scholarly journals The relationshipof the quality of sleep in patients with stage 5 chronickidney disease, treated with hemodialysis, with melatonin-producing function

Author(s):  
V. Ye. Кondratiuk ◽  
A. S. Petrova

The researcheddemonstrated the relationship between functional state of the pineal gland and sleepdeterioration. However, impaired melatonin-producing function of the pineal gland (MFE) in patients with chronic kidney disease (CKD), treated with hemodialysis (HD), and its association with sleep disturbance in this cohort of patients required further investigations.Aim — to assess the quality of sleepin patients with stage 5 CKD treated with HD and investigate itsrelationship with the pineal dysfunction.Materials and methods. Examinations involved 130 patients (50 % of men) with stage 5 CKD, treated with hemodialysis, with the mean age 58.5 [43; 66]. The day and night melatoninlevels (MT) in saliva were determined and based on the results the patients were divided into two groups: group I — 110 patients with impaired MFE, group II — 20 patients with normal MFE. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. All patients underwent clinical and laboratory tests: general and biochemical blood tests, office blood pressure (BP) measurements, Holter blood pressure monitoring.Results. Analysis of the insomniastructure in patients with stage 5 CKD, treated with HD, according to the PSQI questionnaire, demonstrated the problems with falling asleep in 96.2 % of patients, feeling of heat in 56.8 %, frequent awakenings in 52.9 %, daytime dysfunction in 40.8 %, breathing problems in 40.5 %, sleep problems due to coughing or snoring in 37.8 %, having bad dreams in 18.9 %, the use of sleeping meds in 8 % of patients. The total PSQI score in patients with impaired MFE was higher by 71.4 % (p < 0.001) compared to the value obtained in the group with preserved pineal gland function, demonstrating the effects of MFE on sleep quality.The component of «sleep delay» and «sleep duration» in patients with pineal gland dysfunction was 66.7 % higher than in the group with preserved MFE (p < 0.001). Comparative analysis of the number of minutes required for patients to fall asleep in the study groups demonstrateda greater sleep delay in HD-treated patients with impaired MFE. From them, the majority of subjects (71.8 %) needed more than 60 minutes to fall asleep, while in the group with preserved MFE such patients were not identified (p < 0.05). The number of patients with the period of falling asleep of 31 to 60 minutes in the group with pineal gland dysfunction was 30 % less than in patients with preserved MFE (p < 0.05). The number of patients in whom it took 16—30 minutes to fall asleep in the group with preserved MFE was 92.5 % (p < 0.05) more than in patients with pineal gland dysfunction, and patientswith the period of falling asleep of less than 15 minutes was by 62 % higher than patients with impaired MFE (p < 0.05). The decreased sleep duration was established in all patients treated with HD, however the most worsening of the sleep quality was revealed in the groupof MFE disorders. Thus, thenumber of patients with sleep duration < 5 hourswas by 90.8 % (р < 0.05) higher in the groupof impairedMFEvs group with the preserved MFE, with sleep duration of 5—6 hours by 81.7 % (р < 0.05), the number of subjects with duration of 6—7 hours by 76.4 % lower (р < 0.05), and those who slept > 7 hours by 84.0 % (р < 0.05).Conclusions. Patients with stage 5 CKD, treated with HD, were characterized with combination of MFE impairment (84.6 %) with poor sleep quality (86.2 %), including problems withfalling asleep, felling hot, frequent waking up, and daytime dysfunction. The low quality of sleep was determined bylow melatonin levels in saliva, the presence of hypoalbuminemia and arterial hypertension, hypertension duration and HDtreatment

Author(s):  
David Band ◽  
◽  
Tyson L. Muungo ◽  
Nason Lambwe ◽  
◽  
...  

Poor sleep plays an important role in the prevalence of hypertension. It increases the prevalence rate to 60%. The night-time dosing of blood pressure-lowering drugs has yielded positive results. Scholars have rarely investigated the relationship between night-time dosing of diuretics and the quality of sleep. The study aimed at evaluating the quality and duration of sleep while on night-time dosing of diuretics and determine the commonly used blood pressure-lowering medication at University Teaching Hospital. The study was a Prospective Cohort Study with 12 weeks of follow-up. The sample consisted of 46 patients with hypertension and on a diuretic, 25 of whom were taking their medication in the evening at 10 PM (study group), and 18 were in the 10 AM dosing schedule as a control. Overall, 43 were included in the analysis. Baseline and follow-up at 2, 8 and 12 Sleep quality and duration, and blood pressure level were available for 43 (93.5%) individuals. The study recruited more women (76.1%) and the majority were on hydrochlorothiazide and amiloride combination (65.2%). The 10 PM dosing showed better quality of sleep and duration, and blood pressure-lowering as the follow-up continued with a p-value of less than 0.05 for Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS), and for the blood pressure-lowering at 12 weeks. The study showed beneficial effects of 10 PM dosing of diuretics in hypertensive patients and the diuretic effect does not affect the quality and duration of sleep. Further, 10 PM dosing lowers the blood pressure significantly compared with 10 AM.


