scholarly journals Excessive daytime sleepiness and its determinants: do they have a pattern with study semesters among postgraduate medical resident doctors?

2017 ◽  
Vol 5 (1) ◽  
pp. 382
Author(s):  
Siddalingaiah H. S. ◽  
Aditi Chaudhuri ◽  
Chandrakala D. ◽  
Amarjeet Singh
Keyword(s):  
Sleep Quality ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Sleep Problems ◽  
Sleep Hygiene ◽  
Work Hours ◽  
Intervention Package ◽  
Related Factors ◽  
Cross Sectional ◽  
Quality Sleep

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. 

scholarly journals Prevalence and determinants of excessive daytime sleepiness among resident doctors at a tertiary care institution in India

2018 ◽  
Vol 5 (4) ◽  
pp. 1407
Author(s):  
Siddalingaiah H. S. ◽  
David F. Mastin ◽  
Bruce D. Moore ◽  
W. Jeff Bryson ◽  
Chandrakala D. ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Sleep Disorders ◽  
Shift Work ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Tertiary Care ◽  
Sleep Hygiene ◽  
Work Hours ◽  
Medical Residents ◽  
Tertiary Care Institution

Background: Modern socio-occupational settings, especially medical settings, often involve shift work, long work hours, and concomitant maladaptive sleep habits. These factors may result in daytime sleepiness, an increase in the prevalence of sleep disorders, and/or an exacerbation of existing sleep disorders in the contemporary workforce. Aim was to measure the prevalence and determinants of excessive daytime sleepiness (EDS) among medical residents at a Tertiary Care Institution in India.Methods: A cross-sectional study was designed and a list of all enrolled medical residents was obtained (N=430). The eligible subjects (N=428) were interviewed and administered the study instruments. The information on socio-demographics and sleep-related factors were collected using the sleep assessment proforma. The Epworth sleepiness scale (ESS) was used to measure excessive daytime sleepiness (EDS) and the sleep hygiene index (SHI) was used to measure sleep hygiene. Data were analyzed with appropriate statistical methods.Results: A total of 350 residents responded (82%). The prevalence of EDS and Maladaptive sleep hygiene were 47.4% and 85.5% respectively. A positive association was found between EDS and weekly work hours, SHI score, sleep duration, sleep quality, midnight awakenings, clinical stream, and rotating shift work. Coffee intake and smoking within 4 hours of bedtime, restless legs and allergies had weak association with EDS.Conclusions: EDS and unhygienic sleep were highly prevalent among resident doctors. The factors associated with EDS were mainly related to work, sleep quantity, sleep quality and sleep hygiene which are amenable to suitable modifications by behavioural change communications, awareness programs and by administrative actions. 

Sleep disturbance in relatives of palliative patients cared for at home

2012 ◽  
Vol 10 (3) ◽  
pp. 165-170 ◽  
Author(s):  
Maria E. Carlsson
Keyword(s):  
Sleep Quality ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Sleep Problems ◽  
General Pattern ◽  
Severity Index ◽  
Poor Sleep ◽  
Cross Sectional ◽  
The Mean ◽  
At Home

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.

scholarly journals Sleep quality, sleep habits, and chronotypes of medical interns at the beginning of their training

2017 ◽  
Vol 5 (20) ◽  
pp. 4 ◽  
Author(s):  
Chok Limsuwat ◽  
Pantaree Aswanetmanee ◽  
Mustafa Awili ◽  
Ahmed Raziuddin ◽  
Supat Thammasitboon
Keyword(s):  
Sleep Quality ◽  
Sleep Problems ◽  
Sleep Hygiene ◽  
Cross Sectional Study ◽  
Poor Sleep ◽  
Sleep Habits ◽  
Cross Sectional ◽  
Resident Work ◽  
Quality Sleep ◽  
Work Hour

