scholarly journals Sleep Quality in Patients with Heart Failure in the Spanish Population: A Cross-Sectional Study

Author(s):  
Pablo Jorge-Samitier ◽  
Angela Durante ◽  
Vicente Gea-Caballero ◽  
Isabel Antón-Solanas ◽  
María Teresa Fernández-Rodrigo ◽  
...  

Background: Heart failure is a major problem in western societies. Sleep Disorders maintain a bidirectional relationship with heart failure, as shown by studies conducted in other countries. This study aims to describe the quality of sleep in Spanish patients with heart failure. Materials and methods: We carried out a cross-sectional study to analyze the quality of sleep in a sample of 203 patients with a diagnosis of heart failure admitted to an Internal Medicine Service. The Pittsburg Sleep Quality Index (PSQI) was used to evaluate sleep quality in our sample over a one-month period. Results: 75% of the sample presented sleep disorders. The most common problems included the interruption of sleep (73.5% nocturia and 30% breathing difficulties); 35% had poor sleep efficiency; 33% showed a decrease in daytime performance; 84% had used hypnotics at some point to induce sleep and 35% used them regularly. Conclusions: This is the first study to report on the perceived sleep quality of patients with heart failure in Spain. Self-perception of sleep quality differed from that estimated by the PSQI. The prevalence of the use of sleep-inducing medication was very high. The diurnal dysfunction generated by sleep disorders in a heart failure environment can contribute to the development of self-care and cognitive deterioration problems.

2015 ◽  
Vol 49 (4) ◽  
pp. 0596-0602 ◽  
Author(s):  
Juliét Silveira Hanus ◽  
Graziela Amboni ◽  
Maria Inês da Rosa ◽  
Luciane Bisognin Ceretta ◽  
Lisiane Tuon

OBJECTIVEAnalyzing the quality of sleep of hypertensive patients registered in the national registration system and monitoring of hypertensive patients.METHODSA cross-sectional study of quantitative and descriptive analyses with 280 hypertensive patients registered in the National Program of Hypertension and Diabetes of the Federal Government in the months from August to October 2011. Questionnaires were used which allowed for tracking sociodemographic data on hypertension and Pittsburgh Sleep Quality Index (PSQI).RESULTSThe prevalence of poor sleep quality among respondents (156 hypertensive patients) and high rates of using medication for sleeping (106 hypertensive patients) was observed. Other relevant data refers to the quality of sleep among hypertensive patients using sleep medication compared to those who do not use it (p≤0.01).CONCLUSIONIndividuals with high blood pressure have a negative association with sleep quality.


2019 ◽  
Vol 10 (1) ◽  
pp. 11
Author(s):  
Andréia Ferreira dos Santos ◽  
Fernanda Carneiro Mussi ◽  
Cláudia Geovana da Silva Pires ◽  
Melissa Almeida Santos Paim ◽  
Fernanda Michelle Santos e Silva ◽  
...  

Objective: To describe the sleep quality of nursing students according to the Pittsburgh Sleep Quality Index.Methods: This is a cross-sectional study conducted with 286 nursing students from a public institution in Salvador, Bahia. Data gathering instruments were applied in classrooms and data were assessed in absolute and relative frequencies, means and standard deviation.Results: The mean age of participants was 23.48 years (SD = 4.421). Most of students were female (90.2%), single with partner (90.9%), afro descendent (87.8%), unemployed (81.5%), total Family income below than four minimum wages (47.2%), enrolled between 6th and 10th  semester (54.5%), attending academic activities in two or three shifts (80.8%). Sample showed poor sleep quality (86.4%), especially due to the sleep duration, sleep disturbances and daytime disfunction.Conclusions: Poor sleep quality was prevalent in the sample, what rises the need of further analysis of the associated factors and interventions to change this reality.


Author(s):  
Salman Khazaei ◽  
Erfan Ayubi ◽  
Mahdi Khazaei ◽  
Mojtaba Khazaei ◽  
Gita Afrookhteh

Objective: Effective rehabilitation and better quality of life among stroke patients are functions of several factors such as quality and pattern of sleep. The present study aimed to evaluate sleep quality and related determinants in such patients. Method: The present cross-sectional study was performed from October to December 2019 among stroke patients who were admitted to Sina Hospital, Hamadan, Iran. We used the Pittsburgh Sleep Quality Index (PSQI) questionnaire to determine sleep quality in these patients. Significant determinants of the global score of PSQI were identified via multivariable linear regression. Results: A total of 97 stroke patients (age 67±79 years, 55.7% male) were enrolled into the study. Prevalence of poor sleep was 0.84 (95% CI: 0.75, 0.91) in stroke patients. Patients with nervous tension and those with surgical treatment and with Non-hemorrhagic CT scan had a predicted increase of 1.65, 2.91 and 3.25 in the mean of the global PSQI score (P ≤ 0.05), respectively. Conclusion: Nervous tension, treatment method, results of CT scan and cardiac problems may be associated with post-stroke sleep disorder.


BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S43-S43
Author(s):  
Syed Muhammad Jawad Zaidi ◽  
Mehwish Kaneez ◽  
Javeria Awan ◽  
Hamza Waqar Bhatti ◽  
Muhammad Hamza ◽  
...  

AimsDepression is a fairly common finding among end-stage renal disease (ESRD) patients on hemodialysis and is an independent risk factor for morbidity and mortality. The psychiatric manifestations of the disease may affect their compliance to medications and alter sleep quality that is often overlooked by nephrologists. This translates into poor quality of life and poorer disease prognosis. Thus, Our study aims to assess the prevalence of depression and its association with compliance to medical therapy and sleep quality among ESRD patients on hemodialysis.MethodIn this cross-sectional study, a total of 288 hemodialysis patients with a confirmed diagnosis of ESRD were evaluated for depression using Patient Health Questionnaire-9 (PHQ-9) scale. Only the patients with moderate to severe depressive symptoms on PHQ-9 were further evaluated for sleep quality and compliance to medications using the Pittsburgh Sleep Quality Index (PSQI) and Drug Attitude Inventory-10 (DAI-10) respectively. The characteristics of ESRD patients with depression were also assessed. Median PHQ-9, DAI-10, and PSQI scores were calculated and the correlation between study variables was assessed using spearman's correlation.ResultOf the 288 included participants, 188 (65.27%) had depression as evaluated via PHQ-9. Of these 188 patients, 114 were males while 74 were females. A total of 113 (60.01%) of the depressed patients had poor compliance with medication while 137 (72.87%) patients had poor sleep quality. Higher PHQ-9 scores were positively correlated with disease duration, dialysis years, and time between diagnosis and therapy (r = 0.41, 0.39, and 0.43 respectively) and negatively with marital and employment status (r = −0.32 and −0.49 respectively). Spearman's correlation matrix showed that PHQ-9 scores were negatively correlated with DAI-10 but positively correlated with PSQI scores.ConclusionThe study indicates a high prevalence of depression among ESRD patients on hemodialysis. Poor sleep quality and non-adherence to medications are extremely common among ESRD patients with depression. These psychiatric components must be considered to optimize medical treatment and improve the quality of life in this subset of patients.


Author(s):  
P. Thiyagarajan Palanichamy

Background: Sleep is basic physiological requirement. Sleep quality have impact on employee behaviour like alertness at work, error-making and absenteeism. The sleep disorders of nurses and other allied health workers have been reported as a risk factor for patient safety.Studies have found high prevalence of poor sleep quality among nurses. Main objective of this study was aimed to find out the morningness, eveningness chronotypes and sleep quality among allied health workers in shift work.Methods: A descriptive cross-sectional study was carried out among nursing and other allied health workers working in shifts using Pittsburgh sleep quality index (PSQI) and morningness-eveningness questionnaire (MEQ). After final scores participants were categorized as having good or bad quality of sleep and different chronotypes as per the scoring guidelines given. Chi-square test, Pearson’s partial correlation analyses done using SPSS software.Results: Only 26.9% had good quality sleep (mean PSQI score 8.9±4.5). Among chronotypes 69.9% were intermediateness and 30.1% were moderate morningness (mean MEQ score 55.5±7). 87.1% participants go to sleep within one hour after dinner. 40% use mobile phones in bed. 31.2% took up to 30 mins (mean 22.15±13.8) to get asleep. Strong negative correlation found between the sleep hours and total PSQI score (r=-0.495; p=0.000).Conclusions: Higher prevalence of poor quality of sleep with intermediateness as preferred circadian chronotype, there was also a strong negative correlation found between the hours of sound sleep and the total PSQI score.


2021 ◽  
Vol 05 (02) ◽  
pp. 31-40
Author(s):  
Nguyen Nhat Linh Hoang ◽  
◽  
Vuong Diem Khanh Doan ◽  
Thi Dang Thu Nguyen ◽  
Thi Hong Nhi Nguyen