2018 ◽  
Vol 6 (1) ◽  
pp. 25
Author(s):  
Wahid Nur Alfi ◽  
Roni Yuliwar

ABSTRAKWHO memperkirakan pada tahun 2020 Penyakit Tidak Menular (PTM) akan menyebabkan 73% kematian dan 60% seluruh kesakitan di dunia (WHO, 2013). Penyakit hipertensi di Indonesia banyak diderita oleh perempuan dengan persentase sebesar 28,8% dan sering tidak menunjukkan gejala serta baru disadari setelah menyebabkan gangguan organ. National Heart, Lung, and Blood Institut dari United States Department of Health and Human Services menginformasikan bahwa kurang tidur atau kualitas tidur yang buruk meningkatkan risiko tekanan darah tinggi, penyakit jantung, dan penyakit lainnya. Penelitian ini bertujuan untuk mengetahui hubungan kualitas tidur dengan tekanan darah pasien hipertensi di Puskesmas Mojolangu Kota Malang. Jenis penelitian ini adalah observasional analitik dengan desain penelitian cross sectional. Populasi dalam penelitian ini adalah seluruh pasien hipertensi di Puskesmas Mojolangu. Penelitian ini menggunakan total populasi dan tidak ada pengambilan sampel. Besar sampel diperoleh berdasarkan periode waktu dan diperoleh besar sampel sejumlah 30 dengan menetapkan beberapa kriteria inklusi dan eksklusi. Variabel dependennya yaitu tekanan darah dan variabel independennya adalah kualitas tidur. Analisis data menggunakan uji koefisien kontingensi. Hasil penelitian menunjukkan mayoritas responden dengan tekanan darah tidak normal sebanyak 53,3% berjenis kelamin perempuan, 43,3% berada dalam kelompok umur 41-60 tahun, 66,7% dengan kualitas tidur buruk. Ada hubungan antara kualitas tidur dengan tekanan darah pada pasien hipertensi dengan kuat hubungan 0,649. Kesimpulan penelitian, sebagian besar responden yang memiliki kualitas tidur buruk akan memiliki kenaikan tekanan darah, sehingga perlu dilakukan penyuluhan dan pendampingan pada penderita hipertensi.Kata Kunci: kualitas tidur, tekanan darah, pasien hipertensi ABSTRACT WHO estimate that, in 2020 non-communicable disease causes of death 73% and 60% of all morbidity in the world (WHO, 2013). In Indonesia, hypertension is suffered by women with 28.8% and often shows no symptoms, only realized after causing organ disorders. The National Heart, Lung, and Blood Institute of the United States Department of Health and Human Services informs that less sleep or poor sleep quality increases the risk of high blood pressure, heart disease and other diseases. This study aims to determine the relationship between the quality of sleep with blood pressure in hypertensive patients in Mojolangu Public Health Center, Malang. The type of this research is observational analytic with cross sectional design. Population in this research is all patient of hypertension in Mojolangu Public Health Center. This study uses total population. The sample size is generated based on the time period and a sample size of 30 is obtained by specifying some inclusion and exclusion criteria. The dependent variable is blood pressure and the independent variable is sleep quality. Analizing data by coeficient contingency. The result of this research are respondents with abnormal blood pressure were 53.3% female, 43.3% were in the 41-60 years old, 66.7% with poor sleep quality. There is a relationship between the quality of sleep with blood pressure in hypertensive patients with a strong relationship (0.649). The  conclusion is respondents who have poor quality of sleep have an increase in blood pressure, so there are needs to be counseling and menthoring for hypertensive patients.Keywords: quality of sleep, blood pressure, hypertension patient


