Objective:The aim of the study was to evaluate the quality of sleep in nurses performing shift work in therapeutic and surgical depar tments and to establish possible relationships between level of blood pressure(BP)a...Objective:The aim of the study was to evaluate the quality of sleep in nurses performing shift work in therapeutic and surgical depar tments and to establish possible relationships between level of blood pressure(BP)and quality of sleep.Methods:A total of 20 nurses of the therapeutic depar tments and 20 nurses of the surgical depar tments were enrolled in the study.Sleep quality was assessed using the Pittsburgh Sleep Quality Index(PSQI).BP was measured according to the standard protocol using the Korotkoff method;a sphygmomanometer was used for this twice with an interval of 2 min between 10:00 a.m.and 10:30 a.m.The average value for the 2 indicators was calculated.The diagnosis of essential ar terial hyper tension(AH)was established according to the recommendations of the European Association of Cardiology and the European Association of Hypertension(2018).Results:The overall assessment of the sleep quality of the nurses involved in shift work indicates poor sleep quality;this was true in respondents of both the surgical and therapeutic profiles.However,it was observed that the quality of sleep was significantly lower in nurses of the therapeutic departments.Moreover,poor sleep quality was associated with AH,which was diagnosed in 65%of the nurses of the therapeutic departments and 45%of the nurses of the surgical departments,that is,in almost all of the subjects.Herewith,in the nurses of the therapeutic departments,the level of systolic BP exceeded that of the nurses of the surgical departments.Conclusions:Poor sleep quality is a significant risk factor for AH development and is relevant to nurses performing shift work.Additional clinical studies should be conducted to better understand the mechanisms underlying such adverse cardiometabolic outcomes associated with sleep disorders in the health-sector shift workers.展开更多
AIM:To compare the vergence mechanisms between good and poor sleepers in university students.METHODS:A total of 64 university students were recruited in this study.The validated Malay version of Pittsburgh Sleep Quali...AIM:To compare the vergence mechanisms between good and poor sleepers in university students.METHODS:A total of 64 university students were recruited in this study.The validated Malay version of Pittsburgh Sleep Quality Index questionnaire(PSQI-M)was used to measure the participants’sleep quality over the past month.Participants were categorized as good sleepers(n=32)and poor sleepers(n=32)based on the PSQI-M scores.Heterophoria and fusional vergences were measured at distance and near.Mann-Whitney U test was used to compare heterophoria,negative fusional vergence(NFV),and positive fusional vergence(PFV)at distance and near between good and poor sleepers.Spearman correlation analysis was used to study the relationship between PSQI-M score and PFV at distance.RESULTS:Both distance and near heterophorias were not significantly different between good and poor sleepers(P>0.05).There was a difference in distance PFV(P<0.05)between good and poor sleepers,but not in distance NFV,near NFV,and near PFV(P>0.05).Distance PFV was negatively correlated with PSQI-M score(rs=-0.33,P<0.05).CONCLUSION:University students with poor sleep quality demonstrates a reduced ability to maintain fusion with increasing convergence demand at distance.Sleep quality assessment during binocular vision examination in university students is recommended.展开更多
Under the effects of COVID-19 and a number of ongoing lockdown tactics,anxiety symptoms and poor sleep quality have become common mental health issues among college freshmen and are intimately related to their emotion...Under the effects of COVID-19 and a number of ongoing lockdown tactics,anxiety symptoms and poor sleep quality have become common mental health issues among college freshmen and are intimately related to their emotional adaptation.To explore this connection,this study gathered data from a sample of 256 freshmen enrolled in an elite university in China in September 2022.The association between sleep quality,anxiety symptoms,and emotional adaptation was clarified using correlation analysis.Additionally,the mediating function of anxiety symptoms between sleep quality and emotional adaptation was investigated using a structural equation model.The results reveal that:(1)Chinese elite university freshmen who were subjected to prolonged lockdown had poor sleep quality and mild anxiety symptoms;(2)a significant positive correlation between poor sleep quality and anxiety symptoms was identified;(3)anxiety symptoms were found to have a significant negative impact on emotional adaptation;(4)poor sleep quality had a negative impact on emotional adaptation through anxiety symptoms.This research makes a valuable contribution by offering insights into the intricate relationship between sleep quality and emotional adaptation among freshmen in elite Chinese universities during prolonged lockdown conditions,and it is beneficial for schools and educators to further improve school schedules and psychological health initiatives.展开更多
