Association of Work Stress Level with Sleep Quality in Nurses and Medical Social Workers at a Tertiary Care Hospital of Wardha District

BACKGROUND Nurses and medical social workers’ (MSW’s) stress has an impact on health, which ultimately has an effect on quality care of the patients. Stress problems are one of the leading causes of sleep disturbance. We wanted to evaluate the association of quality and pattern of sleep with work stress levels in nurses and medico-social workers in this study. METHODS A cross-sectional study was conducted on nurses and MSW’s of Tertiary Care Hospitals of Wardha city using questionnaire, containing 24 questions. A total of 513 Nurses and 36 MSW’s of Tertiary Care Hospitals were taken in this study, sampling was done by simple random sampling method. The stress was evaluated using 10 items “Global perceived stress scale” (GPSS) and for sleep quality “Pittsburgh Sleep Quality Index” (PSQI) of total 14 items was used. The variables were compared in unpaired t test and Pearson correlation test to know the level of significance of determinacy which was set at less than 0.05. RESULTS The overall PSS scores in nurses (12.57 ± 3.7) and MSWs (12.87 ± 3.1) were almost similar and were statistically significant. Subjective sleep quality score of MSWs (2.19 ± 0.66) was higher than that of nurses (2.00 ± 0.19) and was statistically insignificant according to the specialization. The statistically relevant sleep duration was greater in MSWs (13.50 ± 03.56) than in nurses (12.16 ± 02.73). Moderate positive correlation between perceived stress severity and Pittsburgh Sleep Quality Index was observed. CONCLUSIONS Certain characteristics of work shift among nurses and MSW’s is directly affected by the stress and sleep quality and indirectly affects the patient care and treatment. The study indicates that work characteristics may influence sleep quality and stress among nurses and MSW’s. We needed to improve work shift schedule in order to provide good health and well-being of nurses and MSW’s which would further improve the quality of patient care. KEY WORDS Nurses, MSW’s, Sleep Quality, Stress

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Catastrofização da cefaleia e associação com outras condições clínicas

Headache Medicine ◽

10.48208/headachemed.2018.8 ◽

2018 ◽

pp. 35

Author(s):

Erlene Roberta Ribeiro dos Santos

Keyword(s):

Sleep Quality ◽

Perceived Stress ◽

Quality Index ◽

Pittsburgh Sleep Quality Index ◽

Beck Anxiety Inventory ◽

Headache Disorders ◽

Stress Scale ◽

Headache Disability ◽

Beta Version

A catastrofização é definida como um conjunto de pensamentos negativos com tendência ao exagero mental, mediante uma situação real ou antecipada de experiência dolorosa, associada à sensação de incapacidade para busca do alívio da dor. Objetivo: avaliar a catastrofização da cefaleia associada a condições clínicas como incapacidade funcional, depressão, ansiedade, estresse e qualidade do sono, em universitários. Material e Método: estudo observacional transversal com uma amostra de 340 universitários (179 mulheres), com idade de 25 ± 5 anos. Foi utilizado um formulário de cadastro para coletar informações pessoais e antropométricas. Os critérios da International Classification of Headache Disorders 3rd edition Beta version foram utilizados para classificar a cefaleia. A escala de pensamentos catastróficos sobre dor (EPCD) foi utilizada para rastrear a catastrofização. Para avaliar a incapacidade funcional gerada pela cefaleia foi utilizado o questionário Headache Disability Test – HIT-6. Sintomatologias de depressão e de ansiedade foram rastreadas pelo Beck Depression Inventory (BDI), e Beck Anxiety Inventory – BAI, respectivamente. O estresse percebido foi avaliado pela escala Perceived Stress Scale (PSS) e a qualidade do sono pelo questionário Pittsburgh Sleep Quality Index. A estatística descritiva foi aplicada para caracterização da amostra, analisadas as diferenças de médias por meio dos testes t de Student e χ2. Para a aplicação da estatística analítica foram utilizadas regressão linear simples e regressão linear logística multivariada generalizada. Resultados: 288/340 (84,7%) dos universitários referiram cefaleia; desses, 133/288 (46,1%) eram migranosos [96/133 (72,2%) mulheres e 37/133 (27,8%) homens; OR= 1,92] e 155/288 (53,9%) não migranosos. Dentre os migranosos, 44/133 (33,08) apresentaram catastrofização (OR 37.44). A regressão linear revelou um potencial maior de contribuição (β) das seguintes condições clínicas: estresse, qualidade do sono ruim e ansiedade para o grupo dos migranosos. A regressão logística multivariada também mostrou a catastrofização, fornecendo estimativa com maior impacto na mudança dos valores da probabilidade da ocorrência da migrânea, com acréscimo de 5,78 pontos percentuais, quando se mantém constante das outras variáveis preditoras. A regressão linear multivariada para a avaliação do impacto da cefaleia indica que a catastrofização é a variável que apresenta maior contribuição na incapacidade gerada pela dor de cabeça, com um valor de β de 5,564 e p<0,001, apresentando forte significância. Conclusão: a catastrofização na migrânea, associada a outras condições clínicas avaliadas neste estudo, como a depressão, ansiedade, estresse e qualidade do sono, exerce influência significativa para a incapacidade gerada pela dor.