Author(s):  
Xuan Dung Ho

TÓM TẮT Giới thiệu: Các rối loạn về giấc ngủ: khó khăn khi đi vào giấc ngủ, duy trì giấc ngủ, chất lượng giấc ngủ kém, dậy sớm và ngủ ban ngày quá nhiều mà bệnh nhân ung thư phải trải qua thường xuyên nhưng thường hay bị bỏ sót và chưa được chú ý đến. Mục tiêu: Đánh giá chất lượng giấc ngủ và tìm hiểu các yếu tố liên quan đến chất lượng giấc ngủ ở bệnh nhân ung thư đang được điều trị tại bệnh viện trường đại học Y dược Huế. Phương pháp nghiên cứu: Phương pháp nghiên cứu cắt ngang trên 104 bệnh nhân ung thư tại Khoa Ung Bướu, bệnh viện trường Đại học Y dược Huế. Sử dụng thang đo PSQI và PHQ-ADS để đánh giá chất lượng giấc ngủ, và tình trạng trầm cảm lo âu ở bệnh nhân ung thư. Phân tích hồi quy đa biến tuyến tính dùng để kiểm định mối tương quan giữa chất lượng giấc ngủ và các yếu tố liên quan. Kết quả: Đối tượng nghiên cứu có độ tuổi trung bình 59,6 ± 11,7. Điểm PSQI trung bình chất lượng giấc ngủ là 10,6 ± 5,2. Phần lớn bệnh nhân có chất lượng giấc ngủ kém (79,8%); trong đó, 50% bệnh nhân gặp trở ngại lớn để đi vào giấc ngủ, có đến 46,2% chỉ ngủ được 5 giờ trong một đêm. Có mối liên quan có ý nghĩa thống kê giữa chất lượng giấc ngủ với giới tính và tình trạng trầm cảm, lo âu (p < 0,05). Kết luận: Bệnh nhân ung thư thường có chất lượng giấc ngủ kém. Điều này cho thấy giấc ngủ của bệnh nhân cần được quan tâm đúng mức và không nên bỏ sót trong quá trình chẩn đoán và điều trị. Từ khóa: Chất lượng giấc ngủ, bệnh nhân ung thư, trầm cảm lo âu. ABSTRACT QUALITY OF SLEEP AND RELATED FACTORS AMONG CANCER PATIENTS IN HUE UNIVERSITY HOSPITAL Introduction: Sleep disorders such as difficulty in falling asleep, maintaining sleep, poor sleep efficiency, early awakening and excessive daytime sleepiness are among the adverse effects that are experienced frequently but they are widely underdiagnosed. Therefore, addressing problems related to sleep among cancer patients could carry out better implications to improve quality of sleep, enhancing treatment outcomes. Aim: To evaluate quality of sleep and to detect associated factors of sleep quality among cancer patients. Methods: The cross-sectional study was conducted among 104 cancer patients treated at the Oncology Department, Hue University of Medicine and Pharmacy hospital. Sleep quality (Pittsburgh Sleep Quality Index), severity of anxiety and depression (Patient Health Questionnaire - Anxiety and Depression Scale) were accessed in the present study. Linear regression analysis was used to investigate the association between sleep quality and its related factors. Results: The mean age of study population was 59.6 ± 11.7. The average PSQI score was 10.6 ± 5.2. 79.8% cancer patients had poor sleep quality (PSQI score > 5). 50% patients had difficulty falling asleep and 46.2% patients reported sleep of < 5 hours per day. There were statistically associations between quality of sleep and gender, depression/anxiety (p < 0.05). Conclusion: The majority of cancer patients had poor sleep quality. This study points out that sleep is of great importance among cancer patients, which should not be neglected during the diagnosis and treatment procedure. Keyword: Quality of sleep, cancer patient, depression, anxiety.


