The effect of orthodontic treatment with fixed appliances on sleep quality in adults and adolescents in Saudi Arabia using Pittsburgh sleep quality index

Objectives: The aim of this study was to investigate the effect of pain caused by orthodontic fixed appliances on sleep quality of participants using the Pittsburgh Sleep Quality Index (PSQI). Materials and Methods: A previously validated Arabic version of PSQI was electronically distributed through different social media platforms and in waiting areas of orthodontic offices. Eligibility criteria included healthy adults and adolescents with orthodontic fixed appliances and with no systemic conditions that may affect sleep. The cut-off point used to determine poor sleep quality was (>5). Results: Three hundred and eighteen participants were included in the final analysis (28.9% males and 71.1% females). Both males and females with orthodontic fixed appliances had poor sleep quality with (Mean = 6.48, SD = 2.85, P = 0.000) for males, and (Mean = 7.18, SD = 2.87, P = 0.000) for females. Comparing males and females, we found that females scored higher than males in both subjective sleep quality and PSQI global score. Conclusion: Individuals undergoing orthodontic treatment with fixed appliances have poor sleep quality. Females undergoing orthodontic treatment tend to have poorer sleep quality compared to males.

Sleep pattern in a group of patients undergoing hemodialysis compared to control

Background Patients with chronic kidney disease progress regularly every year to end-stage renal disease and have to undergo dialysis. Sleep disturbances have been reported to be frequent among patients receiving dialysis and contributing to the increase of their mortality and morbidity. The present research aimed to study the sleep pattern in hemodialysis patients and the risk factors associated. This cross-sectional case-control study included 40 subjects divided into 2 groups: 20 cases recruited from Ain Shams University Hospital’s dialysis unit and 20 in the control group with normal Pittsburgh Sleep Quality Index score matched for age and sex. Both groups were subjected to overnight polysomnography, and the cases group was assessed by the Pittsburgh Sleep Quality Index to determine their sleep quality. Results Nearly all polysomnographic parameters were significantly abnormal in the cases group except for sleep onset latency (P > 0.05), showing obstructive sleep apnea and periodic limb movement (P value 0.001). Based on their Pittsburgh Sleep Quality Index score, 30% were classified as good sleepers and 70% as bad sleepers. On comparing both groups, a significant difference was found. Poor sleepers had more worse sleep efficiency (62.9%), spent longer time during their sleep in stage 1 (26.6%) with shorter REM onset latency (113.5 ± 99.5), and had a longer duration of illness with lower serum creatinine level compared to good sleepers. Conclusions The prevalence of obstructive sleep apnea and periodic limb movement in hemodialysis patients is high; patients with longer time on dialysis are at more risk of sleep disorders, whereas hemoglobin levels, BUN, and other demographic factors do not seem to play a role in sleep disorder. Hence, patients on hemodialysis need to be screened for sleep disorders so as to improve their mortality and morbidity.

Our Acupuncture Experıences in Patıents with Remarkable Leg Syndrome: Pilot Study

Restless legs syndrome (RLS) is a disease characterized by an undescribable abnormal sensation, a kind of dysesthesia, especially in the legs. It is characteristic for restless legs syndrome that the symptoms are circadian in nature, that is, they are more pronounced in the evening and at night, and occur or increase at rest. In response to these effects, when the effects of acupuncture on various systems and symptoms and the mechanisms of these effects are evaluated, the benefits of acupuncture in restless legs syndrome may be the subject of research. This study was carried out on patients who applied to Konya Necmettin Erbakan University Meram Medical Faculty Traditional and Complementary Medicine Center with the complaints of restless legs syndrome. In addition, nothing was requested from the participants. Informed consent form was obtained. Both body and ear acupuncture were applied for 10 sessions once a week. ST-33,34,35,GB-34, H-7LU-9,P-6,SI-3 points and shen-men,zero,knee on the ear , depression points were pricked. Electro acupuncture was applied for 20 minutes.) Pittsburgh sleep quality index scale questionnaire and john hopkins scale were applied to the participants before and after acupuncture. .Pittsburgh sleep quality index mean pre-acupuncture:35.5.Post acupuncture Pittsburgh sleep quality index mean:24. With the application of acupuncture, progress can be made in the treatment of restless legs syndrome that does not respond to conventional treatment.

