How to Improve Patients' Perceived Quality of Sleep During Hospitalization Through a Multicomponent “Good Sleep Bundle”: A Prospective Before and After Controlled Study
Barbara RagoneseValeria DenottiVincenzina Lo ReGiovanni VizziniBrigida CorsoGiuseppe ArenaRosario GirgentiMaria Luisa FazzinaFabio TuzzolinoMichele PilatoAngelo Luca
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ABSTRACT Introduction Despite sound evidence on the importance of sleep for human beings and its role in healing, hospitalized patients still experience sleep disruption with deleterious effects. Many factors affecting patients' sleep can be removed or minimized. We evaluated the efficacy of a multicomponent Good Sleep Bundle (GSB) developed to improve patients' perceived quality of sleep, through which we modified environmental factors, timing of nighttime clinical interventions, and actively involved patients in order to positively influence their experience during hospitalization. Methods: In a prospective, before and after controlled study, two different groups of 65 patients each were admitted to a cardiothoracic unit in two different periods, receiving the usual care (control group) and the GSB (GSB group), respectively. Sleep quality was evaluated by the Pittsburgh Sleep Quality Index (PSQI) at the admission, discharge, and 30 days after discharge in all patients enrolled. Comparisons between the two groups evaluated changes in PSQI score from admission to discharge (primary endpoint), and from admission to 30 days after discharge (secondary endpoint). Results: The mean PSQI score difference between admission and discharge was 4.54 (SD 4.11) in the control group, and 2.05 (SD 4.25) in the GSB group. The mean difference in PSQI score change between the two groups, which was the primary endpoint, was 2.49 (SD 4.19). This difference was highly significant (p = 0.0009). Conclusion: The GSB was associated with a highly significant reduction of the negative effects that hospitalization produces on patients' perceived quality of sleep compared with the usual care group.Keywords:
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The objective of this study was to evaluate the alterations in sleep and circadian parameters during the aging process.The study sample comprises volunteers older than 18 up to 90 years of age that answered the Pittsburgh Sleep Quality Index (PSQI) and the Horne and Östberg circadian preference questionnaire.We observed that the shift to morningness with increasing age is associated with a significant worsening in sleep quality.We discuss that this sleep profile characterized by morningness and worse sleep quality observed in elderly, when compared to younger people, reflects not necessarily a pathological state, but an expected profile for this age group.
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Objective: To investigate current status of sleep quality of medical college students,and to propose specific measures.Methods: Stratified sampling survey was performed.Pittsburgh sleep quality index(PSQI) and a self-designed questionnaire about influencing factors of sleep quality were used.Results: The average PSQI score of 1 547 medical college students was 6.22±2.36,and 27.4 percent of them showed poor sleep quality.The differences between different genders and specialties were not statistically significant(P0.05).The three-year students got the highest PSQI score(P0.05).Conclusions: Sleep quality of medical college students generally is not good.Integrated measures should be taken to improve their sleep quality and promote their psychosomatic health.
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Purpose:The purpose of this study was to review articles that used the Pittsburgh Sleep Quality Index (PSQI) scale to measure sleep quality among adults with trauma experiences
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Objective To investigate sleep quality of the elderly in cadre's sanitarium,and to provide the strategies of health care for improving sleep quality.Methods 140 cases of the elderly whose ages were older than or equal to 60 in cadre's sanitarium were selected by cluster sampling method.Their sleep quality were investigated with the Pittsburgh sleep quality index(PSQI).Results(1)The average score of PSQI was 7.03±4.22.46.4% of the elderly who had sleep problems.(2)The older women's sleep quality were generally poorer than the men's sleep(P0.05).Sleep quality had significantly negative correlation with age(P0.05).The aged people with higher educational level had better sleep quality(P0.05).Conclusion Sleep quality of the elderly in cadre's sanitarium is not optimistic.It is suggested that more countermeasures should be applied in order to improve their sleep quality.