Author(s):  
Mai Nguyen Phuong

TÓM TẮT Giới thiệu: Các rối loạn về giấc ngủ: khó khăn khi đi vào giấc ngủ, duy trì giấc ngủ, chất lượng giấc ngủ kém, dậy sớm và ngủ ban ngày quá nhiều mà bệnh nhân ung thư phải trải qua thường xuyên nhưng thường hay bị bỏ sót và chưa được chú ý đến. Mục tiêu: Đánh giá chất lượng giấc ngủ và tìm hiểu các yếu tố liên quan đến chất lượng giấc ngủ ở bệnh nhân ung thư đang được điều trị tại bệnh viện trường đại học Y dược Huế. Phương pháp nghiên cứu: Phương pháp nghiên cứu cắt ngang trên 104 bệnh nhân ung thư tại Khoa Ung Bướu, bệnh viện trường Đại học Y dược Huế. Sử dụng thang đo PSQI và PHQ-ADS để đánh giá chất lượng giấc ngủ, và tình trạng trầm cảm lo âu ở bệnh nhân ung thư. Phân tích hồi quy đa biến tuyến tính dùng để kiểm định mối tương quan giữa chất lượng giấc ngủ và các yếu tố liên quan. Kết quả: Đối tượng nghiên cứu có độ tuổi trung bình 59,6 ± 11,7. Điểm PSQI trung bình chất lượng giấc ngủ là 10,6 ± 5,2. Phần lớn bệnh nhân có chất lượng giấc ngủ kém (79,8%); trong đó, 50% bệnh nhân gặp trở ngại lớn để đi vào giấc ngủ, có đến 46,2% chỉ ngủ được 5 giờ trong một đêm. Có mối liên quan có ý nghĩa thống kê giữa chất lượng giấc ngủ với giới tính và tình trạng trầm cảm, lo âu (p < 0,05). Kết luận: Bệnh nhân ung thư thường có chất lượng giấc ngủ kém. Điều này cho thấy giấc ngủ của bệnh nhân cần được quan tâm đúng mức và không nên bỏ sót trong quá trình chẩn đoán và điều trị. Từ khóa: Chất lượng giấc ngủ, bệnh nhân ung thư, trầm cảm lo âu. ABSTRACT QUALITY OF SLEEP AND RELATED FACTORS AMONG CANCER PATIENTS IN HUE UNIVERSITY HOSPITAL Introduction: Sleep disorders such as difficulty in falling asleep, maintaining sleep, poor sleep efficiency, early awakening and excessive daytime sleepiness are among the adverse effects that are experienced frequently but they are widely underdiagnosed. Therefore, addressing problems related to sleep among cancer patients could carry out better implications to improve quality of sleep, enhancing treatment outcomes. Aim: To evaluate quality of sleep and to detect associated factors of sleep quality among cancer patients. Methods: The cross-sectional study was conducted among 104 cancer patients treated at the Oncology Department, Hue University of Medicine and Pharmacy hospital. Sleep quality (Pittsburgh Sleep Quality Index), severity of anxiety and depression (Patient Health Questionnaire - Anxiety and Depression Scale) were accessed in the present study. Linear regression analysis was used to investigate the association between sleep quality and its related factors. Results: The mean age of study population was 59.6 ± 11.7. The average PSQI score was 10.6 ± 5.2. 79.8% cancer patients had poor sleep quality (PSQI score > 5). 50% patients had difficulty falling asleep and 46.2% patients reported sleep of < 5 hours per day. There were statistically associations between quality of sleep and gender, depression/anxiety (p < 0.05). Conclusion: The majority of cancer patients had poor sleep quality. This study points out that sleep is of great importance among cancer patients, which should not be neglected during the diagnosis and treatment procedure. Keyword: Quality of sleep, cancer patient, depression, anxiety.


2017 ◽  
Vol 56 (5) ◽  
pp. 272 ◽  
Author(s):  
Arie Taufansyah P. Nasution ◽  
Rafita Ramayati ◽  
Sri Sofyani ◽  
Oke RRna Ramayani ◽  
Rosmayanti Siregar

Background Adolescents with hypertension are at risk of morbidity and mortality due to cardiovascular problems in later life. Hypertension may be influenced by poor quality of sleep, so early detection of hypertension and ensuring good quality of sleep in adolescence is needed.Objective To assess for a possible association between poor sleep quality and hypertension in adolescents.Methods We conducted a cross-sectional study from January to March 2013 in Mustafawiyah Boarding School, Mandailing Natal, North Sumatera. Subjects’ quality of sleep was assessed by the Pittsburgh Sleep Quality Index (PSQI) questionnaire and their systolic and diastolic blood pressures were measured. Quality of sleep was categorized as either good or poor. Blood pressure was categorized as either normotensive or hypertensive. An association between poor sleep quality and hypertension was analyzed by Chi-square test.Results Two hundred forty adolescents participated in this study, of whom 210 (87.5%) subjects were normotensive and 30 (12.5%) subjects were hypertensive. We found higher systolic blood pressure [114.9 (SD 11.7) vs. 109.5 (SD 10.5) mmHg as well as diastolic blood pressure [74 (SD 9.1) vs. 69.9 (SD 7.5) mmHg in adolescents with poor sleep quality compared to  those with good sleep quality (P=0.001).Conclusion Poor sleep quality is associated with hypertension in adolescents.