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Stressed and Not Sleeping: Poor Sleep and Psychological Stress in Elite Athletes Prior to the Rio 2016 Olympic Games

International Journal of Sports Physiology and Performance ◽

10.1123/ijspp.2021-0117 ◽

2021 ◽

pp. 1-8

Author(s):

Shona L. Halson ◽

Renee N. Appaneal ◽

Marijke Welvaert ◽

Nirav Maniar ◽

Michael K. Drew

Keyword(s):

Sleep Quality ◽

Psychological Stress ◽

Perceived Stress ◽

Quality Index ◽

Sleep Disturbances ◽

Olympic Games ◽

Pittsburgh Sleep Quality Index ◽

Elite Athletes ◽

Poor Sleep ◽

Stress Scale

Purpose: Psychological stress is reported to be an important contributor to reduced sleep quality and quantity observed in elite athletes. The purpose of this study was to explore the association between psychological stress and sleep and to identify if specific aspects of sleep are disturbed. Methods: One hundred thirty-one elite athletes (mean [SD], male: n = 46, age 25.8 [4.1] y; female: n = 85, age 24.3 [3.9] y) from a range of sports completed a series of questionnaires in a 1-month period approximately 4 months before the 2016 Rio Olympic Games. Questionnaires included the Pittsburgh Sleep Quality Index; Recovery-Stress Questionnaire; Depression, Anxiety, and Stress Scale (DASS 21); and Perceived Stress Scale (PSS). Results: Regression analysis identified the PSS and DASS stress as the main variables associated with sleep. A PSS score of 6.5 or higher was associated with poor sleep. In addition, a PSS score lower than 6.5 combined with a DASS stress score higher than 4.5 was also associated with poor sleep. Univariate analyses on subcomponents of the Pittsburgh Sleep Quality Index confirmed that PSS is associated with lower sleep quality (t99 = 2.40, P = .018), increased sleep disturbances (t99 = 3.37, P = .001), and increased daytime dysfunction (t99 = 2.93, P = .004). DASS stress was associated with increased sleep latency (t94 = 2.73, P = .008), increased sleep disturbances (t94 = 2.25, P = .027), and increased daytime dysfunction (t94 = 3.58, P = .001). Conclusions: A higher stress state and higher perceived stress were associated with poorer sleep, in particular increased sleep disturbances and increased daytime dysfunction. Data suggest that relatively low levels of psychological stress are associated with poor sleep in elite athletes.

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Quality of Sleep among Portuguese Anaesthesiologists: A Cross-Sectional Study

Acta Médica Portuguesa ◽

10.20344/amp.11468 ◽

2019 ◽

Vol 32 (10) ◽

pp. 641

Author(s):

Francisco Valente ◽

Catarina Batista ◽

Vânia Simões ◽

Inês Tomé ◽

Alexandre Carrilho

Keyword(s):

