Circadian variation of fatigue in both patients with paralytic poliomyelitis and post-polio syndrome

ObjectiveIt was to evaluate the degree of fatigue in patients with paralytic poliomyelitis (PP) and with post-polio syndrome (PPS), and correlate it with parameters of sleep and the circadian cycle.MethodsThirty patients, 17 female (56.7%), participated in the study: they answered the Revised Piper Fatigue Scale and performed a nocturnal polysomnographic study. Eleven had PP (mean age±standard deviation of 47.9±6.4 years), and 19 had PPS (mean age±standard deviation of 46.4±5.6 years).ResultsOur study showed that fatigue was worse in the afternoon in the PP Group and had a progressive increase throughout the day in the PPS Group. We also observed compromised quality of sleep in both groups, but no statically significant difference was found in the sleep parameters measured by polysomnography.ConclusionFatigue has a well-defined circadian variation, especially in PPS Group. Poor sleep quality is associated with fatigue and, therefore, sleep disturbances should be evaluated and treated in this group of PPS.

Download Full-text

Severe reflux, sleep disturbances, and health-related quality of life after esophageal cancer surgery

Journal of Cancer Survivorship ◽

10.1007/s11764-020-00974-9 ◽

2021 ◽

Author(s):

Pernilla Lagergren ◽

Asif Johar ◽

Helen Rosenlund ◽

Lars Arnberg ◽

Lena Haglund ◽

...

Keyword(s):

Quality Of Life ◽

Sleep Disturbances ◽

Poor Sleep ◽

Health Related Quality ◽

Poor Sleep Quality ◽

Increased Risk ◽

Related Quality ◽

Health Related ◽

Esophagectomy For Cancer

Abstract Purpose Esophagectomy for cancer is an extensive procedure often followed by severe complications. This study investigated whether patients with severe symptoms of reflux are more likely to have sleep disturbances and reduced health-related quality of life (HRQL) after esophagectomy. Methods This Swedish nationwide prospective cohort study encompassed all patients who had undergone esophagectomy for cancer between 2013 and 2018. One year after surgery, the patients responded to three questionnaires on reflux (EORTC QLQOG25), sleep disturbances (KSQ), and HRQL (EORTC QLQ-C30). Multivariable logistic regression provided odds ratios (OR) with 95% confidence intervals (CI) for sleep disturbance/reduced HRQL between patients with and without reflux, adjusted for potential confounders. Results Among 241 esophagectomy patients, 66 (27%) reported severe reflux. Patients with reflux had an increased risk of sleep disturbances (OR 2.3, 95% CI: 1.3–4.3) compared to patients without reflux. More specifically, these patients were more likely to suffer from poor sleep quality (OR 4.9, 95% CI: 1.9–12.4). Patients with reflux and sleep disturbances reported reductions in global quality of life, role function, emotional function, social function, and more symptoms in all scales, except for dyspnea. Conclusions This study suggests that patients with severe symptoms of reflux after esophagectomy have an increased risk of sleep disturbances and poor sleep quality, which in turn are associated with reduced HRQL. Implications for Cancer Survivors Alleviating reflux after oesophageal cancer surgery is important, since this common symptom might reduce HRQL and well-being.

Download Full-text

Factors associated with poor sleep quality in women with cancer

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.1478.2858 ◽

2017 ◽

Vol 25 (0) ◽

Cited By ~ 4

Author(s):

Thalyta Cristina Mansano-Schlosser ◽

Maria Filomena Ceolim

Keyword(s):

Sleep Quality ◽

Quality Index ◽

Sleep Disturbances ◽

Pittsburgh Sleep Quality Index ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Factors Associated ◽

Scale Data

ABSTRACT Objectives: to analyze the factors associated with poor sleep quality, its characteristics and components in women with breast cancer prior to surgery for removing the tumor and throughout the follow-up. Method: longitudinal study in a teaching hospital, with a sample of 102 women. The following were used: a questionnaire for sociodemographic and clinical characterization, the Pittsburgh Sleep Quality Index; the Beck Depression Inventory; and the Herth Hope Scale. Data collection covered from prior to the surgery for removal of the tumor (T0) to T1, on average 3.2 months; T2, on average 6.1 months; and T3, on average 12.4 months. Descriptive statistics and the Generalized Estimating Equations model were used. Results: depression and pain contributed to the increase in the score of the Pittsburgh Sleep Quality Index, and hope, to the reduction of the score - independently - throughout follow-up. Sleep disturbances were the component with the highest score throughout follow-up. Conclusion: the presence of depression and pain, prior to the surgery, contributed to the increase in the global score of the Pittsburgh Sleep Quality Index, which indicates worse quality of sleep throughout follow-up; greater hope, in its turn, influenced the reduction of the score of the Pittsburgh Sleep Quality Index.