Penerapan “Sleep Education After Midnigth” Terhadap Peningkatan Kualitas Tidur Pasien DM Type 2 Di RSUD Tarakan Jakarta

Latar Belakang Diabetes adalah kondisi jangka panjang yang serius dengan dampak besar pada kehidupan dan kesejahteraan individu, keluarga, dan masyarakat di seluruh dunia. Diabetes mellitus adalah salah satu dari 10 penyebab utama kematian pada orang dewasa dan diperkirakan menyebabkan empat juta kematian di seluruh dunia pada tahun 2019, mengikuti peningkatan signifikan sebesar 70% sejak tahun 2000 (WHO,2020) Pengeluaran biaya kesehatan global untuk diabetes juga mengalami peningkatan sehingga diperkirakan mencapai USD 727 miliar pada tahun 2017. Tujuan kegiatan ini adalah untuk mengetahui pengaruh Penerapan Sleep Education After Midnight terhadap peningkatan kualitas tidur pada penderita diabetes mellitus. Metode : Evidence Base Nursing Practice (EBNP) yaitu penggunaan teori dan informasi yang diperoleh berdasarkan pencarian melalui 3 sumber jurnal yaitu pubmed, cochrane dan proquest dari hasil informasi ini akan diaplikasikan pada kegiatan praktik keperawatan untuk mendapatkan bukti kebenaran dari teori. Hasil : 1). Dilihat dari usia bahwa diabetes mellitus banyak dialami oleh penderita dengan usia >60 tahun dan laki-laki lebih banyak menderita diabetes mellitus daripada perempuan. 2). Ada peningkatan kualitas tidur pasien diabetes mellitus setelah dilakukan intervensi “Sleep Education After Night”. Kesimpulan : Didapatkan nilai pittsburgh Sleep Quality Index (PSQI) sebesar 8,47 sebelum dilakukan intervensi pada kelompok intervensi, kemudian dilakukan pengukuran kembali setelah dilakukan intervensi maka diperoleh nilai PSQI sebesar 2,47 dengan Pvalue 0,00 (atau<0,05) ini artinya Penerapan Sleep Education After Night memiliki hubungan yang signifikan terhadap peningkatan kualitas tidur pasien diabetes mellitus. Kata Kunci : Sleep Education After Night, Kualitas Tidur, Diabetes mellitus Tipe 2.

Hubungan Perilaku Sleep Hygiene dengan Kualitas Tidur Pada Kelompok Lansia di Panti Tresna Werdha Ambon

Latar Belakang: Pada umumnya lansia memiliki waktu tidur berkisar 6-7 jam per hari. Kualitas tidur yang sangat kurang dapat menyebabkan beberapa masalah kesehatan yaitu insomnia. Salah satu faktor yang mempengaruhi yaitu lingkungan yang meliputi, suasana yang ramai, penerangan yang berlebihan, serta kurangnya kebersihan lingkungan. Salah satu terapi sederhana yang dapat diterapkan yaitu dengan menerapkan perilaku sleep hygiene yang merupakan penerapan terapi yang sangat sederhana dan mudah dilakukan untuk meningkatkan kualitas tidur. Tujuan: untuk mengetahui hubungan sleep hygiene dengan kualitas tidur pada lansia di Panti Tresna Werdha Ina Kaka Kota Ambon. Metode: Jenis penelitian observasi analitik dengan desain cross sectional study. Sampel dipilih dengan cara non-probality dengan teknik total sampling dengan jumlah responden 35 lansia. Instrument penelitian untuk mengukur sleep hygiene menggunakan sleep hygiene index (SHI) dan untuk mengukur kualitas tidur menggunakan pittsburgh sleep quality index (PSQI). Hasil: Hasil pengamatan analisis menggunakan uji statistik Chi-square dengan tingkat kemaknaan ? = 0,05 (5%) diperoleh nilai p = 0,000 sehingga p < ? artinya ada hubungan perilaku sleep hygiene dengan kualitas tidur pada lansia. Perilaku sleep hygiene perlu dilakukan untuk mendapatkan kualitas tidur yang baik. Sehingga dapat disimpulkan bahwa penerapan sleep hygiene dapat memperbaiki kualitas tidur lansia. Kesimpulan: Perilaku sleep hygiene perlu dilakukan untuk mendapatkan kualitas tidur yang baik. Sehingga dapat disimpulkan bahwa penerapan sleep hygiene dapat memperbaiki kualitas tidur lansia.