Introduction: Despite the implementation of resident work hour regulations, studieshave not consistently shown beneficial changes in residents’ sleep quality or duration. Wehypothesized that inter-individual sleep-related differences may exist prior to training and thepre-existing sleep health and habits may impact training.Objective: To determine interns’ baseline sleep quality, sleep hygiene, chronotypes, andtheir correlates at the beginning of their residency training program.Methods: A cross-sectional study using an anonymous “Resident Sleep Survey” includedbaseline demographic information and questionnaires, including the Epworth SleepinessScale (ESS), the Pittsburgh’s Sleep Quality Index (PSQI), the Morningness-EveningnessQuestionnaire (MEQ), and the Sleep Hygiene Index (SHI).Results: One hundred and twenty-nine subjects participated the study; 45.7 % (n=59)were male and 18.6 % (n=24) were married. Twenty percent of interns had an ESS >10. ThePSQI revealed that 28% of interns had poor sleep hygiene. The mean sleep efficiency was91.2 ±7.4% estimated from the PSQI. Non-married interns had a lower prevalence of morningchronotypes (22.3% vs. 45.8%, p=0.02). Morning chronotype interns had a lower ESS score(6.1 ±3.1 vs. 7.6 ±3.6, p=0.03) and a lower SHI (29 ±7.0 vs. 34.3 ±7.1, p=0.003).Conclusion: About a quarter of interns had poor sleep quality and excessive daytimesleepiness prior to their training. Non-morning chronotype interns appeared to have moredaytime sleepiness and poorer sleep quality. Since pre-existing sleep problems may adverselyaffect learning, we suggest that strategies to improve sleep hygiene and quality in this specificpopulation should be emphasized early in their training.

Excessive daytime sleepiness and sleep quality in medical students and their association with smartphone and internet addiction: A cross-sectional study

2021 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
AnantprakashSiddharthkumar Saraf ◽  
HarshalShriram Sathe ◽  
Manoj Talapalliwar ◽  
Vrushti Patil ◽  
Vinay Kumar ◽  
...  
Keyword(s):  
Medical Students ◽  
Sleep Quality ◽  
Internet Addiction ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals The relationship between sleep hygiene and sleep quality among residents of an elderly care institution in DKI Jakarta

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Mutia Annisa ◽  
Dwi Nurviyandari Kusuma Wati
Keyword(s):  
Sleep Quality ◽  
Sleep Problems ◽  
Elderly Care ◽  
Sleep Hygiene ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Cross Sectional ◽  
Cross Sectional Design ◽  
The Relationship ◽  
Purposive Sample

<p class="AbstractContent"><strong>Objective:</strong> Elderly are at risk of poor slepp quality and other health problems due to reduced sleep satisfaction. The objective of this study was to explore the association between sleep hygiene and sleep quality in elderly.</p><p class="AbstractContent"><strong>Methods: </strong>This was a descriptive study with cross sectional design. The study was conducted in four elderly care institutions in Jakarta, Indonesia, involving a purposive sample of 103 elderly aged 60 to 111 years old. Data were collected using Sleep Hygiene Index (SHI) and Pittsburgh Sleep Quality Index (PSQI).</p><p class="AbstractContent"><strong>Results:</strong> Over half of the residents had poor sleep hygiene (51.5%) and more than three quarter (81.6%) had poor sleep quality. The study revealed that there was a highly significant relationship between sleep hygiene and sleep quality (p = 0.001). The study also showed that those with poor sleep hygiene were 7.834 times more likely to have poor sleep quality.<strong></strong></p><p class="AbstractContent"><strong>Conclusion: </strong>Nurses need to include interventions that may address residents’ sleep problems. They also need to promote sleep hygiene and improve residents’ sleep quality.<strong></strong></p><strong>Keywords: </strong>elderly, institution, sleep hygiene, sleep quality

scholarly journals Hubungan kualitas tidur dengan excessive daytime sleepiness pada pekerja bergilir

2019 ◽  
Vol 2 (4) ◽  
pp. 144-148
Author(s):  
Luthfi Aziz ◽  
Adi Hidayat
Keyword(s):  
Sleep Quality ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Epworth Sleepiness Scale ◽  
Quality Index ◽  
Pittsburgh Sleep Quality Index ◽  
Cross Sectional ◽  
Shift Workers

LATAR BELAKANGPekerja bergilir (shift workers) banyak dijumpai pada masyarakat industri dan mempunyai efek yang negatif terhadap kualitas tidur. Excessive daytime sleepiness (EDS) adalah gejala dari gangguan tidur berupa rasa kantuk pada siang hari yang berlebihan hingga mengganggu aktivitas. Gejala ini dapat menimbulkan dampak merugikan bagi pekerja dan perusahaan. Kualitas tidur, kerja shift, gaya hidup, usia dan jenis kelamin merupakan faktor risiko dari EDS. Seorang pekerja bergilir yang mengalami EDS memiliki risiko kecelakaan kerja yang tinggi. Penelitian ini dilakukan dengan tujuan untuk menentukan hubungan antara kualitas tidur dan EDS pada pekerja bergilir. METODEStudi ini menggunakan desain cross-sectional dengan jumlah subjek penelitian sebanyak 57 pekerja bergilir. Pengumpulan data mengenai usia dan jenis kelamin dilakukan dengan menggunakan kuesioner. Kualitas tidur diukur dengan kuesioner Pittsburgh sleep quality index (PSQI) dan Excessive daytime sleepiness (EDS) diukur dengan Epworth sleepiness scale (ESS). Data dianalisis menggunakan uji korelasi Spearman dan uji Mann Whitney. HASILHasil uji normalitas menunjukkan data yang dikumpulkan tidak tersebar secara normal. Nilai median subjek pekerja besarnya 27 tahun dan sebagian besar subjek adalah laki-laki sebanyak 44 (77.1%) orang.Tidak didapatkan perbedaan yang bermakna antara jenis kelamin dan EDS (p=0.396). Didapatkan hubungan yang sedang dan bermakna antara kualitas tidur dan EDS (r=0.545; 0=0.000). Usia subjek tidak berhubungan secara bermakna dengan EDS (r=0.124; p=0.359). KESIMPULANPenelitian ini menunjukkan hubungan bermakna antara kualitas tidur dan excessive daytime sleepiness pada pekerja, tetapi tidak terdapat perbedaan nilai median EDS antara laki-laki dan perempuan.