BACKGROUND Sepsis is a serious infectious disease caused by various systemic inflammatory responses and is ultimately life-threatening.Patients usually experience depression and anxiety,which affect their sleep qualit...BACKGROUND Sepsis is a serious infectious disease caused by various systemic inflammatory responses and is ultimately life-threatening.Patients usually experience depression and anxiety,which affect their sleep quality and post-traumatic growth levels.AIM To investigate the effects of sepsis,a one-hour bundle(H1B)management was combined with psychological intervention in patients with sepsis.METHODS This retrospective analysis included 300 patients with sepsis who were admitted to Henan Provincial People’s Hospital between June 2022 and June 2023.According to different intervention methods,the participants were divided into a simple group(SG,n=150)and combined group(CG,n=150).H1B management was used in the SG and H1B management combined with psychological intervention was used in the CG.The changes of negative emotion,sleep quality and post-traumatic growth and prognosis were compared between the two groups before(T0)and after(T1)intervention.RESULTS After intervention(T1),the scores of the Hamilton Anxiety scale and Hamilton Depression scale in the CG were significantly lower than those in the SG(P<0.001).Sleep time,sleep quality,sleep efficiency,daytime dysfunction,sleep disturbance dimension score,and the total score in the CG were significantly lower than those in the SG(P<0.001).The appreciation of life,mental changes,relationship with others,personal strength dimension score,and total score of the CG were significantly higher than those of the SG(P<0.001).The scores for mental health,general health status,physiological function,emotional function,physical pain,social function,energy,and physiological function in the CG were significantly higher than those in the SG(P<0.001).The mechanical ventilation time,intensive care unit stay time,and 28-d mortality of the CG were significantly lower than those of the SG(P<0.05).CONCLUSION H1B management combined with psychological intervention can effectively alleviate the negative emotions of patients with sepsis and increase their quality of sleep and life.展开更多
Objective: To investigate the nursing effects of rapid recovery care measures on lung cancer surgery patients. Methods: 42 cases of lung cancer surgery patients were divided into control group and study group, with 21...Objective: To investigate the nursing effects of rapid recovery care measures on lung cancer surgery patients. Methods: 42 cases of lung cancer surgery patients were divided into control group and study group, with 21 cases in each group. The sleep quality and postoperative recovery indicators were compared between the two groups. Results: The study group showed better results than the control group in terms of PSQI scores, venting time, extubation time, time to getting out of bed, and duration of antibiotic use, with P Conclusion: Rapid recovery nursing has a positive impact on improving sleep quality and promoting postoperative recovery in lung cancer surgery patients.展开更多
Objectives:To examine the association between social media addiction and sleep quality among undergraduate nursing students.Methods:This research is an analytical observational study with a cross-sectional approach.Th...Objectives:To examine the association between social media addiction and sleep quality among undergraduate nursing students.Methods:This research is an analytical observational study with a cross-sectional approach.The sampling technique was purposive sampling of 150 nursing students at a private university in Malang,Indonesia.Respondents filled out a questionnaire about self-identity,a sleep quality questionnaire from the Pittsburgh Sleep Quality Index(PSQI),and social media addiction from Social Media Addiction Scale(SMAS).This was a bivariate analysis which was conducted using the Pearson Product Moment Correlation test.Results:The results of this study reported that most nursing students were addicted to social media(76%).As for the