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

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

UI Proceedings on Health and Medicine ◽

10.7454/uiphm.v4i1.258 ◽

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

Objective: 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.Methods: 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).Results: 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.Conclusion: Nurses need to include interventions that may address residents’ sleep problems. They also need to promote sleep hygiene and improve residents’ sleep quality.Keywords: elderly, institution, sleep hygiene, sleep quality

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175 Household and Transnational Caregiving and Sleep in Latinx Adults: The modifying effects of employment status

SLEEP ◽

10.1093/sleep/zsab072.174 ◽

2021 ◽

Vol 44 (Supplement_2) ◽

pp. A71-A71

Author(s):

Luciana Giorgio ◽

Carmela Alcantara

Keyword(s):

New York ◽

Sleep Quality ◽

Sleep Duration ◽

Employment Status ◽

Poor Sleep ◽

Moderating Effects ◽

Poor Sleep Quality ◽

Cross Sectional ◽

Quality Sleep ◽

And Gender

Abstract Introduction Although caregiving is associated with shorter sleep durations and worse sleep quality, particularly among employed individuals, these studies have mostly examined household (i.e., child, adult) and domestic caregiving among majority non-Latinx White samples. Sending remittances, a form of transnational caregiving whereby financial support is provided to relatives in one’s country of origin, is associated with positive mental health among Latinxs, yet its association with sleep remains unexamined. We examined the association of household and transnational caregiving with sleep duration and quality, and explored the moderating effects of employment status on these relationships. Methods Using cross-sectional data of healthy Latinx adults in New York City (N=188), we conducted separate age and gender-adjusted linear regressions or logistic regressions to examine the association of caregiving and sleep duration, and poor sleep quality, respectively. Sleep duration (continuous) and sleep quality (fairly/very poor) were measured using two items from the PSQI. Household caregiving was defined as caregiving for children or adults in the household. Transnational caregiving was operationalized as sending remittances. Moderation was tested using employment status*caregiving cross-products in adjusted models. Results Participants were Mage=37.61(SD=14.07), 71.3% employed, 66.5% female, and 59.6% immigrants. Overall, 14.9% were household caregivers and 28.72% sent remittances. Household caregiving was not significantly associated with sleep duration or quality. Those who sent remittances reported on average sleeping 27.63 minutes less than non-remitters (b=-27.63,SE=13.93,p<0.05). Sending remittances was associated with 2.30 increased odds of reporting poor sleep quality (OR:2.30; 95%CI:1.03-5.14.) Employment status was a significant moderator (p<0.05). Among those who were employed, sending remittances was associated with 3 times higher odds of poor sleep quality (OR:3.00;95%CI:1.46-10.59) and 48.94 fewer minutes of sleep duration than non-remitters (b=-48.94,SE=15.72,p<0.05). These relationships were not observed among unemployed Latinxs. Conclusion Transnational caregivers were more likely to report shorter sleep duration and poorer sleep quality than their counterparts, and this was only observed among employed vs. unemployed Latinxs. Household caregiving was not significantly associated with sleep. Employed transnational caregivers may have multiple jobs that further constrain opportunities for longer and high-quality sleep. Future studies should examine potential upstream factors (e.g., working conditions) that may limit employed, transnational caregivers’ ability to obtain adequate sleep. Support (if any):

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362 Efficacy of Sleep hygiene advices for individuals with poor sleep quality

SLEEP ◽

10.1093/sleep/zsab072.361 ◽

2021 ◽

Vol 44 (Supplement_2) ◽

pp. A144-A144

Author(s):

Saumy Johnson ◽

Dr Sami Al Abdulkareem

Keyword(s):