2021 ◽  
Vol 9 (1) ◽  
pp. 133-142
Author(s):  
Wening Handayani ◽  
◽  
Mamat Lukman ◽  
Citra Windani Mambang Sari

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.


Author(s):  
Dewi Marfuah ◽  
Hamam Hadi ◽  
Emy Huriyati

ABSTRACT<br /><br />Background: The prevalence of obesity in Indonesia is expected to continue to increase each year. Many factors contribute to obesity, one of which is the duration and quality of sleep. Short sleep duration and poor sleep quality lead to increase energy intake and increase sedentary lifestyle that will have an impact on obesity in children.<br /><br />Objective: To examine the difference in duration and quality of sleep between obese and non-obese children, and to examine whether short sleep duration and poor sleep quality were risk factors of obesity in elementary school children in City of Yogyakarta and Bantul Regency.<br /><br />Methods: This was a case control study. A random sample of 244 obese and 244 grade-matched non-obese elementary school students were selected form a cross-sectional survey previously done in the City of Yogyakarta and Bantul Regency. Information of sleep quality was collected using sleep self report questionnaires, sleep duration using recall of physical activity during the last week, nutrient intakes using a food frequency questionnaires and socio-economic<br />using structured questionnaires. <br /><br />Results: There was a signifi cant relationship between sleep duration and obesity. The odds of being obese was 1.7 (OR=1,74, 95%CI: 1.06-2.84) times higher in children who slept &lt;10 hours/day and those children who slept ≥10 hours/ day. Children with low quality of sleep was 1.9 (OR=1.88, 95% CI:0.95-3.71) times more likely to be obese than children with good quality of sleep. However, the association was not statistically signifi cant.<br /><br />Conclusion: Short sleep duration was associatied with increased odds of being obese in elementary school children. <br /><br />KEYWORDS: sleep duration, sleep quality, obesity, elementary school children.<br /><br />ABSTRAK<br /><br />Latar Belakang: Prevalensi obesitas di Indonesia diperkirakan akan terus meningkat setiap tahunnya. Banyak faktor yang berkontribusi terhadap obesitas, salah satunya adalah durasi dan kualitas tidur. Durasi tidur yang pendek dan kualitas tidur yang buruk menyebabkan peningkatan asupan energi dan peningkatan gaya hidup yang akan berdampak pada obesitas pada anak-anak.<br /><br />Tujuan: Menguji perbedaan durasi dan kualitas tidur antara anak obesitas dan non obesitas, dan apakah durasi tidur yang pendek dan kualitas tidur yang buruk merupakan faktor risiko obesitas pada anak sekolah dasar di Yogyakarta.<br /><br />Metode: Jenis penelitian ini adalah penelitian kasus kontrol. Sampel diambil secara acak sebanyak 244 anak SD obes dan 244 anak SD non-obes yang sebelumnya telah dipilih menggunakan metode cross-sectional yang dilakukan di Kota Yogyakarta dan Kabupaten Bantul. Data kualitas tidur diperoleh menggunakan kuesioner catatan tidur, sedangkan durasi tidur dengan recall aktivitas fi sik selama satu minggu, asupan gizi dengan food frequency questionnaire, dan  sosial ekonomi dengan kuesioner terstruktur.<br /><br />Hasil: Terdapat hubungan yang signifi kan antara durasi tidur dengan obesitas. Anak yang tidur &lt;10 jam/hari kemungkinan mengalami obesitas 1.7 (OR=1,74, 95% CI: 1.06-2.84) kali lebih tinggi dibandingkan yang tidur &gt;10 jam/hari. Anak dengan kualitas tidur yang buruk kemungkinan mengalami obesitas 1.9 (OR=1.88, 95% CI: 0.95-3.71) kali dibandingkan dengan yang kualitas tidurnya baik, namun secara statistik tidak signifi kan.<br /><br />Kesimpulan: Durasi tidur yang pendek berhubungan dengan peningkatan kemungkinan untuk mengalami obesitas pada anak sekolah dasar.<br /><br />KATA KUNCI: durasi tidur, kualitas tidur, obesitas, anak SD