Download Full-text

Sleep-Wake Cycle of Elite Athletes Prior to the Rio 2016 Olympic Games

Revista Andaluza de Medicina del Deporte ◽

10.33155/j.ramd.2020.04.004 ◽

2020 ◽

Vol 13 (2) ◽

pp. 76-80

Author(s):

F V Narciso ◽

A Silva ◽

DF Rodrigues ◽

JPP Rosa ◽

F Viegas ◽

...

Keyword(s):

Olympic Games ◽

Elite Athletes ◽

Team Sports ◽

Sleep Efficiency ◽

Poor Sleep ◽

Quality Of Sleep ◽

Poor Sleep Quality ◽

Significant Difference ◽

Individual Sports

Objective: To analyze chronotype, duration and quality of sleep among elite athletes, to compare differences in sleep variables between sex, and to compare differences between athletes of individual and team sports. Method: The sample included 70 Brazilian elite athletes of both sex (male=37; female=33) with a mean age 23.0 ± 4.0 years old. To measure sleep-wake cycle, athletes wore an actigraph on the wrist for 10 days. Moreover, athletes answered the chronotype questionnaire of Horne and Östberg. Results: The most athletes are intermediate-type (n=55, 78.6%), with a mean of 07h:18min of sleep per night. The athletes demonstrated higher sleep fragmentation (39.26 ± 23.66 minutes) and higher sleep latency (30.88 ± 16.19 minutes) during pre-competition training days. Additionally, the athletes of individual sports demonstrated more fragmentation (p<0.001) and less sleep efficiency (p<0.001) compared athletes of team sports. However, there was no significant difference in all sleep variables between the male and female sex. Conclusion: The overall elite athletes presented poor sleep quality during the training periods prior to the Rio 2016 Olympic Games, and individual athletes showed higher fragmentation and poorer sleep efficiency compared to team athletes.

Download Full-text

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

Jurnal Akademika Baiturrahim Jambi ◽

10.36565/jab.v8i1.109 ◽

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.

Download Full-text

Dampak Kecanduan Smartphone Terhadap Kualitas Tidur Siswa SMP

JKEP ◽

10.32668/jkep.v6i1.463 ◽

2021 ◽

Vol 6 (1) ◽

pp. 69-85

Author(s):

Yupi Supartini ◽

Puput Dwi Martiana ◽

Titi Sulastri

Keyword(s):

Sleep Quality ◽

Sleep Disturbances ◽

Statistical Test ◽

High Rate ◽

Smartphone Addiction ◽

Poor Sleep ◽

Cross Sectional ◽

Significance Level ◽

Significant Difference

Excessive smartphone use has a higher risk of sleep disturbances and affects a person’s sleep quality. The purpose of this research is to determine the relationship between respondent’s characteristics and smartphone addiction to the sleep quality of adolescents at Budi Cendikia Islamic School Depok. This type of research is quantitative with a descriptive analytic approach and a cross sectional research design. The population is all 359 students. Sampling in this study using stratified random sampling technique with 112 respondents. The SAS-SV questionnaire was used to measure the level of smartphone addiction, while the PSQI questionnaire was used to measure sleep quality in adolescents. The statistical test used Chi Square and Mann Whitney with a significance level of α = 0.05. The results of the univariate statistical test showed that most of the respondents were male (52.7%), 13 years old (35.7%), had a high rate of smartphone addiction (61.6%), and poor sleep quality (70.5%). Meanwhile, the results of the bivariate statistical test showed that there was a significant difference between gender (p = 0.020) and smartphone addiction (p = 0.007) with sleep quality, but there was no significant difference between age and sleep quality (p = 0.938). This study concludes that there is a relationship between gender and smartphone addiction on students' sleep quality, but there is no relationship between age and sleep quality of students. Hence, it is necessary to limit the use of smartphones so that smartphone addiction can be minimized and sleep quality is good.”