Sleep Quality ◽

Quality Index ◽

Sleep Hygiene ◽

Poor Sleep ◽

Hygiene Practice ◽

Snowball Sampling ◽

Poor Sleep Quality ◽

Post Intervention ◽

Post Test ◽

A Prospective Study

Abstract Introduction Though sleep hygiene practice is a promising approach to individuals with poor sleep quality, less research has been done in different ethnic population regarding the effect of sleep hygiene in individuals with poor sleep quality. Aim: To investigate the efficacy of sleep hygiene among individuals with poor sleep quality Methods Methodology: This was a prospective study of 250 participants from different ethnic populations using the Pittsburgh Sleep Quality Index (PSQI). Sleep hygiene advices were given online to the individuals with poor sleep quality (PSQI > 5). Post- test of PSQI score was done after 8 weeks following the Sleep hygiene practices. Survey was done online through google forms and the score was calculated and the level pf sleep quality was sent to the participants (good or poor). A cut of value of PSQI 5 was taken in to consideration. .Questionnaire was sent to participants through snowball sampling. Results Results There were 250 participants in this study and the sleep quality index was found to be significantly different (p<0.001) between pre- and post-intervention (Sleep hygiene advice). Age was 30.21±10.70 (mean ± SD) years and there were 157 (63%) females and 93 (37%) males. There were participants from 16 countries, majority responses from India, Saudi and Philippines. PSQI was 8.58 ± 2.49 before the sleep hygiene advice and 5.74± 1.86 post sleep hygiene practice. There was a significant improvement in the sleep quality. Significant correlation was seen between global PSQI score and the 7 components of the PSQI scoring. Conclusion: Conclusion Sleep hygiene can help in improving the sleep quality of individuals with poor sleep quality Support (if any):

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Association between anxiety and sleep quality in the General Surgery residents of Udayana University

Journal of Clinical and Cultural Psychiatry ◽

10.36444/v1i1.006 ◽

2020 ◽

Vol 1 (1) ◽

pp. 5-8

Author(s):

Ida Bagus Gede Wisnu Wardhana ◽

Luh Nyoman Alit Aryani ◽

I Gusti Ayu Endah Ardjana ◽

Cokorda Bagus Jaya Lesmana ◽

Wayan Westa ◽

...

Keyword(s):

Sleep Quality ◽

Night Shift ◽

Individual Performance ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

Chi Square Test ◽

Improve Sleep Quality

Background: Sleep quality not only affects physical health but also on individual performance. Anxiety is thought to associate with poor sleep quality. This study aims to determine the association between anxiety and sleep quality in surgery residents of Faculty of Medicine, Udayana University. Methods: The subjects of the study were 48 surgery residents of Faculty of Medicine of Udayana University. The study used a cross sectional analytical method. Measurement of anxiety using the Beck Anxiety Inventory (BAI) and sleep quality questionnaire using the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed descriptively and used the chi square test with significance level p <0.05. Results: The results showed that 33.3% of surgery residents of Faculty of Medicine of Udayana University had anxiety and most had poor sleep quality (87.5%). There is an association between anxiety and sleep quality in surgery residents of Faculty of Medicine of Udayana University with PR 3.0 (95% CI 0,9-9,1; p <0.005). Conclusion: This study shows that there is a significant relationship between anxiety and sleep quality where surgery residents of Faculty of Medicine of Udayana University with anxiety 3 times at risk of developing poor sleep quality than those without anxiety. Therefore it is necessary to manage anxiety as well as the arrangement of night shift to improve sleep quality.

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Effect of sleep quality on academic performance of undergraduate University level students

Journal of Shifa Tameer-e-Millat University ◽

10.32593/jstmu/vol4.iss2.155 ◽

2021 ◽

Vol 4 (2) ◽

pp. 95-99

Author(s):

Urooj Rafi ◽

Saira Jahan ◽

Wardah Ajaz Qazi ◽

Summyia Siddique ◽

Nadia Ahmed Bukhari

Keyword(s):

Academic Performance ◽

Sleep Quality ◽

Sampling Technique ◽

Cross Sectional Study ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Cross Sectional ◽

Quality Sleep ◽

Study Population ◽

University Level

Introduction: emory processing and learning are enhanced by adequate, high-quality sleep of the appropriate duration. It aids memory processing, executive cognitive functioning and concentration. Academic performance of university students suffers as a result of poorer sleep quality. Objectives: To determine the effect of sleep quality on academic performance of undergraduate university level students. Methodology: This is analytical cross-sectional study and non-probability purposive sampling technique was used. The study population comprised a total 300 students, out of which 50 students were not completed the questionnaire. A total of 250 students, 113 male and 137 female students were participated in this study. A structured questionnaire was circulated among bachelor-level students of different universities in blinded from August 2018 to December 2018. The questionnaire was based on Pittsburgh Sleep Quality Index along with other relevant data about the students’ age, gender, and discipline of study, respective semester and grades (CGPA or percentage total). The data obtained was analyzed using SPSS 21. Results: Majority of the students had moderately poor sleep quality (Global PSQI score=5). The 17.6% of subjects scored 5 in PSQI and 14.8% of subjects scored 6 in PSQI. However, the students who scored high CGPA (>3.5) had better sleep quality as compared to those who got CGPA <3.5. Conclusion: Majority of the students having poor sleep quality and their grades might be affected. Furthermore, the students who attaining good CGPA (>3.5) had on an average good sleep quality.