Objectives: Sleep is a normal physiological process of the body. Sleep impacts on many aspects of health and quality of life at all ages. There are many risk factors associated with sleep deprivation or poor sleep quality: physical health problems such as diabetes and cardiovascular disease; mental health issues like depression; traffic and occupational accident. The study was conducted with the aims of understanding the sleep quality situation of youngster aged 16-30 years in Da Nang City, Vietnam, and determining the factors related to the sleep quality of the study participants. Methods: A descriptive cross-sectional study was conducted on adolescents living in Da Nang City, Vietnam. The information was collected by using a structured questionnaire. Multivariate logistic regression analysis was used to identify the risk factors associated with the sleep quality among adolescents. Results: The proportion of the adolescents who suffered from poor sleep quality was 31.1%. The results of multivariate logistic regression analysis indicated that there were the relationships between sleep quality and living in Hoa Vang District; occupations were student, worker, or officer; finishing working/studying time after 7 pm; regularly use and dependent on the internet; having stress; having pressure on study/work, overeating before going to bed, rarely or sometimes staying up late, lying postures were laying up, lie on the left side and other postures; hand posture when sleeping. Conclusion: The proportion of adolescents living in Da Nang City with good sleep quality was not high. The government needs to propagandize and mobilize people, especially young people in terms of the impacts of sleep quality on health, thereby improving sleep quality to help young people in good condition, helping the country and defending the country. Keywords: Sleep quality, adolescents, Da Nang City


2020 ◽  
pp. 64-66
Author(s):  
Shailaja Sandeep Jaywant ◽  
Dnyaneshvari Ramakant Giri ◽  
Shrutika Patil

BACKGROUND: Primigravida mothers are more apprehensive about their ability to breastfeed their neonate and may have less condence about the breastfeeding ability. Very few studies have been done on the effect of sleep & fatigue on breastfeeding efcacy in postpartum mothers, in India OBJECTIVE: To study the correlation between sleep quality & breastfeeding efcacy, fatigue & breastfeeding efcacy, postpartum depression & breastfeeding efcacy in primigravida lactating mothers. MATERIALS AND METHOD: Hospital based cross sectional study was conducted at the tertiary care hospital in Mumbai.Total assessment questionnaires, Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), Multidimensional Assessment of Fatigue (MAF) Scale, Breastfeeding Self Efcacy Scale (BSES), Edinburgh Postnatal Depression Scale (EPDS) were used to gather information from 84 primigravida lactating mothers attending anti-natal clinic during study period. Fifty-two mothers lled all the questionnaire and 32 mothers did not complete all questionnaires appropriately. RESULTS. The very weak negative correlation between BSFS with PSQI, BSES with ISI, BSES with MAF, BSES with EPDS, PSQI with MAF, ISI with MAF and MAF with EPDS. High correlation was observed in PSQI with ISI (0.794), PSQI with EPDS (0.732), ISI with EPDS (0.736) with 'p' value<0.05. In analysis it was revealed that Quality of sleep, Insomnia and Postpartum depression has good correlation between them. These factors does not signicantly correlate with the breastfeeding efcacy of postpartum lactating mothers CONCLUSION: Quality of sleep, level of fatigue, fatigue and postpartum depression does not impact directly on the perception of primigravida mothers on their breastfeeding ability


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.


Author(s):  
Adel Ali Alhazzani ◽  
Mohammed Saeed Alqahtani

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.


Author(s):  
Afreen Begum H Itagi ◽  
Amudharaj Dharmalingam ◽  
Satish Dipankar ◽  
Akshay Berad ◽  
Senthil M Velou ◽  
...  

Introduction: Stress affects different cardiovascular responses and trigger arrhythmias through Autonomic Nervous System (ANS) activation. Medical students generally tend to reduce their sleep, in order to adjust and cope with their stressful and demanding workload. Aim: To assess the correlation of QT intervals variables with quality of sleep and stress among young adult medical students. Materials and Methods: This cross-sectional study was undertaken in All India Institute of Medical Sciences, Mangalagiri, Andhra Pradesh, India, among 60 medical students taken as internal match for collection of data at the beginning of the academic year (unstressed) and three weeks before the term-end examination (stressed) during October 2019 to March 2020. Two validated questionnaires namely, Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality and the Medical Student Stress Questionnaire (MSSQ) to measure the stressors and the intensity of stress were used among the medical students. Short-term Electrocardiogram (ECG) recording was used to measure QT interval variables. Descriptive statistics and paired t-test were applied using Statistical Package for the Social Sciences (SPSS) version 19.0. The p≤0.05 was considered significant. Results: Academic Related Stress (ARS) showed a highly significant increase during the stressed conditions (p<0.001). The mean global PSQI score of 6.03±2.76 was significantly higher (p-value <0.001; PSQI >5) during the stressed conditions indicating poor quality of sleep, when compared to 4.50±2.87 recorded in unstressed conditions. In stressed conditions, QT interval measures had moderate correlation with ARS. Quality of sleep had negative correlations with all QT interval measures except for corrected QT interval (QTc) and QTCmin. Conclusion: Stress affects the sleep quality and induced QT changes which reflected difference in variability between ‘stressed’ and ‘unstressed’ times. However, there is no significant impact on QT duration among the young adult medical students.


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