1994 ◽  
Vol 79 (1) ◽  
pp. 287-296 ◽  
Author(s):  
Torbjörn Åkerstedt ◽  
Ken Hume ◽  
David Minors ◽  
Jim Waterhouse

The present experiment used an intraindividual design to investigate the meaning and measurement of “good sleep.” Each of 16 subjects slept in an isolation unit according to a schedule (15 sleeps) designed to give variable quality of sleep. Self-rated sleep measures (from the Karolinska Sleep Diary) were obtained after each sleep and subjected to intraindividual regression analyses across time. Most subjective sleep measures showed a strong covariation across conditions. Subjective quality of sleep mainly involved variables of sleep continuity, in particular, perceived calmness of sleep and sleep efficiency. “Sleep quality,” “calm sleep,” “ease of falling asleep,” and ability to “sleep throughout” the time allotted strongly covaried and formed an index of sleep quality. Self-rated ease of awakening deviated from the general pattern and was associated with poor sleep quality. So was reported dreaming (related to awakenings). It was concluded that most subjective sleep measures tend to covary across conditions and that “good sleep” is mainly a question of sleep continuity.


2017 ◽  
Vol 63 (12) ◽  
pp. 1055-1060 ◽  
Author(s):  
Marcelo Rodrigues Bacci ◽  
Jonathan Naim Mora Emboz ◽  
Beatriz da Costa Aguiar Alves ◽  
Glaucia Luciano da Veiga ◽  
Neif Murad ◽  
...  

Summary Introduction: Obstructive sleep apnea and hypopnea syndrome (OSAHS) is one of the developmental factors of high blood pressure (HBP), a relevant global public health problem. OSAHS is characterized by the reduction or complete cessation of respiratory airflow due to intermittent airway collapse. Additionally, significant changes in sleep rhythm and pattern are observed in these patients. Objective: To evaluate the association between OSAHS and sleep quality in essential and resistant hypertensives. Method: A cross-sectional, observational study evaluated 43 hypertensive patients treated at the outpatient clinics of the Faculdade de Medicina do ABC (FMABC) who were medicated with two or more antihypertensive drugs and divided into nonresistant or resistant to treatment. Results: Group I (using up to two antihypertensive agents – 60.47% of the sample) presented mean systolic blood pressure (SBP) of 127.5±6.4 mmHg, mean diastolic blood pressure (DBP) of 79.6±5.2 mmHg, mean body mass index (BMI) of 27.2±5.3 kg/m2 and mean age of 51.2±15.1 years. Group II (using more than two antihypertensive drugs – 37.2% of the sample) presented mean SBP of 132.1±9.3 mmHg, mean DBP of 84.5±5.8 mmHg, mean BMI of 27.2±7.2 kg/m2 and mean age of 55.5±13.4 years. The patients presented low quality of sleep/sleep disorder evaluated by the Pittsburgh Sleep Quality Index (PSQI), which represents a preponderant factor for OSAHS. Conclusion: Patients at high risk for OSAHS had poor sleep quality and high levels of DBP, suggesting a causal relation between these parameters. However, they did not present a higher prevalence of resistant high blood pressure (RHBP).


2021 ◽  
Author(s):  
Mohammadreza Boostaneh ◽  
Mohammad Zirak ◽  
Ramezan Fallah

Abstract Purpose: This study aimed to assess the burden of care and its relationship with sleep quality of cancer patients’ caregivers.Methods: This descriptive-correlational study was conducted in a referral center of cancer in Zanjan, northwest of Iran. 135 caregivers of cancer patients were recruited through convenience sampling method. The data were collected using a demographic characteristics questionnaire, Novak and Guest’s caregiver burden inventory and Pittsburgh sleep quality index (PSQI). The collected data was analyzed using descriptive and inferential statistics.Results: The mean (± SD) age of the participants was 39.71 (± 10.74) years. The mean (± SD) burden of care and sleep quality of the participants was 45.22 (± 17.75) and 8.88 (± 4.21), respectively. It was found that there is a significant positive relationship between burden of care and quality of sleep scores (r = 0.65, P < 0.001).Conclusion: cancer patients’ caregivers endure a remarkable burden of care and their sleep quality is undesirable. Results indicated that an increase in the burden of care reduces the caregiver’s quality of sleep. High burden of care and poor sleep quality may reduce the quality of the provided care that increase the costs and weakens the disease prognosis. According to the study results, reducing burden of care is an effective strategy regarding improving the caregivers’ quality of sleep that can improve the quality of provided cares by caregivers.


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