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Introduction Sleep is a necessary part of life. Assessment of sleep patterns enables the nurse to intervene immediately by implementing interventions with the client, or by referring the client for further assessment. Method The Pittsburgh Sleep Quality Index (PSQI) is an effective instrument created by Buysse et al in 1989. It differentiates ‘poor’ from ‘good’ sleep by measuring seven areas: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency and sleep disturbances, use of sleep medication and daytime dysfunction over the last month. The client self relates each of these seven areas of sleep. Scoring of the answers is based on a 0 to 3 scale, three reflects the negative extreme on the Likert scale. A sum of ‘5’or greater indicates a ‘poor’ sleeper. Result Seven patients who had sleeping problems were assessed. Data using the PSQI was collected from the 18th of June till the 18th of July 2010. Out of these seven patients, four of them were found to a sum of 5 to 6 as their global PSQI score. Two of them were given sleep medication to improve their sleeping patterns and the other two of them were referred to a psychologist. Three of the patients were found to have subjective sleep problems; two of them were overweight and were asked to start an exercise program. The other patient was found to lead a sedentary lifestyle and was encouraged to be more active. Conclusion The PSQI can be used for both initial assessment and ongoing comparative measurements with older adults across all health settings.
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Objective To analyze the sleep quality and influential factors of sleep in postgraduates and improve their sleep quality.Methods The pittsburgh sleep quality index (PSQI) and a self-designed questionnaire were adopted to survey 214 postgraduates.Results The mean score of PSQI was(4.49±2.32). The score for girls(5.13±2.69)was significantly higher than boys(4.28±2.15)(t=-2.33,P0.05).The influential factors of sleep quality among postgraduates mainly included lacking hobbies,trouble of love,irregular work and rest.Conclusion The sleep quality in postgraduates is not high. The influential factors to sleep quality among postgraduates are multiple,so synthetic measures should be taken to improve the sleep quality.
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Background: Complaints of sleep disturbance are more prevalent among women.Women in childbearing age (15-49 years) are prone to sleep disturbances due to the menstrual cycle, pregnancy, and many other hormonal changes.So this study was designed with an objective to assess the sleep quality among women of childbearing age.Materials and methods: This cross-sectional study was conducted in sleep disorder clinic and laboratory of Srirama Chandra Bhanja Medical College, Cuttack, Odhisa, India between October 2014 and September 2015.Two hundred eleven women of childbearing age participated.Sleep was assessed by the Pittsburgh sleep quality index (PSQI) scale.Results: Among poor sleeper women 56.5% were from age 15 to 26 years which is higher from other age groups.About 61.9% of pregnant women were poor sleepers.About 83.3% of the second-trimester pregnant women were poor sleepers.Conclusion: Sleep abnormality in women of childbearing age starts from a very early age.Most pregnant women suffer from sleep abnormality mainly in the second trimester.
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Self-report retrospective estimates of sleep behaviors are not as accurate as prospective estimates from sleep diaries, but are more practical for epidemiological studies. Therefore, it is important to evaluate the validity of retrospective measures and improve upon them. The current study compared sleep diaries to two self-report retrospective measures of sleep, the commonly used Pittsburgh Sleep Quality Index (PSQI) and a newly developed sleep questionnaire (SQ), which assessed weekday and weekend sleep separately. It was hypothesized that the new measure would be more accurate than the PSQI because it accounts for variability in sleep throughout the week. The relative accuracy of the PSQI and SQ in obtaining estimates of total sleep time (TST), sleep efficiency (SE), and sleep onset latency (SOL) was examined by comparing their mean differences from, and correlations with, estimates obtained by the sleep diaries. Correlations of the PSQI and SQ with the sleep diaries were moderate, with the SQ having significantly stronger correlations on the parameters of TST, SE, and sleep quality ratings. The SQ also had significantly smaller mean differences from sleep diaries on SOL and SE. The overall pattern of results indicated that the SQ performs better than the PSQI when compared to sleep diaries.
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s of the 2011 Joanna Briggs Institute International Convention: Mission Impossible? Evidence based practice and the future of global health: 7–9 November 2011, National Wine Centre, Adelaide, South Australia: ABSTRACTS
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Objective: To assess the quality of sleep in medical students using Pittsburgh sleep quality index
Methods: This observational, cross sectional study was conducted on 419 undergraduate medical students of Azra Naheed Medical College, Lahore. Google survey form consisting of two components, demographics and PSQI scale was used to collect data. Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 20.0. Chi-square test was applied for statistical significance and p-value <0.05 was considered significant.
Results: Of the 419 students, 220 (52.5%) were females and 199 (47.5%) were males. Out of them sleep impairment was documented in 298 (71.1%) of medical students. Overall, 96% students used electronic gadgets just before going to sleep. Significant impairment of sleep was reported between year of medical school and PSQI. Sleep impairment was highest among first year and final year students 85.5% and 71.8% respectively.
Conclusion: Sleep quality in medical students is impaired and more so in the first and final year of medical school.
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Sleep medicine
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