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

The Southwest Respiratory and Critical Care Chronicles ◽

10.12746/swrccc.v5i20.408 ◽

2017 ◽

Vol 5 (20) ◽

pp. 4 ◽

Cited By ~ 1

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.

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Sleep quality among medical students in Moradabad, Uttar Pradesh, India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20195866 ◽

2019 ◽

Vol 7 (1) ◽

pp. 274

Author(s):

Neha Goyal ◽

Sudhir Kumar Gupta

Keyword(s):

Medical Students ◽

Sleep Quality ◽

Statistical Tests ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Cross Sectional ◽

Quality Scale ◽

Falling Asleep ◽

Medical Undergraduate ◽

Quality Sleep

Background: Good quality sleep is necessary for overall health. Especially medical students are more prone to have sleep difficulties and with this context present study was done to assess the sleep quality among medical undergraduate students.Methods: This cross-sectional study was conducted among undergraduate students of a medical college in Moradabad, during April to May 2019. Assessment of sleep quality was done by means of self-administered questionnaire based on sleep quality scale. Data was analysed with help of SPSSv21 and statistical tests used were Welch t-test, Chi square test and logistic regression analysis.Results: Mean age of all 149 students was 20.99±0.91 years and mean sleep quality score of all students was 37.90±9.73. Overall 29.53% students had poor sleep quality scores. 8.7% students always have difficulty in falling asleep and 32.9% students were rarely satisfied with their sleep. Poor sleep quality has not been found to be significantly associated with age, gender, BMI and level of physical activity.Conclusions: Sleep quality vary considerably among medical students and approximately one third of medical students had poor sleep quality. Sleep quality scale used has been found reliable.

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A cross sectional study to assess the sleep hygiene among the post graduates of KIMS, Hubballi

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20191399 ◽

2019 ◽

Vol 6 (4) ◽

pp. 1645

Author(s):

Geeta V. Bathija ◽

Sushma H. R.

Keyword(s):

Medical Students ◽

Sleep Quality ◽

Psychological Health ◽

Sleep Hygiene ◽

Cross Sectional Study ◽

Poor Sleep ◽

Sectional Study ◽

Poor Sleep Quality ◽

Cross Sectional ◽

Attention Performance

Background: Problems related to sleep and poor sleep quality are important issues for medical students. Poor sleep quality is a stressing and worrying condition that can contribute to the risk factors of medical errors being made, adverse events and attention failure which has an impact on individual’s health, hence the objective of this study was to assess the sleep hygiene among post graduate medical students of KIMS, Hubballi.Methods: A cross sectional study consisting of 260 post graduates of all departments of 1st, 2nd and 3rd year were chosen by convenient sampling method. A semi-structured questionnaire which included socio-demographic data, data to assess sleep quality by Pittsburgh sleep quality index, attention performance by EPSS scale, psychological health by self reported questionnaire 20 and data regarding factors affecting sleep. Data were entered in MS excel and analysed using SPSS software version 21.0 and suitable statistical tests were applied.Results: Our study included 122 male and 138 female post graduates, it was found that sleep quality was better among males. Excessive daytime sleepiness indicating sleep loss, was assessed by using EPSS questionnaire, which showed that in our study that 63.1% have normal attention performance. Score >17 on EPSS was 4.2% which shows that it has a negative impact on sleep hygiene.Conclusions: Poor sleep hygiene may be associated with poor sleep quality and excessive day time sleepiness. Stress and regular exercise were highly associated with sleep quality, the junior post graduates have significantly poor sleep quality than the senior post graduates.

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Magnitude and correlates of sleep quality among undergraduate medical students in Ethiopia: cross –sectional study

Sleep Science and Practice ◽

10.1186/s41606-021-00058-2 ◽

2021 ◽

Vol 5 (1) ◽

Author(s):

Tirusew Wondie ◽

Alemayehu Molla ◽

Haregewoin Mulat ◽

Woynabeba Damene ◽

Mengistu Bekele ◽

...

