scholarly journals Exploring the Effect of Nightly Infusion Pump Alarms on Sleep in the Hospital

2021 ◽  
Author(s):  
Jojanneke AMC van Kooten ◽  
Erik Koomen ◽  
Kees P. van de Ven ◽  
Mit Patel ◽  
Martine van Grotel ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Sleep Disturbances ◽  
Infusion Pump ◽  
Sleep Onset ◽  
Future Research ◽  
Sleep Quantity ◽  
Children And Parents ◽  
Pediatric Cancer Patients ◽  
Daytime Impairment ◽  
Sleep Satisfaction

Abstract Purpose Optimal sleep helps parents and children cope with life-threatening disease. However, hospital-surroundings are noisy, negatively affecting sleep quality and quantity. We aimed to determine sleep quantity; sleep satisfaction; their relation to infusionpump alarms in pediatric cancer patients and parents; and sleep quality and daytime impairment in parents. Methods Patients (2–18 years), admitted for scheduled anti-cancer therapy were eligible, as were inrooming parents. Frequency and duration of nightly infusion pump alarms were recorded. Patients and parents wore an accelerometer to assess sleep quantity (sleep efficiency, wake after sleep onset, night awakenings), additionally daily sleep satisfaction was assessed. Parents filled out questionnaires on sleep quality (PROMIS Sleep Disturbance, Insomnia Severity Index) and daytime impairment (PROMIS Sleep-Related Impairment, PROMIS Fatigue). Sleep quality scores were compared to norms. In children and parents the relation between alarms and sleep was assessed using multilevel analyses. Results Nineteen children (age 8.8 ± 4.9 years, 40 nights) and 30 parents (age 41.1 ± 6.3, 46 nights) participated (response 78%). Nightly alarms sounded median 3 times / 6 minutes in parents and 5 times / 10 minutes in children. Parents scored worse than the norm on sleep disturbances (P .01), but not on daytime impairment, 16% experienced clinical insomnia. There was no relation between alarms and sleep quantity or satisfaction for children and parents. Conclusions This explorative study showed that alarms sound frequently at night and parents sleep poorly during admissions. However, sleep of children and parents and alarms were not significantly related here. Future research should identify and improve (other) disrupting factors in the hospital.

scholarly journals Non-pharmacological sleep interventions for pediatric cancer patients and survivors: a systematic review protocol

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Peter L. Stavinoha ◽  
Ineke M. Olsthoorn ◽  
Maria C. Swartz ◽  
Sara Nowakowski ◽  
Stephanie J. Wells ◽  
...  
Keyword(s):  
Systematic Review ◽  
Sleep Quality ◽  
Cancer Patients ◽  
Pediatric Cancer ◽  
Sleep Disturbances ◽  
Sleep Onset ◽  
Standard Of Care ◽  
Sleep Diary ◽  
Pharmacological Interventions ◽  
Pediatric Cancer Patients

Abstract Background Sleep disturbances constitute a common complication in pediatric cancer patients and survivors and are frequently severe enough to warrant treatment. Suboptimal sleep has been associated with decreased emotional well-being and cognitive functioning and increased behavioral problems. Standardized guidelines for non-pharmacological sleep interventions for adults with cancer exist, but no standard of care intervention or standard guidelines are available to guide such intervention in pediatric cancer patients and survivors. Therefore, effective behavioral interventions for improving sleep quality need to be identified. The objective of the review is to evaluate the effect of non-pharmacological sleep interventions on sleep quality in pediatric cancer patients and survivors. Methods The review will consider studies that include children and adolescents between 0 and 18 years diagnosed with cancer or who have a history of cancer who have non-respiratory sleep disturbance. We will include experimental and quasi-experimental studies evaluating non-pharmacological interventions such as psychological interventions, technical/device interventions, interventions targeting physical activity, and complementary and alternative medicine interventions (e.g., yoga, massage, music). Interventions involving medications, ingestible supplements, products purported to work through absorption, and medical devices will be excluded. Primary outcome will be sleep quality as measured by methods including retrospective ratings, daily sleep diary, and validated questionnaires. Secondary outcomes will include total sleep time, sleep onset latency, wake after sleep onset, daytime sleepiness, and daytime sleep duration (naps) as measured by retrospective ratings, daily sleep diary, validated questionnaires, and/or actigraphy. Databases will include MEDLINE (Ovid), EMBASE (Ovid), Cochrane Library, CINAHL (Ebsco), and PsycINFO (Ovid) and will be queried from database inception to present. Two reviewers will independently screen all citations, full-text articles, and extract data. The study methodological quality will be assessed using Joanna Briggs Institute (JBI) critical appraisal tools. Data will be extracted and findings pooled and synthesized using a meta-aggregation approach via the JBI System for the Unified Management, Assessment, and Review of Information (SUMARI). If feasible, we will conduct random effects meta-analysis. Additional analyses will be conducted to explore the potential sources of heterogeneity (e.g., methodological quality, study design, outcome measures). Discussion This systematic review will synthesize and consolidate evidence on existing non-pharmacological interventions to improve sleep in pediatric cancer patients and survivors. Findings may help inform practitioners working with pediatric cancer patients and survivors experiencing sleep disturbances and is intended to identify gaps and opportunities to improve methodical quality of further non-pharmacological sleep intervention research in this population toward developing an eventual standard of care. Systematic review registration PROSPERO CRD42020200397.