Download Full-text

Sleep Disruption Worsens Seizures: Neuroinflammation as a Potential Mechanistic Link

International Journal of Molecular Sciences ◽

10.3390/ijms222212531 ◽

2021 ◽

Vol 22 (22) ◽

pp. 12531

Author(s):

Herlinda Bonilla-Jaime ◽

Helena Zeleke ◽

Asheebo Rojas ◽

Claudia Espinosa-Garcia

Keyword(s):

Sleep Deprivation ◽

Sleep Disturbances ◽

Seizure Activity ◽

Sleep Disruption ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Obstructive Sleep ◽

Potential Link ◽

Related Mortality

Sleep disturbances, such as insomnia, obstructive sleep apnea, and daytime sleepiness, are common in people diagnosed with epilepsy. These disturbances can be attributed to nocturnal seizures, psychosocial factors, and/or the use of anti-epileptic drugs with sleep-modifying side effects. Epilepsy patients with poor sleep quality have intensified seizure frequency and disease progression compared to their well-rested counterparts. A better understanding of the complex relationship between sleep and epilepsy is needed, since approximately 20% of seizures and more than 90% of sudden unexpected deaths in epilepsy occur during sleep. Emerging studies suggest that neuroinflammation, (e.g., the CNS immune response characterized by the change in expression of inflammatory mediators and glial activation) may be a potential link between sleep deprivation and seizures. Here, we review the mechanisms by which sleep deprivation induces neuroinflammation and propose that neuroinflammation synergizes with seizure activity to worsen neurodegeneration in the epileptic brain. Additionally, we highlight the relevance of sleep interventions, often overlooked by physicians, to manage seizures, prevent epilepsy-related mortality, and improve quality of life.

Download Full-text

Depression and quality of sleep in maintenance hemodialysis patients

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1408437t ◽

2014 ◽

Vol 142 (7-8) ◽

pp. 437-443 ◽

Cited By ~ 17

Author(s):

Jasna Trbojevic-Stankovic ◽

Biljana Stojimirovic ◽

Zoran Bukumiric ◽

Edvin Hadzibulic ◽

Branislav Andric ◽

...

Keyword(s):

Sleep Quality ◽

Demographic Data ◽

Maintenance Hemodialysis ◽

Poor Sleep ◽

Quality Of Sleep ◽

Poor Sleep Quality ◽

Dialysis Vintage ◽

Significant Difference ◽

Esrd Patients

Introduction. Sleep disorders and psychological disturbances are common in end-stage renal disease (ESRD) patients. However, despite their frequency and importance, such conditions often go unnoticed, since all patients do not clearly manifest fully expressed symptoms. Objective. This study aimed to determine the prevalence of depression and poor sleep quality and to examine the association between these disorders and demographic, clinical and treatment-related characteristics of ESRD patients on hemodialysis (HD). Methods. The study included 222 patients (132 men and 90 women), mean age 57.3?11.9 years, from 3 HD centers in Central Serbia, which provided us with biochemical parameters and demographic data. Sleep quality and depression were assessed using the Pittsburgh Sleep Quality Index (PSQI) and Beck Depression Inventory (BDI), respectively. Results. The average BDI was 16.1?11.3. Depressed patients were significantly older (p=0.041), had a significantly lower dialysis adequacy (p=0.027) and a significantly worse quality of sleep (p<0.001), while they did not show significant difference as regarding sex, employment, marital status, comorbidities, dialysis type, dialysis vintage, shift and laboratory parameters. The average PSQI was 7.8?4.5 and 64.2% of patients were poor sleepers. Poor sleepers were significantly older (p=0.002), they were more often females (p=0.027) and had a significantly higher BDI (p<0.001), while other investigated variables were not correlated with sleep quality. A statistically significant positive correlation was found between BDI and PSQI (r=0.604; p<0.001). Conclusion. Depression and poor sleep quality are frequent and interrelated among HD patients.

Download Full-text

Sleep quality in caregivers of patients with Alzheimer's disease and Parkinson's disease and its relationship to quality of life

International Psychogeriatrics ◽

10.1017/s1041610212001032 ◽

2012 ◽

Vol 24 (11) ◽

pp. 1827-1835 ◽

Cited By ~ 36

Author(s):

Chiara Cupidi ◽

Sabrina Realmuto ◽

Gianluca Lo Coco ◽

Antonio Cinturino ◽

Simona Talamanca ◽

...

