Sleep in Hospitalized Patients

Hospitalized patients frequently have disordered and poor-quality sleep due to a variety of both intrinsic and extrinsic factors. These include frequent nighttime intrusions, insomnia related to pain and unfamiliar environments, dark conditions during the day with loss of natural light, and disruption of natural sleep cycle due to illness. Sleep wake disturbances can result in deleterious consequence on physical, emotional and cognitive status, which may impact patient satisfaction, clinical recovery, and hospital length of stay. Despite this, clinicians frequently fail to document sleep disturbances and are generally unaware of best practices to improve sleep quality in the hospital. The purpose of this review is to discuss sleep disturbances in hospitalized patients with a focus on causes of sleep disturbance, effect of poor quality sleep, high risk populations, considerations for surveillance and prevention, as well as pharmacologic and non-pharmacologic options for treatment.

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The critical influence of nocturnal breathing complaints on the quality of sleep after stroke: the Pittsburgh Sleep Quality Index and STOP-BANG

Arquivos de Neuro-Psiquiatria ◽

10.1590/0004-282x20170137 ◽

2017 ◽

Vol 75 (11) ◽

pp. 785-788 ◽

Cited By ~ 1

Author(s):

Giuliano da Paz Oliveira ◽

Eliana Regina Lottemberg Vago ◽

Gilmar Fernandes do Prado ◽

Fernando Morgadinho Santos Coelho

Keyword(s):

Sleep Quality ◽

Quality Index ◽

Sleep Disturbances ◽

Pittsburgh Sleep Quality Index ◽

Poor Quality ◽

Quality Of Sleep ◽

Stroke Patients ◽

Subjective Sleep Quality ◽

Quality Sleep

ABSTRACT In stroke patients particularly, many factors, such as sleep-related respiratory disturbances, can impair sleep. Cheap and easy-to-use tools have been created to identify sleep quality and sleep disturbances in patients after stroke. This study described the scores of the sleep apnea screening questionnaire - STOP-BANG - in patients after a stroke, and correlated the findings with sleep quality measured by the Pittsburgh Sleep Quality Index (PSQI). The scores of the STOP-BANG and PSQI were 4.3 ± 1.8 and 76 ± 3.9, respectively. The STOP-BANG scores were higher in poor sleepers (4.5 ± 1.6 versus 3.5 ± 1.9; p = 0.032). Logistic regression analysis was used to identify predictors of subjective sleep quality (PSQI) and the STOP-BANG as a predictor of poor quality sleep, with a relative risk of 1.6, controlled for age and sex. This study indicated that sleep quality was largely influenced by sleep breathing problems, which were well identified by the STOP-BANG, especially in younger stroke patients.

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THE STUDY WAS CARRIED OUT TO ASSESS QUALITY OF SLEEP AND PERCEIVED SLEEP DISTRACTORS AMONG PATIENTS ADMITTED AT MMIMS&R HOSPITAL MULLANA AMBALA.

10.36106/gjra/2303275 ◽

2021 ◽

pp. 22-26

Author(s):

Prakash Jha ◽

Preeti Anand ◽

Prashant Prashant ◽

Priya Priya ◽

Priyanka Roy ◽

...

Keyword(s):

Sleep Quality ◽

Sampling Technique ◽

Poor Quality ◽

Quality Of Sleep ◽

Early Recovery ◽

Quality Sleep ◽

Duration Of Hospitalization ◽

Education Status ◽

Assess Quality

A good high-quality of sleep and it's have an effect on in daily existence of both the healthful and sick character turns into one of the most important cognizance of problem. Aims: The study aimed to assess the Quality of Sleep and Perceived Sleep Distractors among patients. Methods: Non-Experimental descriptive research design was conducted among 135 patients through convenient sampling technique. Modied Sleep quality Scale and Structured Perceived Sleep Distractors Perfoma was used. Results: Showed (27.4%) of the patients had poor quality of sleep, most of the patients (47.4%) were having fair quality of sleep. Most of the patients (52.6%) were having severe distractions while sleeping, less than half (44.4%) were having moderate level of distractions while sleeping only (3.0%) perceived very severe distraction during hospital stay. There was a moderate positive relationship between Quality of Sleep and Perceived Sleep Distractors NS Score(r=0.113, p=0.19 ). Further the results also indicated that quality of sleep is only associated with Patient admitted in 2 2 (department) (χ = 30.652, p=0.01) whereas perceived sleep distractors is associated with Education status (χ = 17.280, 2 2 p=0.02), Duration of Hospitalization (χ = 45.425, p=0.00), Patient admitted in (department) (χ = 28.066, p=0.03).Conclusion: The study concludes that there is a need to identify factors responsible that hinders good quality sleep among patients admitted in hospital as well as the sleep quality can be enhanced by decreasing the sleep distractors and thus it can be helpful in the early recovery of the patients

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IS POOR QUALITY SLEEP PRESENT IN OLDER ADULTS WITH WORSE SOCIAL AND HEALTH STATUS?