Keyword(s):

Medical Students ◽

Sleep Quality ◽

Sleep Hygiene ◽

Cross Sectional Study ◽

Poor Sleep ◽

Quality Of Sleep ◽

Undergraduate Medical Students ◽

Poor Sleep Quality ◽

Cross Sectional

Abstract Purpose Poor quality of sleep has a negative effect on academic performance of medical students. Quantity and quality of sleep in addition to average sleep time are strongly linked with students’ learning abilities, poor academic performance and poor interpersonal relationship which predispose them to mental illnesses. This study is aimed to assess magnitude and correlates of sleep quality among medical students in Ethiopia. Method An institutional based cross-sectional study was conducted among 576 undergraduate medical students. Data was collected by using interviewer administered structured questionnaires. Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality. The collected data were entered in to Epi-data version 3.1and analyzed using SPSS version 20. Logistic regression was used to identify the potential determinants of quality of sleep among undergraduate medical students. P-values less than 0.05 were considered statistically significant and strength of the association was presented by adjusted odds ratio with 95% C.I. Result The prevalence of poor sleep quality among undergraduate medical students was 62% (95%CI, 57.9, 65.3). The mean age (±SD) of the respondents was 21.5(±2.4), with age ranging from 18 to 28 and about 310 (53.8%) were males. Factors like, being depressed (AOR = 1.92,95%CI 1.16,3.19), poor social support (AOR = 5.39,95%CI 2.33,2.49), being stressed (AOR = 2.04,95%CI 1.26,3.31), and poor sleep hygiene (AOR = 3.01,95%CI 1.75,5.18) were associated with poor sleep quality at p-value < 0.05. Findings also showed that, one unit increase in grade point average was associated with 81.5% decrease (AOR = 0.185, 95%CI 0.13, 0.28) in poor sleep quality. Conclusion A substantial proportion of medical students are affected by poor sleep quality. Routine screening of sleep quality, sleep hygiene, depression and stress is warranted. Moreover, it is better to educating medical students about proper sleep hygiene and the consequences of poor sleep.

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Association of severity of depressive symptoms with sleep quality, social support and stress among Pakistani medical and dental students: A cross-sectional study

Global Psychiatry ◽

10.2478/gp-2019-0019 ◽

2019 ◽

Vol 2 (2) ◽

pp. 211-220

Author(s):

Ahmed Waqas ◽

Aqsa Iftikhar ◽

Zahra Malik ◽

Kapil Kiran Aedma ◽

Hafsa Meraj ◽

...

Keyword(s):

Social Support ◽

Depressive Symptoms ◽

Medical Students ◽

Sleep Quality ◽

Severe Depression ◽

Dental Students ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Cross Sectional ◽

Medical And Dental Students

AbstractObjectivesThis study has been designed to elucidate the prevalence of stress, depression and poor sleep among medical students in a Pakistani medical school. There is a paucity of data on social support among medical students in Pakistan; an important predictor of depressive symptoms. Therefore, this study was also aimed to demonstrate the direct and indirect impact of social support in alleviating depressive symptoms in the study sample.MethodsThis observational cross-sectional study was conducted in Lahore, Pakistan, where a total of 400 students at a medical school were approached between 1st January to 31st March 2018 to participate in the study. The study sample comprised of medical and dental students enrolled at a privately financed Pakistani medical and dental school. The participants responded to a self-administered survey comprising of five parts: a) demographics, b) Pittsburgh Sleep Quality Index (PSQI), c) Patient Health Questionnaire-9 (PHQ-9), d) Multidimensional Scale of Perceived Social Support (MSPSS) and e) Perceived Stress Scale-4 (PSS-4). All data were analysed using SPSS v. 20. Linear regression analysis was used to reveal the predictors of depression.ResultsIn total, 353 medical students participated, yielding a response rate of 88.25%. Overall, poor sleep quality was experienced by 205 (58.1%) students. Mild to severe depression was reported by 83% of the respondents: mild depression by 104 (29.5%), moderate depression by 104 (29.5%), moderately severe depression by 54 (15.3%) and severe depression by 31 (8.8%) respondents. Subjective sleep quality, sleep latency, daytime dysfunction and stress levels were significantly associated with depression symptoms. Social support was not significantly associated with depressive symptoms in the regression model (Beta = -0.08, P < 0.09); however, it acted as a significant mediator, reducing the strength of the relationship between depressive symptoms and sleep quality and stress.ConclusionsAccording to our study, a large proportion of healthcare (medical and dental) students were found to be suffering from mild to moderate depression and experienced poor sleep quality. It is concluded that social support is an important variable in predicting depressive symptomatology by ameliorating the effects of poor sleep quality and high stress levels.

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