scholarly journals Millennials’ Sleep and Unethical Behavior: Testing the Relationship between Sleep and Academic Dishonesty of Millennials in a Korean University

2020 ◽  
Vol 12 (9) ◽  
pp. 3902
Author(s):  
Seongwook Ha
Keyword(s):  
Sleep Quality ◽  
Academic Dishonesty ◽  
Unethical Behavior ◽  
Sleep Onset ◽  
Ego Depletion ◽  
Future Research ◽  
Sleep Quantity ◽  
Unethical Behaviors ◽  
The Impact ◽  
Negative Relationships

This study empirically examined the impact of sleep quantity and sleep quality on academic dishonesty as a kind of unethical behavior with a sample of 237 millennials in a Korean university. Sleep quantity was calculated by subtracting bedtime, sleep latency, and wake after sleep onset (WASO) from wake-up time. Sleep quality was measured with the Insomnia Scale developed by Jenkins et al. (1988), and all items are reverse coded. Plagiarism and attitudes toward academic dishonesty (ATAD) were selected as unethical behaviors of millennials at the university. The results of this study are as follows: (1) sleep quantity and sleep quality have negative relationships with ego depletion; (2) ego depletion has no significant relationship with plagiarism or ATAD; (3) sleep quantity has no relationship with plagiarism or ATAD; (4) sleep quality has negative relationships with plagiarism and ATAD; (5) all four indirect effects of sleep quantity and sleep quality on plagiarism and ATAD through ego depletion are not significant. Based on the results, theoretical and practical implications are discussed, and the limitations of this study and recommendations for future research are provided.

142 Prenatal Sleep Quality and Infant Sleep: A Longitudinal Study

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A58-A59
Author(s):  
Rebecca Burdayron ◽  
Marie-Helene Pennestri ◽  
Elizabeth Keys ◽  
Lianne Tomfohr-Madsen ◽  
Gerald Giesbrecht
Keyword(s):  
Sleep Quality ◽  
Sleep Duration ◽  
Gestational Age ◽  
Sleep Onset ◽  
Depression Scale ◽  
Future Research ◽  
Poor Sleep ◽  
Infant Sleep ◽  
Maternal Sleep ◽  
Sleep Parameters

Abstract Introduction Poor sleep quality is common during pregnancy and can increase the risk of adverse obstetric and fetal outcomes. Existing research on the association between prenatal sleep and infant sleep is scarce and has focused on other aspects of prenatal sleep such as sleep duration, chronotype, and insomnia symptoms. To our knowledge, no studies have examined the association between prenatal sleep quality and infant sleep outcomes. Thus, this study aimed to investigate whether maternal sleep quality during pregnancy was prospectively associated with infant sleep dimensions, independent of relevant covariates. Methods Participants were a subset of 272 mother-infant dyads enrolled in an ongoing cohort study. Maternal prenatal sleep quality was assessed with the Pittsburgh Sleep Quality Index (PSQI) in early to mid- (M gestational age = 15.12 ± 3.56 weeks) and late- (M gestational age = 32.44 ± 0.99 weeks) pregnancy. Mothers completed the Brief Infant Sleep Questionnaire (BISQ) at 3, 6, and 12 months postpartum. The following infant sleep parameters were assessed: sleep duration (day, night, 24-hour), number of night awakenings, and wake after sleep onset. Prenatal depressive symptoms were assessed with the Edinburgh Postnatal Depression Scale (EPDS) at both pregnancy time points. Other covariates included maternal age at enrollment, infant age, parity, and co-sleeping status. Results Generalized estimating equations (GEE) models revealed that poorer maternal sleep quality during early-to-mid pregnancy did not significantly predict infant sleep parameters after adjustment for covariates (p > .05). However, in late pregnancy, poorer maternal sleep quality significantly predicted shorter 24-hour sleep duration and longer wake after sleep onset, but not daytime sleep duration, nighttime sleep duration, and number of night awakenings (p < .05). Conclusion Study findings advance our understanding of the prospective link between maternal prenatal sleep quality and infant sleep. Results indicate that maternal sleep quality during late gestation may play a role in the development of infant sleep patterns. These findings have important implications for intervention efforts targeting maternal sleep quality during pregnancy. Future research should use objective measures of sleep, such as actigraphy, to better elucidate the effects of prenatal sleep quality on infant sleep outcomes. Support (if any) The Canadian Institutes of Health Research (CIHR)