Texto & Contexto - Enfermagem ◽

10.1590/1980-265x-tce-2020-0614 ◽

2021 ◽

Vol 30 ◽

Author(s):

Sonia Gonçalves da Mota ◽

Isabela Thaís Machado de Jesus ◽

Keika Inouye ◽

Marcela Naiara Graciani Fumagale Macedo ◽

Tábatta Renata Pereira de Brito ◽

...

Keyword(s):

Older Adults ◽

Sleep Quality ◽

Sleep Disorders ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Poor Quality ◽

Frailty Phenotype ◽

Cross Sectional ◽

Significance Level ◽

Quality Sleep

ABSTRACT Objective: to analyze the relationship among sleep and sociodemographic aspects, health, frailty, performance in activities of daily living, cognitive performance and depressive symptoms of older residents in the community. Method: a cross-sectional, quantitative study was conducted with 81 older adults residents in the area covered by a Family Health Unit in the city of São Carlos (SP), Brazil. Data collection occurred in 2019, through the application of the following instruments: questionnaire for socioeconomic and health characterization of the older adult, Pittsburgh Sleep Quality Index, Frailty Phenotype proposed by Linda Fried, Mini Mental State Examination, Geriatric Depression Scale, Katz Index and Lawton Scale. Participants were divided into comparative groups according to sleep quality scores. Fisher's exact and Pearson's χ2 were used. A significance level of 5% was adopted. Results: 50.6% of the older adults had poor quality sleep (n=41), followed by 33.3% of older adults with good quality sleep (n=27) and 16.1% had sleep disorders (n=13). There was a relationship between sleep quality and sex (p=0.008), work status (p=0.001), self-assessment of health (p=0.013), falls (p=0.034), pain (p=0.012), frailty level (p=0.026) and the slow gait criterion (p<0.001). Conclusion: there was a higher prevalence of poor quality sleep and sleep disorders in older patients, who do not work outside the home, who evaluated their health as regular or poor, who suffered falls in the last year and who complained of pain, frailty and slow gait.

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LITERATUR REVIEW: TERAPI NON FARMAKOLOGIS UNTUK MENINGKATKAN KUALITAS TIDUR PASIEN DI ICU ATAU CCU

Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) ◽

10.33023/jikep.v7i2.847 ◽

2021 ◽

Vol 7 (2) ◽

pp. 337-343

Author(s):

Rizky Asta Pramestirini ◽

Heny Ekawati ◽

Suhariyati Suhariyati

Keyword(s):

Sleep Quality ◽

Music Therapy ◽

Sleep Disturbances ◽

Quality Measurement ◽

Human Needs ◽

Measurement Tools ◽

Quality Sleep ◽

Improve Sleep Quality ◽

Sound Reduction ◽

Switching Treatment

Abstract Sleep is one of the basic human needs. Good quality sleep can increase the improvement of the disease. Sleep disturbances are common among hospitalized patients in CCU and ICU. The purpose of this literature review is to compare several research results on non-pharmacological therapies (eye masks, earplugs, music therapy, turning off lights, environmental modifications) in improving sleep quality to determine the best nursing action and safe for treating sleep disorders patients. Search articles using the PICO framework in the database; Google Scholar, Ebscho, Science direct, Elseiver, MedLine, CINAHL, PubMed, and ProQuest, limited to the last 10 years; 2011 to 2021, 10 International Journals were obtained. Improved sleep quality can be done in several ways; the use of eye masks, earplugs, music therapy, light and sound reduction, switching treatment schedules outside of bedtime, and combinations. The results of the review show schedules outside of bedtime, and combinations. The results of the review show that the most effective actions applied locally to improve sleep quality are reducing lighting and noise and diverting treatment schedules outside of bedtime because it is easy, safe, and does not cost money. If the intervention has not helped, eye masks, earplugs, and/or music can be offered according to the patient's choice, local culture, and facilities available at the hospital. Further research is needed on patients outside the ICU/CCU with a larger number of samples, different age and condition characteristics, longer treatment duration, and using objective sleep quality measurement tools such as polysomnography.