Keyword(s):

Quality Of Life ◽

Alzheimer’S Disease ◽

Depressive Symptoms ◽

Sleep Quality ◽

Sleep Disturbances ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Subjective Sleep Quality ◽

Subjective Sleep

ABSTRACTBackground: Knowledge about sleep complaints of caregivers of patients with Alzheimer's disease (AD) and Parkinson's disease (PD) is limited, and we lack information about the relationship between caregivers’ sleep problems and their quality of life (QoL).Methods: We evaluated subjective sleep quality and its relationship to QoL in a group of 80 caregivers of patients with AD (ADCG, n = 40) and PD (PDCG, n = 40), and in 150 controls. Information about night-time complaints was collected using the Pittsburgh Sleep Quality Index (PSQI). QoL was measured using the McGill QoL Questionnaire.Results: Eighteen ADCG (45%), 22 PDCG (55%), and 45 (30%) controls reported poor sleep quality. Mean global PSQI score of PDCG (6.25 ± 3.9) was not significantly different from that of ADCG (5.8 ± 3.5; p = 0.67). However, both PDCG and ADCG scored significantly higher than control group (4.3 ± 3.1; p < 0.01). ADCG frequently reported difficulties falling asleep (72.5%) and disturbed sleep (100%). PDCG reported reduced subjective sleep quality (80%) and increased sleep disturbances (100%). Poor sleep quality was associated with depressive symptoms and correlated with QoL in caregivers of both groups, particularly the psychological symptoms domain.Conclusions: Among caregivers of patients with AD and PD, poor sleep quality is frequent and significantly linked to QoL and depressive symptoms. Identifying the nature of sleep disturbances not only in patients but also in their caregivers is important as appropriate treatment may lead to a better management of the needs of families coping with these patients.

Download Full-text

Quality of Sleep Among Elderly with Hypertension at Werdha Institusion in West Java Province

Jurnal Ilmu Keperawatan (Journal of Nursing Science) ◽

10.21776/ub.jik.2021.009.01.17 ◽

2021 ◽

Vol 9 (1) ◽

pp. 133-142

Author(s):

Wening Handayani ◽

◽

Mamat Lukman ◽

Citra Windani Mambang Sari

Keyword(s):

Blood Pressure ◽

Sleep Quality ◽

Sleep Disturbances ◽

Vulnerable Groups ◽

Future Research ◽

Measuring Instruments ◽

Poor Sleep ◽

Quality Of Sleep ◽

Poor Sleep Quality

Elderly are particularly vulnerable groups that is prone to experiencing a decline in health related to a physiological decline. Vulnerability such as changes in structure of blood vessel walls lead to increased incidence of hypertension. Moreover, in uncontrolled conditions, elderly with hypertension can suffer symptoms of sleeping disorder, changes of sleep pattern that triggers the increasing of blood pressure and affect sleep quality. The purpose of this descriptive quantitative research was to describe the sleep quality of elderly with hypertension based on seven components of sleep quality assessment. The research design used a descriptive quantitative with a cross-sectional approach. The study was conducted at Ciparay and Garut Elderly Social Rehabilitation Centre, with number of the sample obtained 37 elderlies who were elected by total sampling technique. The result of this study showed that 89,2% of respondents had poor sleep quality. Several conditions that stimulate poor sleep quality in the elderly come from high blood pressure which causes sleep disturbances, thereby changing several sleep components such as short sleep duration less than 6 hours, sleep latency 15-30 minutes, decreased sleep efficiency below 85%, and activity dysfunction in daytime. Future research is expected to be able to modify sleep quality measuring instruments that are specifically used to measure the quality of sleep for people with hypertension.

Download Full-text

Prevalence and Pattern of Sleep Disturbances among Mood Disorder Inpatients

International Journal of Indian Psychology ◽

10.25215/0401.092 ◽

2016 ◽

Vol 4 (1) ◽

Author(s):

Gayathiri Mohankumar ◽

Dr Pradeep Palaniappan

Keyword(s):

Sleep Quality ◽

Mood Disorder ◽

Sleep Disturbances ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Major Depressive ◽

Psychiatric Illnesses ◽

Study Results ◽

Spss Software

Sleep disorders are highly prevalent in psychiatric illnesses such as major depressive disorder, bipolar disorder. Early identification of sleep disturbances in these disorders would help us prevent the worsening of the illness further. We conducted a study regarding the sleep disturbances among patients admitted with a diagnosis of mood disorder using a questionnaire –Pittsburgh Sleep Quality Index. The details of the patients were collected by means of a semi structured proforma. We analysed the results statistically using SPSS software version 19.The results revealed an equivocal distribution of sleep disturbances in mood disorder. Sleep disturbances prevail in spite of being on medications. Thus our study results emphasize that equally poor sleep quality exists among all mood disorder inpatients irrespective of their diagnostic status. Hence treating the sleep disturbances in these patients will enhance their quality of life.

Download Full-text