Sleep

2017 ◽  
Author(s):  
Victor G. Carrión ◽  
John A. Turner ◽  
Carl F. Weems
Keyword(s):  
Sleep Quality ◽  
Traumatic Stress ◽  
Sleep Disturbances ◽  
Negative Impact ◽  
Objective Assessment ◽  
Brain Structures ◽  
Future Research ◽  
Specific Symptoms ◽  
The Brain ◽  
Underlying Pathology

The architecture of healthy sleep rests upon a network of several interacting neurochemical systems, an arrangement that is easily disrupted by the experience of traumatic stress. As a result, sleep may be among the most susceptible of behaviors to have a negative impact as a result of trauma. Sleep disturbances, or “parasomnias,” such as nightmares, sleepwalking, and insomnia are one of the most prominent hallmarks of PTSD, and the study of these sleep-specific symptoms can provide a window into the underlying pathology of the disorder. The current chapter reviews the preclinical animal literature that has informed our understanding of the brain structures that are involved in the development of these parasomnias. In reviewing adult and child studies of disrupted sleep in PTSD, a distinction is made between the subjective and objective assessment of sleep quality, with a call made for an emphasis on objective measurements in future research.

scholarly journals Sleep Among Long-Term Care Residents in China: A Narrative Review of Literature

2016 ◽  
Vol 27 (1) ◽  
pp. 35-60 ◽  
Author(s):  
Junxin Li ◽  
Binbin Yang ◽  
Miranda Varrasse ◽  
Kun Li
Keyword(s):  
Sleep Quality ◽  
Sleep Disturbances ◽  
Long Term Care ◽  
Light Therapy ◽  
Future Research ◽  
Poor Sleep ◽  
Sleep Research ◽  
Cross Sectional ◽  
Term Care

The objective of this study is to synthesize and evaluate the current body of sleep research among long-term care (LTC) residents in China and provide insights for future research. Systematic searches identified 15 studies that examined sleep in LTC residents in China. Sleep disturbances and poor sleep quality were prevalent in Chinese LTC residents. Eight cross-sectional studies reported that demographics, comorbidities, lifestyle, and environment were associated with sleep quality in Chinese LTC residents. Seven intervention studies, including exercise, traditional Chinese medicine, light therapy, and behavioral interventions resulted in improved sleep quality. Only subjective sleep measures were used in all 15 studies. Some methodological issues were identified in studies, especially those conducted in Mainland China. Sleep research in LTC residents in China is still at the beginning stages. Future studies should consider more rigorous designs and objective sleep measures, and develop target interventions based on factors associated with sleep disturbances.

scholarly journals Sleep Patterns of Resident Physicians and the Effect of Heartfulness Meditation

2021 ◽  
pp. 097275312110390
Author(s):  
Jayaram Thimmapuram ◽  
Robert Pargament ◽  
Sonya Del Tredici ◽  
Theodore Bell ◽  
Deborah Yommer ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Sleep Onset ◽  
Onset Time ◽  
Assessment Tools ◽  
Sleep Diary ◽  
Poor Sleep ◽  
Sleep Patterns ◽  
Sleep Quantity ◽  
Resident Physicians ◽  
Improve Sleep Quality

