scholarly journals A Cross-Sectional Study Examining the Correlation between Nocturnal Melatonin Level and Sleep Quality in Patients Admitted To the Cardiac Care Unit

2018 ◽  
Vol 6 (12) ◽  
pp. 2342-2347
Author(s):  
Mohammad Zaman Kamkar ◽  
Sommayeh Rezvani Khorshidi ◽  
Seideh Mahrokh Alinaghi Maddah ◽  
Amir Emami Zeydi ◽  
Mahnaz Modanloo
Keyword(s):  
Sleep Quality ◽  
Sleep Disturbance ◽  
Sleep Disturbances ◽  
Cross Sectional Study ◽  
Cardiac Care ◽  
Melatonin Level ◽  
Ambient Light ◽  
Cross Sectional ◽  
The Mean

BACKGROUND: Quality of sleep, as a basic need, is an important factor for surviving patients in hospitals. Many factors may contribute to disturbing patients sleep, such as continuous ambient light, is required for healthcare providers to monitor patients. Ambient light can influence patients' quality of sleep due to melatonin secretion. AIM: Study aimed to determine the correlation between nocturnal melatonin levels and sleep quality in patients admitted to the Cardiac Care Units (CCU). MATERIAL AND METHODS: This cross-sectional study was done on inpatients of CCUs at Amir-Almomenin Hospital in Kordkoy city, a cardiac referral hospital in the northeastern of Iran in 2015. Sixty-eight inpatients were selected through convenience sampling. Before data gathering light level of CCUs was measured every one hour in 2 days, the quality of nocturnal sleep was investigated through Verran and Snyder-Halpern (VSH) Sleep Scale at the second night of admission urinary melatonin level was measured at the same night in all urine excreted between 22:00 pm and 07:00 am. RESULTS: The mean and standard deviation (SD) score of sleep quality in three dimensions of sleep disturbance, sleep effectiveness and sleep supplementation were 336.6 ± 149.9, 269.0 ± 82.2, and 175.2 ± 30.7, respectively. Also, the mean and SD of nocturnal urinary melatonin levels was 323.02 ± 136.21 pg/ml. There was not a significant correlation between level of nocturnal melatonin and three domains of sleep quality; sleep disturbance (r = 0.005, P = 0.968), sleep effectiveness (r = 0.090, P = 0.464), and sleep supplementation (r = -0.037, P = 0.763). CONCLUSION: According to the result, most CCUs patients suffer from sleep disturbance. However, there was no correlation between the level of melatonin and sleep quality. There is a need for recognising the reasons for sleep disturbances in Cardiac Care Units. It is imperative for care providers to be able to recognise the causes of sleep disturbances and to modify environmental factors such as ambient light to improve sleep quality in hospitalised patients.

Association between Excessive Use of Mobile Phone and Insomnia among Pakistani Teenagers Cross Sectional Study

2019 ◽  
Vol 5 (4) ◽  
pp. 10-15
Author(s):  
Lubna Farooq ◽  
Akhtar Ali ◽  
Sehrish Mahmood ◽  
Mahnoor Farzand ◽  
Hina Masood ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Mobile Phone ◽  
Sleep Disturbances ◽  
Smart Phone ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mobile Phone Usage

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

scholarly journals Prevalence of Sleep Disturbances During COVID-19 Pandemic in a Nepalese Population: A Cross-Sectional Study

2021 ◽  
Vol 18 (3) ◽  
pp. 145-153
Author(s):  
Avinash Chandra ◽  
Pooja Prakash ◽  
Nabina Sharma ◽  
Ayush Chandra
Keyword(s):  
Sleep Quality ◽  
Sleep Disturbances ◽  
Severity Index ◽  
Cross Sectional Study ◽  
Descriptive Statistics ◽  
Sectional Study ◽  
Cross Sectional ◽  
Before And After ◽  
The Mean ◽  
Insomnia Severity

Objectives: The coronavirus disease (COVID-19) pandemic and news of daily increasing cases inside Nepal and worldwide is adding to the fear that leads to anger, anxiety, frustration, and stress, emotions that directly affect sleep quality. This study aimed to assess sleep disturbances during the COVID-19 pandemic in a Nepalese population.Methods: This cross-sectional study recruited 206 Nepali residents who completed anonymous self-administered questionnaires. The Insomnia Severity Index (ISI) questionnaire was used to measure sleep disturbances before and after the COVID-19 pandemic. The gathered data were analyzed using descriptive statistics and inferential statistics using SPSS version 20 statistical software.Results: There was a significant variation in sleep disturbances among Nepalese residents before versus after the COVID-19 pandemic (p<0.001). The prevalence of clinical moderate insomnia has increased tremendously in Nepalese individuals. Before the pandemic’s onset, only 3.9% of the participants had moderate to severe levels of clinical insomnia; after its onset, this value increased to 17.5%. The mean ISI scores were 6.35±4.65 and 8.01±6.01 before and after the pandemic’s onset, respectively.Conclusions: Our study findings suggest that people are suffering tremendously with sleep disturbances and calls for further research and active measures to help increase sleep quality during the COVID-19 pandemic.