parameter of the quality variable,most respondents had poor sleep quality,which were about 106 people(70.3%).The result of the Pearson Product Moment Correlation test obtained a P value of 0.000.The Pearson correlation coefficient was 0.358.Social media addiction(adjusted odds ratio[OR]4.80,95%confidence interval[CI]=2.08-11.02),gender(adjusted OR 3.79,95%CI=1.58-9.12),and using social media for a long time(adjusted OR 4.21,95%CI=1.97-10.48)were associated with sleep quality.Conclusions:We found that there is an association between social media addiction and sleep quality among nursing students.Furthermore,we might be educating nursing students to manage their time to improve their quality of sleep to avoid any health problems.展开更多
Purpose: To investigate the relationship between stress, fatigue and sleep quality among shift work nurses in Japan. Design: A descriptive correlation design using self-administered surveys. Methods: Questionnaires on...Purpose: To investigate the relationship between stress, fatigue and sleep quality among shift work nurses in Japan. Design: A descriptive correlation design using self-administered surveys. Methods: Questionnaires on stress, fatigue and sleep quality (the Pittsburgh Sleep Quality Index;PSQI-J) among shift work nurses were distributed to 653 nurses in Japan from January 2015 to February 2015. Results: Participants who reported higher levels of fatigue reported higher levels of stress (r = 0.774, p = 0.000), lower levels of sleep satisfaction (r = −0.411, p = 0.000) and overall lower levels of health (r = −0.323, p = 0.000).PSQI scores were also significantly correlated with reported levels of stress (r = 0.294, p = 0.000), fatigue (r = 0.291, p = 0.000) and levels of health (r = −0.370, p = 0.000). Nurses who have stress-relieving recourses were younger (t = −2.842, p = 0.005), reported higher levels of overall health (t = 2.727, p = 0.007), had higher levels of sleep quality measured by the PSQI (t = −2.560, p = 0.011), and required less time to fall asleep (t = −3.207, p = 0.001). Conclusions: This study showed an association between stress and sleep satisfaction among shift work nurses in Japan. In addition, nurses that engage in activities to manage stress might achieve higher levels of health and high sleep quality.展开更多
BACKGROUND Patients with chronic hepatitis B(CHB)experience various problems,including low psychological flexibility,negative emotions,and poor sleep quality.Therefore,effective nursing interventions are required to r...BACKGROUND Patients with chronic hepatitis B(CHB)experience various problems,including low psychological flexibility,negative emotions,and poor sleep quality.Therefore,effective nursing interventions are required to reduce adverse events.Acceptance and commitment therapy(ACT)combined with enabling cognitivebehavioral education(ECBE)can improve patients'psychological and sleep.Therefore,we speculate that this may also be effective in patients with CHB.AIM To investigate the effects of different intervention methods on psychological flexibility,negative emotions,and sleep quality in patients with CHB.METHODS This retrospective study examined clinical and evaluation data of 129 patients with CHB.Intervention methods were divided into a conventional group(routine nursing,n=69)and a combination group(ACT combined with ECBE,n=60).We observed changes in psychological flexibility,negative emotions,sleep quality,and self-care ability in both groups.Observation items were evaluated using the Acceptance and Action Questionnaire-2nd Edition(AAQ-II),Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Pittsburgh Sleep Quality Index(PSQI),and Exercise of Self-Care Agency Scale(ESCA).RESULTS Compared with the conventional group,the AAQ-II score of the combined group was lower(F_(between-group effect)=8.548;F_(time effects)=25.020;F_(interaction effects)=52.930;all P<0.001),the SAS score(t=5.445)and SDS score(t=7.076)were lower(all P<0.001),as were the PSQI dimensions(tsleep quality=4.581,tfall sleep time=2.826,tsleep time=2.436,tsleep efficiency=5.787,tsleep disorder=5.008,thypnotic drugs=3.786,tdaytime dysfunction=4.812);all P<0.05).The ESCA scores for all dimensions were higher(thealth knowledge level=6.994,t self-concept=5.902,tself-responsibility=19.820,tself-care skills=8.470;all P<0.001).CONCLUSION ACT combined with ECBE in patients with CHB can improve psychological flexibility and sleep quality,alleviate negative emotions,and improve self-care.展开更多