Background: Medical residents are vulnerable to poor sleep quality due to intense work shifts and academic load. Studies objectively quantified with sleep quantity and quality among resident physicians are limited. Meditation techniques have been shown to improve sleep but are rarely studied in this population. The aim of the present study is to evaluate sleep patterns of internal medicine residents and the effect of a structured Heartfulness meditation program to improve sleep quality. Methods: A total of 36 residents participated in a pre–post cohort study from January 2019 through April 2019. Sleep was monitored during a one-week outpatient rotation with two validated assessment tools, namely consensus sleep diary and actigraphy. After four intervening weeks, when the residents returned to the same rotation, Heartfulness meditation was practiced and the same parameters were measured. At the end of the study period, an anonymous qualitative feedback survey was collected to assess the feasibility of the intervention. Results: All 36 residents participated in the study (mean age 31.09 years, SD 4.87); 34 residents (94.4%) had complete pre–post data. Consensus sleep diary data showed decreased sleep onset time from 21.03 to 14.84 min ( P = .01); sleep quality and restfulness scores increased from 3.32 to 3.89 and 3.08 to 3.54, respectively ( P < .001 for both). Actigraphy showed a change in sleep onset time from 20.9 min to 14.5 min ( P = .003). Sleep efficiency improved from 83.5% to 85.6% ( P = .019). Wakefulness after initial sleep onset changed from 38.8 to 39.9 min ( P = .682). Sleep fragmentation index and the number of awakenings decreased from 6.16 to 5.46 ( P = .004) and 41.71 to 36.37 ( P = .013), respectively. Conclusions: Residents obtained nearly 7 h of sleep during outpatient rotation. Findings suggest a structured Heartfulness meditation practice to be a feasible program to improve subjective sleep onset time and several objective measures among resident physicians.

scholarly journals Actigraphic and Self-reported Sleep in Traffic Accident Victims

2021 ◽  
pp. 1-6
Author(s):  
V. Renner ◽  
M. Keller ◽  
M. Beuth ◽  
W.T. Roth ◽  
K. Petrowski
Keyword(s):  
Sleep Quality ◽  
Traffic Accident ◽  
Sleep Disturbances ◽  
Sleep Onset ◽  
Group Differences ◽  
Sleep State ◽  
Subjective Sleep Quality ◽  
Sleep Log ◽  
Healthy Participants

Background: Some accident victims report poorer sleep during the months after the trauma, which may double the risk for and is a mediator of the development of a PTSD. Furthermore, subjective and objective sleep measures are often discrepant in PTSD-patients, which is why a ‘sleep state misperception’ of PTSD patients is often hypothesized. Objective: The goal of this study is to assess differences in sleep quality in victims of a traffic accident compared to healthy participants without an accident history as well as differences between objective and subjective sleep quality measures. Methods: We recruited 25 hospitalized accident victims within ten days of an accident and 31 age and sex-matched controls without an accident history. Three months later, participants were given a structured clinical interview (SCID), they completed the Pittsburg Sleep Quality Index (PSQI) for the previous two weeks, wore a wrist actigraph, and kept a sleep log for two consecutive nights. Results: At the three-month follow-up, none of the victims met the criteria for any kind of mental disorder, but scored higher on the Posttraumatic Diagnostic Scale. On the PSQI they reported slightly worse sleep than controls for the previous two weeks, although sleep log and actigraphy measures on the two recording nights showed no group differences. Actigraphy measures showed shorter sleep onset latencies compared to log measures. Conclusions: The accident victims suffered only minimal sleep disturbances three months later. The assumption of a ‘sleep state misperception’ in traffic accident victims is questioned by these results.

Association between night-shift work, sleep quality and metabolic syndrome

2018 ◽  
Vol 75 (10) ◽  
pp. 716-723 ◽  
Author(s):  
Yin Cheng Lim ◽  
Victor C W Hoe ◽  
Azlan Darus ◽  
Nirmala Bhoo-Pathy
Keyword(s):  
Metabolic Syndrome ◽  
Sleep Quality ◽  
Shift Work ◽  
Sleep Disturbances ◽  
Night Shift ◽  
Future Research ◽  
Global Score ◽  
Early Screening ◽  
Shift Workers ◽  
Night Shift Work

ObjectivesOccupational factors, particularly night-shift work, are attracting growing interest as a possible determinant of metabolic syndrome (MetS). This study aimed to determine the association between night-shift work and MetS, and assess whether sleep quality is a mediating factor.MethodsA cross-sectional study was conducted among Malaysian manufacturing workers, aged 40–65 years old. They completed a self-administered questionnaire on sociodemographics, lifestyle and family history, and the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Waist circumference, blood pressure, fasting blood sugar, triglycerides and high-density lipoprotein levels were measured. Baron and Kenny’s method, Sobel test and multiple mediation models with bootstrapping were used to determine whether the PSQI global score or its components mediated the association between night-shift work and MetS.ResultsOf the 494 participants, 177 (36%) worked night shift and 51% were men. The prevalence of MetS was 37%. Night-shift work was independently associated with a twofold increase in the risk of MetS (adjusted OR: 1.92, 95% CI 1.24 to 2.97). However, the association between night-shift work and MetS did not appear to be modified by sex. Night-shift workers also reported significantly poorer sleep quality, longer sleep latency, shorter sleep duration, sleep disturbances and daytime dysfunction. Robust mediation analysis nonetheless showed that neither PSQI global score nor its components mediated the association between night-shift work and MetS.ConclusionEarly screening and management of MetS and the development of programmes to improve sleep quality should be carried out among night-shift workers. Future research should investigate other modifiable mediators linking night-shift work and MetS.