HUBUNGAN AKTIVITAS FISIK TERHADAP KUALITAS TIDUR DAN FUNGSI KOGNITIF PADA KELOMPOK LANSIA DHARMA SENTANA, BATUBULAN

Peningkatan jumlah populasi lansia menyebabkan semakin banyak masalah kesehatan yang akan dialami oleh lansia yang disebabkan karena kurangnya aktivitas fisik seperti gangguan kualitas tidur dan penurunan fungsi kognitif. Seiring dengan pertambahan usia dan berkurangnya aktivitas fisik, semakin besar kemungkinan seseorang mengalami gangguan kualitas tidur dan penurunan fungsi kognitif. Aktivitas fisik yang rutin dilakukan oleh lansia dapat mencegah terjadinya gangguan kualitas tidur dan mencegah penurunan fungsi kognitif. Semakin meningkat aktivitas fisik maka semakin meningkat kualitas tidur dan fungsi kognitif pada lansia. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara aktivitas fisik terhadap kualitas tidur dan fungsi kognitif pada kelompok lansia Dharma Sentana, Batubulan. Penelitian ini adalah cross sectional study dengan teknik pengambilan sampel purposive sampling. Penelitian dilakukan di kelompok lansia Dharma Sentana, Batubulan. Sampel penelitian ini berjumlah 50 orang lansia. Aktivitas fisik diukur dengan International Physical Activity Scale (IPAQ), kualitas tidur diukur dengan Pittsburgh Sleep Quality Index (PSQI), dan fungsi kognitif diukur dengan Mini-Mental State Examination (MMSE). Berdasarkan hasil uji chi-square didapatkan nilai p=0,007 yang artinya ada hubungan antara aktivitas fisik dengan kualitas tidur dan nilai p=0,000 yang artinya ada hubungan antara aktivitas fisik dengan fungsi kognitif. Simpulan penelitian ini adalah ada hubungan antara aktivitas fisik terhadap kualitas tidur dan fungsi kognitif pada kelompok lansia Dharma Sentana, Batubulan. Kata kunci: Lansia, Aktivitas Fisik, Kualitas Tidur, Fungsi Kognitif

CHẤT LƯỢNG GIẤC NGỦ Ở BỆNH NHÂN HỘI CHỨNG ỐNG CỔ TAY ĐƯỢC ĐIỀU TRỊ PHẪU THUẬT TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Mục tiêu: Đánh giá chất lượng giấc ngủ ở người bệnh bị hội chứng ống cổ tay được điều trị phẫu thuật tại Bệnh viện Đại học Y Hà Nội. Đối tượng và phương pháp nghiên cứu: Nghiên cứu tiến cứu 72 người bệnh bị hội chứng ống cổ tay tiên phát cả 2 bên, được mổ cắt dây chằng ngang giải ép thần kinh giữa 2 bên trong 1 lần mổ tại khoa chấn thương chỉnh hình và y học thể thao Bệnh viện Đại học Y Hà Nội trong thời gian từ tháng 6 năm 2019 đến hết tháng 12 năm 2020. Tất cả người bệnh đánh giá mức độ nặng của triệu chứng và chức năng của bàn tay bằng thang điểm Boston, đánh giá chất lượng giấc ngủ bằng thang điểm Pittsburgh Sleep Quality Index (PSQI) ở thời điểm trước mổ và các thời điểm 3 tháng, 6 tháng sau mổ. Kết quả: Điểm PSQI trước mổ cho biết tất cả các bệnh nhân đều có tình trạng rối loạn giấc ngủ mức độ nặng. Chất lượng giấc ngủ của người bệnh sau mổ có sự cải thiện có ý nghĩa thống kê với điểm PSQI trước mổ có giá trị 14 (13-16) giảm xuống còn 9 (8-11) ở thời điểm 3 tháng và xuống còn 4 (4-5) ở thời điểm 6 tháng sau mổ. Mức độ nặng của triệu chứng và chức năng bàn tay cũng cải thiện tương tự. Kết luận:Phẫu thuật giải ép thần kinh giữa không chỉ cải thiện triệu chứng, chức năng bàn tay mà còn cải thiện chất lượng giấc ngủ cho người bệnh hội chứng ống cổ tay.