Sleep Quality ◽

Perceived Stress ◽

Quality Index ◽

Pittsburgh Sleep Quality Index ◽

Cross Sectional Study ◽

Quality Of Sleep ◽

Cross Sectional ◽

Stress Scale ◽

Factors Associated

Introduction: Sleeping is essential to maintain proper relationships with others, keep alertness, and execute responsibilities, among many other functions. In the medical profession, there are several studies linking sleep deprivation with a decrease in responsiveness, cognition and attention. With this study we intended to characterize the sleep pattern of Portuguese anaesthesiologists and identify independent factors associated with sleep quality in this population.Material and Methods: An observational, cross-sectional study of senior and resident anesthesiologists working in Portugal was carried out through an online questionnaire. Individuals working exclusively in intensive care units, emergency departments or with previously diagnosed sleep disorders were excluded. Socio-demographic data, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale and Perceived Stress Scale were applied. Statistical significance was assessed using the Mann-Whitney test and the chi-square test. A multivariable analysis was performed to examine the association between the Pittsburgh Sleep Quality Index and certain variables.Results: Among 256 respondents, 46.1% reported “poor” quality of sleep (Pittsburgh Sleep Quality Index > 5). Within these individuals, 77.1% slept less than 7 hours per night (p < 0.001). Excessive daytime sleepiness (Epworth Sleepiness Scale > 10) was present in 41.0% of the sample, and the median Perceived Stress Scale score was 17.0. The independent factors associated with worse quality ofsleep were the number of working hours/week (OR 1.03, 95% CI 1,01 to 1,06), perceived stress (OR 1.18, 95% CI 1.11 to 1.26), taking sleep medication (OR 14.72, 95% CI 5.55 to 39.08), and sleep hours/night (OR 0.25, 95% CI 0.15 to 0.42).Discussion: This fraction of Portuguese anaesthesiologists presented a poorer quality of sleep, with excessive daytime somnolence, perceived stress and higher sedative use compared to previously studied populations.Conclusion: Our study characterizes sleep patterns and identifies potential risk factors linked to sleep disturbances in a sample of Portuguese anaesthesiologists. Government and institutional policies can endorse sleep hygiene practices and habits, promoting healthier working environments.

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Taking an Idea from Inception to Innovation: Evolution in Restrictive Transfusion Criteria

Facial Plastic Surgery ◽

10.1055/s-0040-1721111 ◽

2020 ◽

Vol 36 (06) ◽

pp. 681-683

Author(s):

Mark K. Wax

Keyword(s):

Sleep Quality ◽

Patient Care ◽

Paradigm Shift ◽

Quality Index ◽

Practice Patterns ◽

Pittsburgh Sleep Quality Index ◽

Surgical Care ◽

Educational Activity ◽

Restrictive Transfusion ◽

Complex Procedure

AbstractInnovation in surgical care is a complex procedure. When you reflect on how your practice has changed, whether it be 5 years or over decades, it can be enlightening to not only see the change but also conceptualize how it came about. Examining one's practice as part of Pittsburgh Sleep Quality Index or as a result of reading the literature, attending a meeting, or some other educational activity can lead one to question if there is a better method available. In this manuscript, I will describe how outside influences initiated a paradigm shift that ultimately benefited patient care, the system, and my practice. The methodology has been used over the course of my career to influence and modulate practice patterns.

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Poor sleep quality: a wake up call for the elderly at a tertiary care centre in Islamabad, Pakistan

Journal of the Pakistan Medical Association ◽

10.47391/jpma.296 ◽

2020 ◽

pp. 1-14

Author(s):

Neha Siddiqui ◽

Rahy Farooq ◽

Shoab Saadat ◽

Maimoona Siddiqui ◽

Zain Ahmad Javed ◽

...

Keyword(s):

Sleep Quality ◽

Sleep Disorders ◽

Epworth Sleepiness Scale ◽

Quality Index ◽

Pittsburgh Sleep Quality Index ◽

Tertiary Care ◽

The Elderly ◽

Poor Sleep ◽

Care Centre ◽

Tertiary Care Centre

Abstract Objectives: To assess the burden of sleep disorders in the elderly, and the effects of various co-morbidities linked with sleep disorders. Method: The longitudinal cross-sectional study was conducted in different outpatient departments at a tertiary care centre in Islamabad, Pakistan, from June 2014 to June 2015, and comprised patients of either gender aged 60 years or above. Pittsburgh sleep quality index and Epworth sleepiness scale were used to measure the quality and patterns of sleep and daytime sleepiness in the elderly. Data was analysed using SPSS 21. Results: Of the 1000 subjects, 638(63.8%) were males, and 362(36.2%) were females. The overall mean age was 66.96±7.05 years. Epworth sleepiness scale >10 was found in 265(26.5%) subjects, while Pittsburgh sleep quality index score in 516(51.6%) was >5. Sleep quality score in 578(57.8%) women was statistically significant compared to 478(47.8%) males (p<0.05). Conclusions: There was a significant burden of sleep-related disorders in the subjects. Key Words: Sleep disorders, ESS, PSQI, Pakistan, Elderly.

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Validation of the Pittsburgh Sleep Quality Index Addendum for Posttraumatic Stress Disorder (PSQI-A) in U.S. Male Military Veterans

Journal of Traumatic Stress ◽

10.1002/jts.21793 ◽

2013 ◽

Vol 26 (2) ◽

pp. 192-200 ◽

Cited By ~ 35

Author(s):

Salvatore P. Insana ◽

Martica Hall ◽

Daniel J. Buysse ◽

Anne Germain

Keyword(s):

Posttraumatic Stress Disorder ◽

Sleep Quality ◽

Posttraumatic Stress ◽

Quality Index ◽

Stress Disorder ◽

Pittsburgh Sleep Quality Index ◽

Military Veterans

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Availability of a Flavored Beverage and Impact on Children’s Hydration Status, Sleep, and Mood

Nutrients ◽

10.3390/nu13061757 ◽

2021 ◽

Vol 13 (6) ◽

pp. 1757

Author(s):

Michael R. Szymanski ◽

Gabrielle E. W. Giersch ◽

Margaret C. Morrissey ◽

Courteney L. Benjamin ◽

Yasuki Sekiguchi ◽

...

