scholarly journals Quality of sleep among caregivers of Alzheimer disease patients: cross-sectional study from Saudi Arabia

Author(s):  
Adel Ali Alhazzani ◽  
Mohammed Saeed Alqahtani

Background: Alzheimer’s disease (AD) is the most common cause of dementia and represents a major health burden. Characterized by gradual decline in cognitive function, leading to dependency and changes in behavior and personality. Patients with AD need continuous care, which may affect the caregiver’s quality of life, including sleep quality. The aim of this study was to assess sleep quality among AD patients’ caregivers and its determinants in Aseer region, Saudi Arabia.Methods: A descriptive cross-sectional study was conducted among 110 caregivers of AD patients at Abha Mental Health Hospital. The caregivers’ sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). A global PSQI cutoff value of 5 or higher was considered as indicative of poor sleep quality.Results: Female caregivers’ constituted 53.6% of the sample, and 50% were below the age of 40 years. The majority of the caregivers (64.5%) reported that they had experienced sleep disturbances during past month and 10% needed medication approximately three or more times a week to help them sleep. Almost two-thirds of the caregivers (60%) spent more than 10 hours daily with their patients. Regarding sleep hygiene, 40.9% of the caregivers rated their sleep quality as poor and only 10.9% had good sleep quality.Conclusions: The burden on caregivers of AD patients is considerable and often under-recognized; in particular; most caregivers in the Saudi population were young and of working age. Poor sleep quality affected the caregivers’ day life activities but typically remained undertreated.

Author(s):  
Lubna Farooq ◽  
Akhtar Ali ◽  
Sehrish Mahmood ◽  
Mahnoor Farzand ◽  
Hina Masood ◽  
...  

Introduction:In the era of modern technology mobile phones have becoming popular, especially in teenagers. Besides of its uses there are various undesirable psychological and physical impact on heath. Aims and objectives: The purpose of this study was to access the link among Excessive Use of Smart Phone and there sleep pattern among Pakistani Adolescents. Materials and Methods: A detailed cross sectional study was performed on a total of 500 medical graduates range between 18 and 24 years who were using mobile phone atleast a year. Self-designed Questionnaire is given to them having details of their frequency and pattern of using smart phone. Sleep quality was analyzed by using Pittsburg Sleep Quality index .Chi square test was also perform to check the link between frequency of mobile phone and quality of sleep.P value < 0.005 were considered as significant. Result: Out of 500 participants, the frequency of mobile phone usage was more in males 70% as compare to females30%. Their age varied from 21to 24 with mean age of 20 ± 1.9 years.  Most of students use mobile phone in night 188 (38%)and 202 (40%) participants using mobile phone unlimited. 366 (73%) students mentioned that they start using mobile phone at intermediate level and claimed that no surveillance of the mobile phone being done by the parents . Students who were using unlimited mobile phone reported that they take more than 1 hour to sleep that showed a significant (p-value <0.001) correlation between more mobile phone use and time taken to sleep. Conclusion: The results of our study conclude that excessive mobile phone usage leads to sleep disturbances and poor quality of sleep. That may implement negative effects on student’s mental and physical health along with this it can also affect the students’ educational performance and daily life activities.


2019 ◽  
Vol 10 (1) ◽  
pp. 11
Author(s):  
Andréia Ferreira dos Santos ◽  
Fernanda Carneiro Mussi ◽  
Cláudia Geovana da Silva Pires ◽  
Melissa Almeida Santos Paim ◽  
Fernanda Michelle Santos e Silva ◽  
...  

Objective: To describe the sleep quality of nursing students according to the Pittsburgh Sleep Quality Index.Methods: This is a cross-sectional study conducted with 286 nursing students from a public institution in Salvador, Bahia. Data gathering instruments were applied in classrooms and data were assessed in absolute and relative frequencies, means and standard deviation.Results: The mean age of participants was 23.48 years (SD = 4.421). Most of students were female (90.2%), single with partner (90.9%), afro descendent (87.8%), unemployed (81.5%), total Family income below than four minimum wages (47.2%), enrolled between 6th and 10th  semester (54.5%), attending academic activities in two or three shifts (80.8%). Sample showed poor sleep quality (86.4%), especially due to the sleep duration, sleep disturbances and daytime disfunction.Conclusions: Poor sleep quality was prevalent in the sample, what rises the need of further analysis of the associated factors and interventions to change this reality.