Impacto do distúrbio do sono na qualidade de vida dos profissionais de enfermagem

O objetivo desse estudo foi analisar os impactos causados pelo distúrbio do sono na qualidade de vida dos profissionais de enfermagem. Para tal foi realizada uma pesquisa descritiva, quantitativa, com 40 profissionais de enfermagem que atuam nas unidades de terapia intensiva em um hospital público de Teresina-PI, nos meses de fevereiro à abril de 2021. Os questionários utilizados foram Pittsburgh Sleep Quality Index e The World Health Organization Quality Of Life-Bref, via Google Forms. Os dados coletados foram armazenados em planilhas eletrônicas do Microsoft Excel 2010 e analisados com o programa Statistical Package of Social Science versão 20.0. Como resultados tem-se que os componentes do questionário do sono mais afetados foram: qualidade subjetiva, latência, duração e disfunção durante o dia. A má qualidade do sono foi observada em 95% dos participantes, sendo a insônia apresentada em 13%. Quanto ao questionário de qualidade de vida, 50% avaliaram-na como boa e 40% estão insatisfeitos em relação à saúde. As pontuações de cada domínio foram transformadas em uma escala de 0-100; médias mais altas sugeriram melhor qualidade de vida. O domínio mais comprometido foi o meio ambiente (relacionado ao ambiente doméstico, recursos financeiros, lazer e meio ambiente). As facetas mais afetadas foram: sono e repouso, sentimentos positivos, atividade sexual, recreação e lazer. Assim verificou-se que grande parte da amostra sofre ou já sofreu de distúrbios do sono. Desta maneira, a qualidade do sono é um fator que afeta a qualidade de vida.

Sleep deprivation and burnout syndrome among pre-hospital emergency medical service employees in Slovenia

Introduction: Sleep deprivation and burnout are common in employees who work in shifts, night shifts, overtime as well as those who work under stressful and unpredictable circumstances. The purpose of the study was to explore the quality of sleep, determine burnout level components and investigate the level of these components and their impact on the quality of sleep among employees in pre-hospital emergency medical services.Methods: A quantitative non-experimental research method was used. Data were collected using a standardized Pittsburgh sleep quality index questionnaire and a standardized Maslach burnout inventory questionnaire. The survey was completed by 204 healthcare professionals. Data were analyzed with univariate and bivariate statistics.Results: The average Pittsburgh Sleep Quality Index score was 4.97, s = 3.23. Poorer quality of sleep is exhibited by female respondents (57.4 %), respondents who are employed in more overloaded pre-hospital emergency service units (52.3 %) and those who work 24 hours or more (67.7 %). Overall, 17.6 % respondents exhibited high emotional exhaustion, 32.8 % exhibited high depersonalization and 9.3 % exhibited low personal accomplishment. A weak correlation was present between sleep quality and emotional exhaustion (r = 0.381, p < 0.01), depersonalization (r = 0.293, p < 0.01) and personal accomplishment (r = 0.368, p < 0.01).Discussion and conclusion: Healthcare professionals represent a vulnerable group that is subject to poor sleep quality and burnout syndrome, therefore, the need for empowering them in terms of proper sleep hygiene and burnout prevention is indicated.