Keyword(s):

Sleep Quality ◽

Quality Index ◽

Pittsburgh Sleep Quality Index ◽

Intervention Group ◽

Urine Osmolality ◽

Urine Specific Gravity ◽

Hydration Status ◽

Control Group ◽

Profile Of Mood States ◽

Urine Color

Euhydration remains a challenge in children due to lack of access and unpalatability of water and to other reasons. The purpose of this study was to determine if the availability/access to a beverage (Creative Roots®) influences hydration in children and, therefore, sleep quality and mood. Using a crossover investigation, 46 participants were randomly assigned to a control group (CON) or an intervention group and received Creative Roots® (INT) for two-week periods. We recorded daily first morning and afternoon urine color (Ucol), thirst perception, and bodyweight of the two groups. Participants reported to the lab once per week and provided first morning urine samples to assess Ucol, urine specific gravity (USG), and urine osmolality (Uosmo). Participants also completed the questionnaires Profile of Mood States-Adolescents (POMS-a) and Pittsburgh Sleep Quality Index (PSQI). Dependent t-tests were used to assess the effects of the intervention on hydration, mood, and sleep quality. Uosmo was greater and Ucol was darker in the control group (mean ± SD) [Uosmo: INT = 828 ± 177 mOsm·kg−1, CON = 879 ± 184 mOsm·kg−1, (p = 0.037], [Ucol:INT = 5 ± 1, CON = 5 ± 1, p = 0.024]. USG, POMS-a, and PSQI were not significant between the groups. At-home daily afternoon Ucol was darker in the control group [INT = 3 ± 1, CON = 3 ± 1, p = 0.022]. Access to Creative Roots® provides a small, potentially meaningful hydration benefit in children. However, children still demonstrated consistent mild dehydration based on Uosmo, despite consuming the beverage.

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Clinical Efficacy of a New Robot-assisted Gait Training System for Acute Stroke Patients

Journal of Medical and Biological Engineering ◽

10.1007/s40846-020-00590-z ◽

2021 ◽

Author(s):

Andy Chien ◽

Fei-Chun Chang ◽

Nai-Hsin Meng ◽

Pei-Yu Yang ◽

Ching Huang ◽

...

Keyword(s):

Sleep Quality ◽

Acute Stroke ◽

Quality Index ◽

Pittsburgh Sleep Quality Index ◽

Gait Training ◽

Training System ◽

Control Group ◽

Stroke Patients ◽

Robot Assisted ◽

Significant Difference

Abstract Purpose Robot-assisted gait rehabilitation has been proposed as a plausible supplementary rehabilitation strategy in stroke rehabilitation in the last decade. However, its exact benefit over traditional rehabilitation remain sparse and unclear. It is therefore the purpose of the current study to comparatively investigate the clinical benefits of the additional robot-assisted training in acute stroke patients compared to standard hospital rehabilitation alone. Methods Ninety acute stroke patients (< 3 month) were recruited. All participants received the standard hospital neurorehabilitation comprises 45–60 min sessions daily for 3 weeks. Sixty patients also received an additional 30 min of robot-assisted gait training with the HIWIN MRG-P100 gait training system after each of the standard neurorehabilitation session. Outcome measures included: 1. Berg Balance Scale (BBS); 2. Brunnstrom Stage; 3. Pittsburgh Sleep Quality Index and 4. Taiwanese Depression Questionnaire (TDQ) which were assessed pre-treatment and then after every five training sessions. Results Both groups demonstrated significant improvement pre- and post-treatment for the BBS (robotic group p = 0.023; control group p = 0.033) but no significant difference (p > 0.1) between the groups were found. However, the robotic training group had more participants demonstrating larger BBS points of improvement as well as greater Brunnstrom stage of improvement, when compared to the control group. No significant within and between group statistical differences (p > 0.3) were found for Pittsburgh Sleep Quality Index and Taiwanese Depression Questionnaire. Conclusion The addition of robotic gait training on top of standard hospital neurorehabilitation for acute stroke patients appear to produce a slightly greater improvement in clinical functional outcomes, which is not transferred to psychological status.

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