values. The correlations were analyzed using the delta (Δ) values (Δ1=8 wk less baseline; Δ2=16 wk less baseline; Δ3=24 wk less baseline). We have observed a negative correlation for Δ1 between TST and cortisol, a positive correlation for Δ3 between TST and growth hormone, a negative correlation for Δ1 between TST and VLDL, a negative correlation for Δ1 between TST and triacylglycerols, and a negative correlation for Δ1 and Δ2 between TST and thyroid-stimulating hormone. Conclusion. The exercise training improved the sleep quality of patients with chronic primary insomnia.


2015 ◽  
Vol 24 (4) ◽  
pp. 1104-1111 ◽  
Author(s):  
Carla Renata Silva Andrechuk ◽  
Maria Filomena Ceolim

ABSTRACT The aim of this study was to describe sleep quality and to identify associated factors in patients hospitalized with acute myocardial infarction. A descriptive and cross-sectional study was conducted with 113 patients (70.8% men, mean age 59.7 years). An instrument was used for sociodemographic and clinical characterization and the Pittsburgh Sleep Quality Index. Results showed that 71.7% of participants had poor sleep quality and over 64% slept six hours or less per night. The presence of diabetes mellitus, depression, and absence of physical activity contributed to increase the final score of the Pittsburgh Sleep Quality Index in about 2.5 points for each variable. The identification of sleep quality and proposals of interventions to improve sleep quality must be included in the actions of nurses in order to reduce harm to patients' health before and after the acute myocardial infarction episode.


2016 ◽  
Vol 20 (3) ◽  
pp. 1045-1051 ◽  
Author(s):  
Johanna Takács ◽  
Róbert Bódizs ◽  
Péter Przemyslaw Ujma ◽  
Klára Horváth ◽  
Péter Rajna ◽  
...  

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Yoon Jeong Baek ◽  
Seung-Hyun Kim ◽  
Sayup Kim ◽  
Eui-Sang Yoo ◽  
Joo-Young Lee

PurposeThe purpose of the present study was to evaluate the effect of air mattress pressure on sleep quality.Design/methodology/approachTen young healthy males participated in all hard surface [AH], shoulder soft [SS] and shoulder and hip soft mattress [SHS] conditions. The surface pressure for SS and SHS were set at their preferred levels.FindingsThe results showed that sleep efficiencies were over 95% for all the three conditions; there were no significant differences in individual sleep variables among the three conditions, but overall sleep quality was better for SS than AH (p = 0.065); heart rates during sleep was greater for AH than the other two conditions (p < 0.1); and a stronger relationship between clothing and bed microclimate humidity were found for SS and SHS than that for AH.Research limitations/implicationsThese results indicated that the both pressure relief air mattresses that were set at their own preferred levels provided high quality sleep with no marked differences.Practical implicationsAir pressure relief mattresses can improve sleep quality of healthy individuals during sleep at night. The results can be used to understand appropriate pressure distribution on surface mattress according to body region, and also to develop algorithms to provide optimum sleep using mattresses with surface pressure control by body region.Originality/valueThe present study found that the shoulder and/or hip pressure relief air mattresses that were set at their own preferred levels provided high quality sleep with no marked differences.


2014 ◽  
Vol 1 (3) ◽  
pp. 230-235
Author(s):  
Utami Dewi ◽  
Fidyah Aminin ◽  
Harvensica Gunnara

Sleep is an essential need that must be met, especially in the development phase since brain and body development will occur during sleep. Thus, sleep disturbance is a problem that will cause adverse effects on growth and development, especially for babies. Sleep quality for babies can be improved by providing baby massage on a regular basis. The purpose of this study was to prove whether there were differences in sleep quality before and after the massage in babies aged 3-4 months in Gelatik and Nuri IHC (Integrated Health Center) of Tanjungunggat Village of Tanjungpinang Municipality. Design: This was a Quasi Experiment study with a pretest-posttest method. The sample consisted of 17 respondents selected by purposive sampling technique. The statistical test used in this study was a dependent t-test with a significance level of 0.05.Result: The results showed that there was no significant difference between baby sleep duration before and after the massage (p = 0.414). However, there was significant difference between the frequency of waking up before and after the massage (p = 0.001) and there was a significant difference between the duration of waking up before and after the massage (p = 0.046. Discuss: Based on the results of this study, it is suggested that mothers should improve their knowledge on the importance of baby massage provided by health professionals and the health professionals should provide and demonstrate clear, complete and sustained information to the mothers and other related parties surrounding the IHC.