Cephalalgia ◽  
2015 ◽  
Vol 35 (12) ◽  
pp. 1092-1102 ◽  
Author(s):  
Chunfang Qiu ◽  
Ihunnaya O Frederick ◽  
Tanya Sorensen ◽  
Sheena K Aurora ◽  
Bizu Gelaye ◽  
...  

Background Migraine is associated with sleep disturbances in men and non-pregnant women. However, relatively little is known about sleep disturbances among pregnant migraineurs. We investigated sleep disturbances among pregnant women with and without history of migraine. Methods This cross-sectional study was conducted among 1324 women who were recruited during early pregnancy. Migraine diagnoses were based on the International Classification of Headache Disorders-II criteria. The Pittsburgh Sleep Quality Index (PSQI) questionnaire was used to evaluate sleep-related characteristics including sleep duration, sleep quality, excessive daytime sleepiness, and other sleep traits. Multivariable logistic regression procedures were used to estimate adjusted odds ratios (AORs) and 95% confidence intervals (CIs). Results Migraineurs were more likely than non-migraineurs to report short sleep duration (<6.5 hours) (AOR = 1.47, 95% CI 1.07–2.02), poor sleep quality (PSQI>5) (AOR = 1.73, 95% CI 1.35–2.23), and daytime dysfunction due to sleepiness (AOR = 1.51, 95% CI 1.12–2.02). Migraineurs were also more likely than non-migraineurs to report taking sleep medication during pregnancy (AOR = 1.71, 95% CI 1.20–2.42). Associations were generally similar for migraine with or without aura. The odds of sleep disturbances were particularly elevated among pre-pregnancy overweight migraineurs. Conclusion Migraine headache and sleep disturbances are common comorbid conditions among pregnant women.


Author(s):  
Salman Khazaei ◽  
Erfan Ayubi ◽  
Mahdi Khazaei ◽  
Mojtaba Khazaei ◽  
Gita Afrookhteh

Objective: Effective rehabilitation and better quality of life among stroke patients are functions of several factors such as quality and pattern of sleep. The present study aimed to evaluate sleep quality and related determinants in such patients. Method: The present cross-sectional study was performed from October to December 2019 among stroke patients who were admitted to Sina Hospital, Hamadan, Iran. We used the Pittsburgh Sleep Quality Index (PSQI) questionnaire to determine sleep quality in these patients. Significant determinants of the global score of PSQI were identified via multivariable linear regression. Results: A total of 97 stroke patients (age 67±79 years, 55.7% male) were enrolled into the study. Prevalence of poor sleep was 0.84 (95% CI: 0.75, 0.91) in stroke patients. Patients with nervous tension and those with surgical treatment and with Non-hemorrhagic CT scan had a predicted increase of 1.65, 2.91 and 3.25 in the mean of the global PSQI score (P ≤ 0.05), respectively. Conclusion: Nervous tension, treatment method, results of CT scan and cardiac problems may be associated with post-stroke sleep disorder.


BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S43-S43
Author(s):  
Syed Muhammad Jawad Zaidi ◽  
Mehwish Kaneez ◽  
Javeria Awan ◽  
Hamza Waqar Bhatti ◽  
Muhammad Hamza ◽  
...  