scholarly journals AB0139 RHEUMATOID ARTHRITIS AND SLEEP QUALITY

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1097.1-1097
Author(s):  
S. Rekik ◽  
L. Ben Ammar ◽  
S. Boussaid ◽  
S. Jemmali ◽  
E. Cheour ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Sleep Quality ◽  
Sleep Problem ◽  
Sleep Problems ◽  
Symptomatic Treatment ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
The Mean ◽  
The Impact

Background:Consequences of rheumatoid arthritis (RA) are many and varied: physical, psycho-affective and financial.Objectives:The objective of our study is to evaluate the impact of RA on sleep quality.Methods:We conducted a cross-sectional study including 49 RA patients. An evaluation of sleep quality using the MOS-Sleep Scale was performed.Results:The mean age of patients was 54.1 years, with a female predominance (89.8%). The mean duration of RA was 11.43 ± 7.32 years with a mean time to diagnosis of 2.35 years. Rheumatoid factor was positive in 77.6% of cases. A atlanto-axial dislocation was found in 4.1% of cases and coxitis in 8.2% of cases. All patients were on symptomatic treatment, 57.1% of whom were on corticosteroid therapy. 83.67% of patients were on cs-DMARDs and 14.2% were on biologics. At inclusion, sleep was optimal in 63.2% of cases and the mean Sleep Problem Index was 26.19 ± 22.77.The index of sleep problems was higher in older subjects and in those with long diagnostic delays. The presence of co-morbidities and atlanto-axial dislocation and/or coxitis was associated with impaired sleep quality. Also, VAS pain and EGP were associated with an increase in the sleep problem index. In the multivariate study, EGP, the presence of co-morbidities and atlanto-axial dislocation and/or coxitis were the independent factors affecting sleep quality.Conclusion:The impact of RA on the patient’s quality of life and especially the quality of sleep is confirmed by several studies in the literature. A global management of the patient is necessary in order to adapt well to his disease.Disclosure of Interests:None declared

scholarly journals Sleep disturbances and frailty status in older adults in Vietnam

2021 ◽  
Vol 141 (5) ◽  
pp. 69-74
Author(s):  
Nguyen Trung Anh ◽  
Nguyen Thi Ngoc Anh ◽  
Dang Thi Xuan ◽  
Nguyen Xuan Thanh
Keyword(s):  
Older Adults ◽  
Sleep Quality ◽  
Sleep Disturbance ◽  
Sleep Disturbances ◽  
Early Morning ◽  
Cross Sectional Study ◽  
Poor Sleep ◽  
Cross Sectional ◽  
Frailty Status ◽  
Geriatric Hospital

This cross-sectional study aimed to describe sleep disturbance and its association with frailty syndrome among 903 older adults at the National Geriatric Hospital in Vietnam. Frailty was diagnosed according to the Fried criteria. Sleep disturbances was assessed based on the Pittsburgh Sleep Quality Index (PSQI). Of 903 patients, the mean age was 71.8 (SD = 8.5), and 537 (59.5%) were female. Most (96.7%) of the patients diagnosed with frailty had poor sleep; 95.3% had to get up at midnight or early morning; 93.3% could not sleep within 30 minutes; 86% had sleep efficiency less than 85%; 53.3% coughed at night; 50.7% had nightmares; and 27.3% and 22.7% of patients felt hot and cold, respectively. The majority (80.0%) of patients must get up to use the bathroom. In conclusion, most older adult diagnosed with frailty experienced at least one form of of sleep disturbance. Medical staffs should attend to the patient’s sleep quality, especially in patients with frailty.

scholarly journals Quality and adequacy of sleep among dialysis patients

Biomedicine ◽  
2021 ◽  
Vol 40 (4) ◽  
pp. 543-546
Author(s):  
V. Daniel ◽  
S. Meetha ◽  
M. Jayakumar ◽  
Manikantan Sekar
Keyword(s):  
Sleep Quality ◽  
Sleep Disturbances ◽  
Cross Sectional Study ◽  
Maintenance Hemodialysis ◽  
Dialysis Patients ◽  
Cross Sectional ◽  
Increased Risk ◽  
Dialysis Vintage ◽  
Psychosocial Disability