2020 ◽  
Author(s):  
Satoru Haresaku ◽  
Fuyuko Nakashima ◽  
Yayoi Hara ◽  
Madoka Kuroki ◽  
Hisae Aoki ◽  
...  

Abstract Background As the general population of Japan ages, the population of hospitalized psychiatric patients is also ageing. The purpose of this study was to investigate the associations of oral health-related quality of life (OHRQoL) with age and oral health, including oral and swallowing function, among psychiatric inpatients. Methods The subjects included 165 psychiatric inpatients in psychiatric hospitals in Japan. The General Oral Health Assessment Index (GOHAI) and the Eating Assessment Tool (EAT-10) were included in the questionnaire survey for the measurement of OHRQoL and the screening of dysphagia. A score ≥3 on the EAT-10 was defined as suspected dysphagia. Oral examinations and oral diadochokinesis (ODK) measurements for the tongue-lip motor function evaluation were conducted. The inpatients with acute psychiatric symptoms, moderate and severe dementia, and cognitive impairment that affected their ability to communicate and relate their feelings were excluded. A chi-squared test, the Mann-Whitney U test, and linear regression analysis were used for the analysis. The data were analysed at the 5% significance level. Results A total of 100 (64.5%) psychiatric inpatients (mean age, 67.3 [SD, 14.5] years, 49% males, and 51% females) participated in this study. The means±SDs for the decayed missing filled teeth (DMFT) index and GOHAI score were 20.6±6 and 49.7±7.9, respectively. The GOHAI score in the older age group (≥65 years) was significantly lower than that in the younger age group (<65 years). The mean ODK scores were less than 3 times/sec for all syllables. The percentage of the participants with suspected dysphagia was 45.0%. Tooth loss and suspected dysphagia were significantly associated with low GOHAI scores. The EAT-10 score was significantly correlated with the GOHAI score only after adjusting for age and sex (β=-0.725, 95% CI:-0.97, -0.64). Conclusions In hospitalized psychiatric patients, impaired oral health in the older subjects was more pronounced compared with that among general adults. Tooth loss and swallowing function were associated with OHRQoL. Therefore, oral care for the recovery of occlusal and swallowing functions may be needed to improve OHRQoL among psychiatric patients.


2020 ◽  
Vol 35 ◽  
Author(s):  
Daniel Faria ◽  
Alfio Ferrara ◽  
Ernesto Jiménez-ruiz ◽  
Stefano Montanelli ◽  
Catia Pesquita

Abstract The quality of a dataset used for evaluating data linking methods, techniques, and tools depends on the availability of a set of mappings, called reference alignment, that is known to be correct. In particular, it is crucial that mappings effectively represent relations between pairs of entities that are indeed similar due to the fact that they denote the same object. Since the reliability of mappings is decisive in order to perform a fair evaluation of automatic linking methods and tools, we call this property of mappings as mapping fairness. In this article, we propose a crowd-based approach, called Crowd Quality (CQ), for assessing the quality of data linking datasets by measuring the fairness of the mappings in the reference alignment. Moreover, we present a real experiment, where we evaluate two state-of-the-art data linking tools before and after the refinement of the reference alignment based on the CQ approach, in order to present the benefits deriving from the crowd assessment of mapping fairness.


2008 ◽  
Vol 15 (6) ◽  
pp. 465-470 ◽  
Author(s):  
G. J. (GERRIT) NIET DE ◽  
B. G. (BEA) TIEMENS ◽  
H. H. G. M. (BERT) LENDEMEIJER ◽  
G. J. M. (GIEL) HUTSCHEMAEKERS

2006 ◽  
Vol 14 (6) ◽  
pp. 872-878 ◽  
Author(s):  
Renata Furlani ◽  
Maria Filomena Ceolim

Subjective sleep quality has been recognized as a valuable indicator of health and quality of life. This exploratory and descriptive study aimed at describing habitual sleep quality of women suffering from gynecological and breast cancer and comparing habitual versus sleep quality during hospitalization. Twenty-five women admitted in hospital for clinical treatment of cancer completed the Pittsburgh Sleep Quality Index (PSQI) within 72 hours after admission and again just before discharge. Fifty-two percent of subjects reported habitual bad sleep quality, and this proportion increased to 80% of subjects during hospital stay. Subjects indicated the following most frequent causes of night sleep disturbance: need to go to the toilet, waking up early and receiving nursing care during the night. Results point to the importance of including careful assessment of sleep quality and environment in nursing care planning for oncology patients, mainly during hospitalization.


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