AimsDepression is a fairly common finding among end-stage renal disease (ESRD) patients on hemodialysis and is an independent risk factor for morbidity and mortality. The psychiatric manifestations of the disease may affect their compliance to medications and alter sleep quality that is often overlooked by nephrologists. This translates into poor quality of life and poorer disease prognosis. Thus, Our study aims to assess the prevalence of depression and its association with compliance to medical therapy and sleep quality among ESRD patients on hemodialysis.MethodIn this cross-sectional study, a total of 288 hemodialysis patients with a confirmed diagnosis of ESRD were evaluated for depression using Patient Health Questionnaire-9 (PHQ-9) scale. Only the patients with moderate to severe depressive symptoms on PHQ-9 were further evaluated for sleep quality and compliance to medications using the Pittsburgh Sleep Quality Index (PSQI) and Drug Attitude Inventory-10 (DAI-10) respectively. The characteristics of ESRD patients with depression were also assessed. Median PHQ-9, DAI-10, and PSQI scores were calculated and the correlation between study variables was assessed using spearman's correlation.ResultOf the 288 included participants, 188 (65.27%) had depression as evaluated via PHQ-9. Of these 188 patients, 114 were males while 74 were females. A total of 113 (60.01%) of the depressed patients had poor compliance with medication while 137 (72.87%) patients had poor sleep quality. Higher PHQ-9 scores were positively correlated with disease duration, dialysis years, and time between diagnosis and therapy (r = 0.41, 0.39, and 0.43 respectively) and negatively with marital and employment status (r = −0.32 and −0.49 respectively). Spearman's correlation matrix showed that PHQ-9 scores were negatively correlated with DAI-10 but positively correlated with PSQI scores.ConclusionThe study indicates a high prevalence of depression among ESRD patients on hemodialysis. Poor sleep quality and non-adherence to medications are extremely common among ESRD patients with depression. These psychiatric components must be considered to optimize medical treatment and improve the quality of life in this subset of patients.


2021 ◽  
Vol 05 (02) ◽  
pp. 31-40
Author(s):  
Nguyen Nhat Linh Hoang ◽  
◽  
Vuong Diem Khanh Doan ◽  
Thi Dang Thu Nguyen ◽  
Thi Hong Nhi Nguyen

Objectives: Sleep is a normal physiological process of the body. Sleep impacts on many aspects of health and quality of life at all ages. There are many risk factors associated with sleep deprivation or poor sleep quality: physical health problems such as diabetes and cardiovascular disease; mental health issues like depression; traffic and occupational accident. The study was conducted with the aims of understanding the sleep quality situation of youngster aged 16-30 years in Da Nang City, Vietnam, and determining the factors related to the sleep quality of the study participants. Methods: A descriptive cross-sectional study was conducted on adolescents living in Da Nang City, Vietnam. The information was collected by using a structured questionnaire. Multivariate logistic regression analysis was used to identify the risk factors associated with the sleep quality among adolescents. Results: The proportion of the adolescents who suffered from poor sleep quality was 31.1%. The results of multivariate logistic regression analysis indicated that there were the relationships between sleep quality and living in Hoa Vang District; occupations were student, worker, or officer; finishing working/studying time after 7 pm; regularly use and dependent on the internet; having stress; having pressure on study/work, overeating before going to bed, rarely or sometimes staying up late, lying postures were laying up, lie on the left side and other postures; hand posture when sleeping. Conclusion: The proportion of adolescents living in Da Nang City with good sleep quality was not high. The government needs to propagandize and mobilize people, especially young people in terms of the impacts of sleep quality on health, thereby improving sleep quality to help young people in good condition, helping the country and defending the country. Keywords: Sleep quality, adolescents, Da Nang City


Author(s):  
Pablo Jorge-Samitier ◽  
Angela Durante ◽  
Vicente Gea-Caballero ◽  
Isabel Antón-Solanas ◽  
María Teresa Fernández-Rodrigo ◽  
...  