scholarly journals Qualidade do sono e sonolência diurna em estudantes universitários: prevalência e associação com determinantes sociais

2021 ◽  
Vol 45 (2) ◽  
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
Keyword(s):  
University Students ◽  
Sleep Quality ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Cross Sectional Study ◽  
Determinants Of Health ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Cross Sectional ◽  
The University

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.

scholarly journals Excessive Daytime Sleepiness, Sleep Hygiene, and Work Hours Among Medical Residents in India

2012 ◽  
Vol 2 ◽  
Author(s):  
David F. Mastin ◽  
H. S. Siddalingaiah ◽  
Amarjeet Singh ◽  
Vivek Lal
Keyword(s):  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Treatment Strategies ◽  
Sleep Hygiene ◽  
Work Hours ◽  
Junior Resident ◽  
Hygiene Practices ◽  
Resident Physicians ◽  
The Government ◽  
The Relationship

The purpose of this study was to examine the relationship between sleep hygiene, excessive daytime sleepiness and work hours among resident physicians in Chandigarh, India. Data were collected from 350 volunteering junior resident doctors and included sociodemographic variables, excessive daytime sleepiness (EDS) as measured by the Epworth Sleepiness Scale (ESS), sleep hygiene as measured by the Sleep Hygiene Index and hours worked. Almost half of the resident physicians studied reported a problem of EDS and maladaptive sleep hygiene practices. Physicians working more than 80 hours per week and physicians with more maladaptive sleep behaviours were much more likely to report EDS. The authors propose that sleep hygiene and number of hours slept should be considered as EDS prevention and treatment strategies, especially for physicians working less than 80 hours per week. The authors also propose that the most salient intervention for physicians working more than 80 hours per week is one of workplace advocacy, where the government is encouraged to adopt legally binding guidelines as seen in other countries.

scholarly journals Awareness and practice of sleep hygiene among UniKL MBBS students and its association to sleep quality

2019 ◽  
Vol 10 (SPL1) ◽  
Author(s):  
Rehanna Mansor ◽  
Nur Hidayati Nasrudin ◽  
Anis Adila Fahmy Mohd Akmal ◽  
Azmiera Azwa Azizul ◽  
Nur Syahira Khairina Khairuddin
Keyword(s):  
Sleep Quality ◽  
Good Practice ◽  
Sleep Hygiene ◽  
Poor Sleep ◽  
Hygiene Practice ◽  
Poor Sleep Quality ◽  
Cross Sectional ◽  
Quality Sleep ◽  
Improve Sleep Quality ◽  
Hygiene Education

Poor sleep quality is a common problem among medical students and often leads to daytime hypersomnolence and fatigue. Having a good sleep hygiene is considered to be an effective way to improve sleep quality. The purpose of this study is to assess students' sleep hygiene awareness and practices and evaluate their sleep quality. The association of sleep quality with sleep hygiene awareness and practice was also explored. The study was a cross-sectional, self-administered, and questionnaire-based study. A total of 262 UniKL RCMP MBBS students were recruited to complete sleep questionnaires adopted from internationally recognized instruments, like Sleep Hygiene Index (SHI); to assess sleep hygiene and Pittsburgh Sleep Quality Index (PSQI); to assess sleep quality. It was found that more than half of the participants (57.3%) had good knowledge on sleep hygiene. However, most of them (82.4%) had poor sleep hygiene practice. 65.6% of the students were also found to have poor sleep quality. Sleep quality was strongly correlated with sleep hygiene practice (p< 0.01) but not with sleep hygiene knowledge (p> 0.05). Appropriate measures and sleep hygiene education should be emphasized in order to raise awareness on the importance of adopting a good practice of sleep hygiene among the students.

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