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Time to think

10.31234/osf.io/9eaqr ◽

2018 ◽

Author(s):

Ray Norbury

Keyword(s):

Mental Health ◽

University Students ◽

Sleep Quality ◽

Online Survey ◽

Poor Quality ◽

Current Evidence ◽

First Year ◽

Poor Sleep ◽

Start Time ◽

Quality Sleep

Poor quality sleep is related to mental health and there is increasing interest in student wellbeing and mental health. The aim of the current study was to evaluate sleep quality, daytime dozing, anxiety proneness, chronotype and preferred start time in a sample of university students. A total of 546 university students (age range, 18-55) from two university located in South East England were included and completed an online survey. Participants’ self-reported age, gender, year and field of study. Sleep quality, anxiety, daytime dozing, coffee/caffeine/tobacco use (coded as binary variables), preferred start time and chronotype were also recorded. Data were analysed using independent samples t¬-tests, chi-square, simple mediation-analyses and Analysis of Variance. Across the entire sample 46% percent of participants rated their sleep as fairly bad or very bad. Poor quality sleep was associated with significantly higher levels of anxiety which was not mediated by chronotype. Poor quality sleep is more prevalent in the first year of university and our sample endorsed a start time for university activities approximately 2 hours later than currently timetabled. The current findings demonstrate that a large proportion of students are chronically sleep deprived, obtaining, on average, less than 7 hours sleep per night on week days and this was more marked in first year students. In addition, we show that poor sleep is associated with increased anxiety. Based on the current evidence the authors suggest a review of current university timetabling and examination scheduling merits immediate consideration by policy makers and educators.

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Study of sleep disturbances in patients with alcohol abuse or dependence

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.1356 ◽

2016 ◽

Vol 33 (S1) ◽

pp. S378-S378

Author(s):

M.D.C. García Mahía ◽

Á. Fernández Quintana

Keyword(s):

Alcohol Abuse ◽

Sleep Quality ◽

Sleep Disorders ◽

Sleep Disturbances ◽

Psychiatric Patients ◽

Poor Quality ◽

Health Clinic ◽

Global Functioning ◽

Subjective Sleep Quality ◽

Sociodemographic Variables

IntroductionPrevious studies inform that psychiatric patients often report problems with their sleep and alcohol increase sleep disturbances.AimsTo analyze the prevalence of sleep disturbances in patients diagnosed of Alcohol Abuse or Dependence and to study clinical and sociodemographic variables associated with sleep disorders.MethodsThe sample is composed of a randomized sample of patients diagnosed of Alcohol Abuse or Dependence following DSM-IV-TR criteria and treated in a Mental Health Clinic in a period of 3 years. Medical records were reviewed. Quality and patterns of sleep were evaluated using the Pittsburg Sleep Quality Index (PSQI) with a cut-off point 5-6.ResultsA total of 102 patients were included in the study, 69% were male and 31% were female. Mean age 39.4 years (SD 9.26).Sleep disorders were found in 91.6% of patients. The most altered subscales in the overall sample were the Use of Sleeping Medication and Sleep Disturbances. Women presented worse sleep quality compared to men (P < 0.01) with higher number of altered subscales. The most altered subscales in women were Subjective Sleep Quality (P < 0.005) and Sleep Disturbances (P < 0.02).Comorbidity with other psychiatric disorders and other clinical and sociodemographic variables are analyzed.ConclusionsSleep disorders have high prevalence in patients with alcohol abuse of dependence, especially in women and patients with other psychiatric comorbidity. Poor quality sleep may have a powerful impact on the global functioning and prognosis of these groups of psychiatric patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Elhízással összefüggő csökkent alvásminőség és nem megfelelő alvásidőtartam két erdélyi roma alcsoportban

Orvosi Hetilap ◽

10.1556/650.2019.31469 ◽

2019 ◽

Vol 160 (32) ◽

pp. 1279-1283

Author(s):

Monica Iudita Maria Szabo ◽

Beáta Máté ◽

Attila Frigy

Keyword(s):