Introduction and Aim: Chronic Kidney Disease (CKD) is a debilitating illness characterized by physical, mental, socioeconomic and psychosocial disability. Being a literature has documented evidences of increased risk of depression and sleep disturbances among these patients, which indirectly affect the quality of life. The present study was carried out to evaluate the burden of depression and sleep disturbances among dialysis patients.  Methods: This cross-sectional study was carried out among 160 patients on maintenance dialysis. A structured proforma was used to document the particulars regarding CKD care. Sleep Quality, Depression status of patients were assessed using Pittsburgh Sleep Quality Index (PSQI), Beck’s Depression Inventory (BDI) and Kt/V formula respectively.   Results: Hemodialysis inadequacy was prevalent among 79.4% of the participants. About 51.3% were suffering from moderate depression. Severe sleep disturbance was seen in 88.7% of the participants. The present study observed a statistically significant association between dialysis vintage and depression (p<0.05). Similar association was seen between frequency of dialysis and sleep disturbances (p<0.05).  Conclusion: The prevalence of sleep disturbances and depression was higher among the maintenance hemodialysis patients receiving dialysis for more than 2 years and also with a frequency of twice a week. It may be inferred that by increasingthe frequency and the dosage of dialysis in patients the quality of sleep can be adequately improved and thereby it may lower the depressive state in patients.

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

2021 ◽  
Vol 8 (6) ◽  
pp. 2705
Author(s):  
Adel Ali Alhazzani ◽  
Mohammed Saeed Alqahtani
Keyword(s):  
Sleep Quality ◽  
Sleep Disturbances ◽  
Cross Sectional Study ◽  
Poor Sleep ◽  
Sectional Study ◽  
Cross Sectional ◽  
Major Health ◽  
Continuous Care ◽  
Working Age

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

scholarly journals Sleep Disturbance During Quarantine in the Era of the SARS-CoV-2 (COVID-19) Pandemic

2021 ◽  
Vol 1 (1) ◽  
pp. 10-14
Author(s):  
Seham Sahli ◽  
Sharafaldeen Bin Nafisah
Keyword(s):  
Sleep Quality ◽  
Sleep Disturbance ◽  
Pittsburgh Sleep Quality Index ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Mean ◽  
The Impact ◽  
Positive Effect ◽  
Insight Into

ABSTRACT Background Quarantine has been shown to affect sleep quality in previous analyses. However, a thorough investigation of the association between sleep disturbance and COVID-19 infection during quarantine is still lacking. Aim We aim to determine the impact of quarantine on sleep quality and such impact to anxiety. We also aim to investigate the use of medication and its impact on sleep quality during quarantine. Methods A cross-sectional study conducted in the Jazan region of Saudi Arabia during September 2020. The Pittsburgh Sleep Quality Index (PSQI) and the Generalised Anxiety Disorder Assessment (GAD-7) were used. Results The number of participants was 327, with an infection rate of 53.6% (n= 175). 60.8% (n=189) were quarantined. The mean PSQI score was 5.69 (SD=3.17), those who were quarantined had a higher score (M=6.33, SD=2.99) than those who were not (M=4.57, SD=3.23). After we control for the confounding of anxiety, the PSQI score was also higher in those quarantined (M=0.59, SD=0.26) than in those who were not (M=0.48, SD=0.31); t(120)=2.08, p<0.05. Zinc was noted to have a significant positive effect on sleep quality and anxiety level. Conclusion This analysis provides new insight into the effect of quarantine and anxiety levels on sleep quality.

scholarly journals Sleep Disturbance is Associated With Cognitive Impairment: a Community Population-based Cross-sectional Study

2020 ◽  
Author(s):  
Fan Gao ◽  
Shan Wei ◽  
Liangjun Dang ◽  
Yao Gao ◽  
Ling Gao ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Sleep Quality ◽  
Sleep Disturbance ◽  
Sleep Disturbances ◽  
Population Based ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Sectional Study ◽  
Cross Sectional ◽  
Community Population

Abstract Background: Sleep is an important physiological process and conducive to the elimination of brain metabolites and the recovery of brain function. However, the relationship between sleep disturbance and cognitive impairment is not fully been determined.Methods: This was a community population-based cross-sectional study. A total of 1,461 participants from a village in the suburbs of Xi’an, China were enrolled from January 3 to March 26, 2017. Sleep quality was evaluated using the Pittsburgh sleep quality index (PSQI), and sleep disturbance was defined as a PSQI score >5. Mini-mental state examination (MMSE) was used to assess cognitive function and cognitive impairment was defined as the MMSE score less than cutoff values and meets the diagnostic criteria. Univariate and multivariate analyses were used to analyze the relationships between sleep disturbance and cognitive impairment.Results: Among 1,461 subjects, 87(5.95%) had cognitive impairment, and 842 (57.63%) had sleep disturbance. In bivariate analysis, cognitive impairment was associated with insomnia (ρ=1.000, P＜0.001), age (ρ=0.172, P＜0.001) and educational level (ρ=-0.160, P＜0.001). In the binary logistic regression, cognitive impairment was positively associated with the sleep disturbance (OR=1.779, 95%CI=1.055-3.001, P=0.031). In the internal constitution of PSQI, cognitive impairment was positively associated with the sleep interference (OR=1.678; 95%CI=1.029-2.736, P=0.038), and negatively associated with the habitual sleep efficiency (OR=0.115, 95%CI=0.043-0.306, P<0.001). However, people sleep more than 8 hours a day are more likely to suffer from cognitive impairment (OR=3.174, 95%CI=1.570-6.417, P=0.001). Conclusions: Sleep disturbance is associated with cognitive impairment. However, the causal relationships between sleep disturbances and cognitive impairment are not clear. It needs to be further studied.