Background: Heart failure is a major problem in western societies. Sleep Disorders maintain a bidirectional relationship with heart failure, as shown by studies conducted in other countries. This study aims to describe the quality of sleep in Spanish patients with heart failure. Materials and methods: We carried out a cross-sectional study to analyze the quality of sleep in a sample of 203 patients with a diagnosis of heart failure admitted to an Internal Medicine Service. The Pittsburg Sleep Quality Index (PSQI) was used to evaluate sleep quality in our sample over a one-month period. Results: 75% of the sample presented sleep disorders. The most common problems included the interruption of sleep (73.5% nocturia and 30% breathing difficulties); 35% had poor sleep efficiency; 33% showed a decrease in daytime performance; 84% had used hypnotics at some point to induce sleep and 35% used them regularly. Conclusions: This is the first study to report on the perceived sleep quality of patients with heart failure in Spain. Self-perception of sleep quality differed from that estimated by the PSQI. The prevalence of the use of sleep-inducing medication was very high. The diurnal dysfunction generated by sleep disorders in a heart failure environment can contribute to the development of self-care and cognitive deterioration problems.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hongyan Wang ◽  
Xiaoling Dai ◽  
Zichuan Yao ◽  
Xianqing Zhu ◽  
Yunzhong Jiang ◽  
...  

Abstract Introduction To explore the prevalence of depressive symptoms and the associated risk factors in frontline nurses under COVID-19 pandemic. Methods This cross-sectional study was conducted from February 20, 2020 to March 20, 2020 and involved 562 frontline nurses. The effective response rate was 87.68%. After propensity score matched, there were 498 participants left. Extensive characteristics, including demographics, dietary habits, life-related factors, work-related factors, and psychological factors were collected based on a self-reported questionnaire. Specific scales measured the levels of sleep quality, physical activity, depressive symptoms, perceived organization support and psychological capital. Adjusted odds ratios and 95% confidence intervals were determined by binary paired logistic regression. Results Of the nurses enrolled in the study, 50.90% had depressive symptoms. Three independent risk factors were identified: poor sleep quality (OR = 1.608, 95% CI: 1.384–1.896), lower optimism of psychological capital (OR = 0.879, 95% CI: 0.805–0.960) and no visiting friend constantly (OR = 0.513, 95% CI: 0.286–0.920). Conclusions This study revealed a considerable high prevalence of depressive symptoms in frontline nurses during the COVID-19 outbreak, and identified three risk factors, which were poor sleep quality, lower optimism of psychological capital, and no visiting friend constantly. Protecting mental health of nurses is important for COVID-19 pandemic control and their wellbeing. These findings enrich the existing theoretical model of depression and demonstrated a critical need for additional strategies that could address the mental health in frontline nurses for policymakers.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Li Ran ◽  
Qi Chen ◽  
Jingyi Zhang ◽  
Xinlong Tu ◽  
Xiaodong Tan ◽  
...  

AbstractHypertension (HTN) and osteoarthritis (OA) are frequent in middle-aged and elderly people, and the co-occurrence of these two diseases is common. However, the pathogenesis of the multimorbidity of both diseases and the relation with sleep quality, hyperlipemia, and hyperglycemia is unclear. We conducted a cross-sectional study to make sense of the multimorbidity of HTN and OA and the relation with sleep quality, hyperlipemia, and hyperglycemia. The relation between sleep quality and OA and its joint effect with hyperlipemia or hyperglycemia was evaluated with logistic regression models. The additive interaction was assessed with the relative excess risk due to interaction (REEI), the attributable proportion (AP), and the synergy index (S). According to this research in a remote rural area, approximately 34.2% of HTN patients are accompanied with OA and 49.1% are suffering poor sleep. Both hyperlipemia/hyperglycemia and sleep quality were related to OA prevalence with crude ORs of 1.43 (95% CI 1.014–2.029) and 1.89 (95% CI 1.411–2.519, P < 0.001) respectively. An observed additive effect was found greater than the sum of the effects of sleep quality and hyperlipemia/hyperglycemia posed on OA prevalence alone. This additive interaction was observed in females (OR = 3.19, 95% CI 1.945–5.237) as well as males ≥ 65 years old (OR = 2.78, 95% CI 1.693–4.557), with RERI, AP, and S significant. Therefore, poor sleep and hyperlipemia/hyperglycemia are associated with OA, and further studies on the additive interaction among females and males ≥ 65 are warranted.


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