scholarly journals Insomnia among Medical and Paramedical Students in Jordan: Impact on Academic Performance

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Mohammad Alqudah ◽  
Samar A. M. Balousha ◽  
Othman Al-Shboul ◽  
Ahmed Al-Dwairi ◽  
Mahmoud A. Alfaqih ◽  
...  
Keyword(s):  
College Students ◽  
Academic Performance ◽  
Sleep Quality ◽  
Sleep Disturbances ◽  
Age Groups ◽  
Deep Understanding ◽  
Social Consequences ◽  
Future Research ◽  
Cross Sectional ◽  
Grade Point

Background. Insomnia is a problem that is common in all societies and age groups. However, its importance is increasing between students especially with the highly competitive and demanding environment surrounding them even after their graduation. In spite of the deep understanding of its health and social consequences, the frequency of insomnia among medical students in Jordan was not determined. Aim. To determine the prevalence of sleep disturbances among college students and to look for any association between sleep disturbances and students’ academic achievement. Methods. This is a cross-sectional self-administered questionnaire-based study. The participants were college students of the medical and paramedical specialties. Insomnia Severity Index (ISI) was used and the academic performance was assessed using students’ Cumulative Grade Point Average (CGPA). Results. There were 977 responses. Prevalence of clinical insomnia was 26.0%. Students who self-reported good sleep quality had significantly lower ISI scores compared with those who self-reported bad quality of sleep. Students who slept >7 hours had significantly less ISI scores than students who slept <6 hours. Students who had a CGPA more than or equal to 3 had significantly lower ISI scores compared with those who had a CGPA less than 2.5. Self-reported sleep quality was associated with the CGPA. Conclusion. A high prevalence of insomnia was found in this group of students. Academic performance was significantly associated with ISI scores and self-reported sleep quality. These results might be useful for future research into the development of interventional strategies to help students get enough sleep quality and quantity.

scholarly journals 0866 A Comparison Of Resting Cerebral Blood Flow And Sleep Quality In Older Adults

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A330-A330
Author(s):  
C C Hays ◽  
E A Almklov ◽  
H J Orff ◽  
C E Wierenga
Keyword(s):  
Older Adults ◽  
Blood Flow ◽  
Cerebral Blood Flow ◽  
Sleep Quality ◽  
Sleep Disturbances ◽  
Future Research ◽  
Aging Brain ◽  
Time Interval ◽  
Poor Sleep ◽  
Increased Risk

Abstract Introduction Sleep disturbances have been linked to a variety of health-related consequences, including clinically significant cognitive alterations. Older adults represent a particularly vulnerable population given that advanced age is associated with an increased risk for both sleep disorders, such as insomnia, and cognitive decline. Examining the relationship between resting cerebral blood flow (rCBF) and sleep quality in older adults will better our understanding of the neurophysiologic implications of poor sleep in aging adults. Methods Thirty-three cognitively normal older adults (15 males) between the ages of 65-85 (mean age=73) were administered the Pittsburg Sleep Quality Index (PSQI) and underwent assessment of rCBF using arterial spin labeling (ASL). Those who scored above 5 on the PSQI were defined as poor sleepers (n=17) and those who scored 5 or below were defined as good sleepers (n=16). Groups were then compared on voxel-wise whole-brain rCBF using independent samples t-tests statistically adjusting for age, sex, and the time interval between neuroimaging and sleep assessment. Results Compared to good sleepers, poor sleepers exhibited higher rCBF within bilateral thalamus and the left precuneus and lower rCBF within the left putamen (all ps&lt;.01, uncorrected). Conclusion In this preliminary investigation, poor sleepers exhibited a differential pattern of rCBF in several brain regions, including those involved in consciousness and other important cognitive abilities such as attention. Future research is needed to determine the short- and long-term implications of poor sleep on the aging brain. Support U.S. Department of Veterans Affairs Clinical Sciences Research and Development Service Merit Award 5I01CX000565 (CEW) & VA Rehabilitation Research & Development - Career Development Award - RX001512-01A2 (HJO)

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