scholarly journals Impact of Sleep Disturbances on the Quality of Life Among Schizophrenic Out-patients of Jimma University Medical Center, Southwest Ethiopia: Hospital Based Cross-sectional Study

2020 ◽  
Vol 13 (1) ◽  
pp. 684-691
Author(s):  
Aman Dule ◽  
Mustefa Mohammedhussein ◽  
Mohammedamin Hajure
Keyword(s):  
Quality Of Life ◽  
Sleep Disturbances ◽  
Medical Center ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
Schizophrenic Patients ◽  
Jimma University

Aim: Current study was aimed to assess the impacts of sleep disturbances on patient’s quality of life. Background: Schizophrenia is a syndrome, which affects sleep. Up to 80% of schizophrenic patients complain of sleep disturbances which affect the quality of life Objectives: To assess the association of sleep disturbances and quality of life and other contributing factors among schizophrenic patients on follow-up treatment at Jimma University Southwest Ethiopia. Methods: A cross-sectional study with a consecutive sampling of 411 out-patients at Jimma University medical center was employed from April 21-June 20, 2019. Sleep disturbances and the quality of life were assessed by Pittsburgh sleep quality index and WHOQOL-BREF, respectively. Epi data version 3.1 and SPSS version 23.0 software was used. Chi-square and independent samples t-test were used for association and P-value < 0.05 was considered for statistical significance. Results: Most participants had sleep disturbances and the mean score of positive scale on PANSS was higher for patients with sleep disturbances. About one-fourth of the patients had very good subjective sleep quality and > 85% of sleep efficiency was reported by 139 participants. More than half (51.1%) of the subjects had used sleep medication and the majority (64.7%) of them were reported daytime dysfunctions in the past month. The social domain (M±SD=3.92±2.51, t=8.46, p= <0.001, eta2=0.15) and overall WHOQOL (M±SD=57.60±16.87, t=9.24, p= < 0.001, eta2= 0.17) score had a large difference of means and about 15% and 17% of the variance in sleep disturbance have been explained. Conclusion: Generally, the finding of the current study was in agreement with most of the previous studies and sleep disturbances respectively moderate to significant effects on the patient’s quality of life.

scholarly journals Quality of Care Delivered to Tuberculosis Patients among Public Hospitals in Central Northeast Ethiopia

2020 ◽  
Vol 30 (5) ◽  
Author(s):  
Balkew Asegidew Tegegn ◽  
Betregiorgis Zegeye Hailu ◽  
Birhanu Damtew Tsegaye ◽  
Gashaw Garedew Woldeamanuel ◽  
Wassie Negash
Keyword(s):  
Quality Of Service ◽  
Quality Of Care ◽  
Quality Of Healthcare ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Binary Logistic Regression Analysis ◽  
Cross Sectional ◽  
The Mean ◽  
Process Dimension

BACKGROUND: Inappropriate Tuberculosis (TB) diagnosis and treatment contributes to unfavorable health outcome among TB patients. Improving quality of healthcare service helps to avert TB related morbidity. Despite these facts, the level of quality of service is not known in the hospitals. Hence, the present study was conducted to assess the quality of care delivered to TB patients among publichospitals.METHODS: A facility-based cross-sectional study was conducted from March 15 to April 30, 2019 in North Shewa Zone, Amhara region, Ethiopia. All TB patients who had follow-up in the hospitals were included. This resulted in the involvement of 82 TB patients. Data was collected by trained data collectors using facility audit, clinical observation checklists, structured questionnaire and in-depth interview. Data was analyzed using SPSS version 20. Binary logistic regression analysis was done to identify the predictors of patients’ satisfaction.RESULTS: In this study, 82 respondents with a mean age of 36.48 (±13.27) years were participated. The mean quality score for structural dimension was 59.5%, and 53.7% of participants were found to be satisfied in outcome dimension. The mean score for process dimension of quality of service were 67.9%. Having TB symptoms were significantly associated with the level of patientsatisfaction towards TB care [AOR = 0.217, p = 0.015].CONCLUSION:Quality of TB services from structural and outcome dimension were low and higher in process dimension. Thus, careful attention on the quality of services will help to reduce the burden of TB.

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