Sleep Quality ◽

Sleep Duration ◽

Population Based ◽

Poor Quality ◽

Poor Sleep ◽

Cross Sectional Survey ◽

Short Sleep Duration ◽

Cross Sectional ◽

Roma Population ◽

Quality Sleep

Abstract: Introduction: Short sleep duration and poor sleep quality may be associated with weight gain; this association has not yet been studied in Roma (Gipsy) population. Aim: Our aim was to study sleep patterns in two adult Roma subgroups (the wealthy Gabor and the poor Lovari Roma), compared to the majority of Hungarian population, in relation to obesity, knowing that Roma population has specific socio-cultural characteristics, with a rapidly changing lifestyle. Method: A population-based cross-sectional survey was conducted in a rural region in Transylvania, where the above groups are cohabiting. The groups were age- and gender-matched. Results: Sleep duration was 7.18 ± 1.6 hours in the Gabor Roma, 7.67 ± 1.5 hours in the Lovari Roma and 7.37 ± 1.5 hours in the non-Roma group. In average, 70% of them had enough sleep (≥7 hours). 38.6% of Gabor Roma, 27.1% of Lovari Roma and 23.5% of non-Roma had poor-quality sleep (p = 0.05). Gabor Roma had significantly higher body mass index (31.1 ± 4.6 versus 27.4 ± 5.2 and 28.66 ± 5.7 kg/m2, p = 0.004), and this correlated inversely with sleep duration (F = 14.85, p<0.000). Conclusion: Gabor Roma had significantly higher percentage of poor-quality sleep. Sleep duration and sleep quality were linked with obesity, mainly in the Roma population. Orv Hetil. 2019; 160(32): 1279–1283.

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COVID-19 Anxiety and Quality of Sleep among Employees of a Nursing Campus and Their Spouses

International Journal of Health Sciences and Research ◽

10.52403/ijhsr.20210639 ◽

2021 ◽

Vol 11 (6) ◽

pp. 263-270

Author(s):

Shobha Laxmi Bajracharya ◽

Priscilla Samson ◽

Sarala K.C.

Keyword(s):

Sleep Quality ◽

Virus Disease ◽

Sampling Technique ◽

Poor Quality ◽

P Value ◽

Quality Of Sleep ◽

Cross Sectional ◽

Significance Level ◽

Quality Sleep

Introduction: Corona Virus Disease 2019 (COVID-19) is highly contagious, has spread across the world rapidly and has taken many lives. All these have created a lot of concern for people leading to heightened levels of anxiety as a common response to this dreadful situation. It not only has affected physically but psychologically as well including sleep quality. This study aimed to assess employees and their spouses’ level of anxiety and sleep quality. Methods: A cross sectional study was conducted to find out level of anxiety and quality of sleep among employees and their spouses in Nepal during COVID-19 pandemic from June 14, 2020, to July 4, 2020. Web based Google forms and printed questionnaire were used to collect data as required. Total enumerative sampling technique was used where 128 responses were received. Data were analyzed using descriptive statistics and inferential statistics. P value was significant at 0.05. Ethical approval was obtained from Institutional Review Committee of Patan Academy of Health Sciences. Results: The overall prevalence of COVID-19 dysfunctional anxiety was 1.6% and poor quality sleep was 39.1%. There was no significant association of age, gender and status of respondents with quality of sleep at 95% of significance level (p-value=.089, .887, .964 respectively). Conclusion: From findings of the study, it is concluded that though only few respondents had dysfunctional covid-19 anxiety, about two fifth respondents had poor quality of sleep. Therefore, poor quality sleep could be addressed, and counselling could be performed on time. Key words: COVID-19 anxiety, employee, sleep quality, spouse.

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Deficiency Serum Vitamin 25 (OH) D Levels Increase Risk Factors of Poor Quality Sleep in Resident at Sanglah Hospital

International Journal of Research and Review ◽

10.52403/ijrr.20211002 ◽

2021 ◽

Vol 8 (10) ◽

pp. 8-13

Author(s):

Cokorda Istri Dyah Sintarani ◽

Desak Ketut Indrasari Utami ◽

Anak Agung Ayu Putri Laksmidewi

Keyword(s):

Risk Factors ◽

Vitamin D ◽

Sleep Quality ◽

Serum Vitamin ◽

Poor Quality ◽

Poor Sleep ◽

Serum Vitamin D ◽

Increased Risk ◽

Increase Risk ◽

Quality Sleep

Introduction/aim: Serum vitamin D level, estimated as 25(OH) D, is related to an increase in number of physiological mechanisms of sleep. The circadian period of the sleep can be deferred with sun exposure and vitamin D supplementation. The mechanism of lower vitamin D level causing sleep disturbances is unknown, several possible mechanisms have been proposed. Receptors of vitamin D are commonly found in most human tissues, including central nervous system. Low level of vitamin D is related with an increased risk of sleep problems, such as low sleep quality, short sleep length and excessive drowsiness. This study aims to Methods: This study is an analytical study with a case-control design in resident st Sanglah Hospital from July-September 2021 Result: A total of 54 subjects were divided into case and control groups, age 25-35 years. From the statistical analysis using SPSS program on bivariate analysis with Chi-square obtained OR 12.6 (95% Confidence Interval=3.4-46.0; p=<0,001). Multivariate analysis showed that cortisol serum had P-value <0,001 Conclusion: Deficiency serum vitamin 25(OH) D levels increase risk factors of poor quality sleep thirteen times in resident at sanglah hospital Keywords: poor sleep quality, resident, vitamin 25 (OH) D, young people.

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