Objective:To investigate the relation between sleep quality and glycemic control among type 2 diabetic patients.Methods:Across sectional descriptive design was used;the study sample including 125 diabetic patients was...Objective:To investigate the relation between sleep quality and glycemic control among type 2 diabetic patients.Methods:Across sectional descriptive design was used;the study sample including 125 diabetic patients was recruited at diabetic clinics in Zagazig University hospitals.The interview questionnaire sheet consists of 4 par ts:(1)demographic data,(2)medical history,(3)an Arabic version of the Pittsburgh sleep quality index(PSQI),and(4)glycated hemoglobin A1c(Hb A1c)analysis test.Results:The mean of sleep duration was the highest score of PSQI components,96.8%of diabetic patients had poor sleep quality,and 90.4%of diabetic patients had poor glycemic control.A highly statistically significant relationship was found between Hb A1c and sleep quality.Moreover,income,duration of disease and smoking were independent positive predictors of Hb A1c level,while the female gender was a statistically significant negative predictor.Additionally,female gender and income were statistically significant independent positive predictors of PSQI score.Conclusions:Poor sleep quality and poor glycemic control were very common among type 2 diabetic patients.There was a highly significant relation between sleep quality and glycemic control.展开更多
Purpose: We aimed to investigate the effects of installing false windows next to hospital beds without windows on the amount of light received by patients and their sleep quality. Methods: The study included patients ...Purpose: We aimed to investigate the effects of installing false windows next to hospital beds without windows on the amount of light received by patients and their sleep quality. Methods: The study included patients admitted to the Department of Neurology at our hospital between September 2020 and August 2021. An Actigraph device was fitted to patients’ wrist and their beds to measure the amount of light received and sleep quality. Patients were divided into three groups: bed with a window, aisle bed with a false window, and aisle bed without a window. Mean sleep efficiency (%), mean steps (per day), and the amount of light (lux) received by the patients and beds were measured. Results: Valid data were obtained for 48 participants (median age, 66.5 years). There were 23 patients in beds with a window, 13 patients in aisle beds without a false window, and 12 in aisle beds with a false window. No statistically significant differences were found in terms of mean sleep efficiency, number of steps taken, and the amount of light received by the patients (P > 0.05);however, difference in the mean amount of light received by the beds at the location of the bed was statistically significant (P Conclusion: The amount of light that the patient receives is not necessarily affected by the location of the bed or the presence of a false window.展开更多
Background Greater physical activity is associated with improved outcomes in people living with and beyond cancer.However,most studies in exercise oncology use self-reported measures of physical activity.Few have expl...Background Greater physical activity is associated with improved outcomes in people living with and beyond cancer.However,most studies in exercise oncology use self-reported measures of physical activity.Few have explored agreement between self-reported and device-based measures of physical activity in people living with and beyond cancer.This study aimed to describe physical activity in adults affected by cancer across self-reported and device-assessed activity,to explore levels of agreement between these measures in terms of their utility for categorizing participants as meeting/not meeting physical activity guidelines,and to explore whether meeting guidelines is associated with fatigue,quality of life,and sleep quality.Methods A total of 1348 adults living with and beyond cancer from the Advancing Survivorship Cancer Outcomes Trial completed a survey assessing fatigue,quality of life,sleep quality,and physical activity.The Godin-Shephard Leisure-Time Physical Activity Questionnaire was used to calculate a Leisure Score Index(LSI)and an estimate of moderate-to-vigorous physical activity(MVPA).Average daily steps and weekly aerobic steps were derived from pedometers worn by participants.Results The percentage of individuals meeting physical activity guidelines was 44.3%using LSI,49.5%using MVPA,10.8%using average daily steps,and 28.5%using weekly aerobic steps.Agreement(Cohen'sκ)between self-reported and pedometer measures ranged from 0.13(LSI vs.average daily steps)to 0.60(LSI vs.MVPA).After adjusting for sociodemographic and health-related covariates,meeting activity guidelines using all measures was associated with not experiencing severe fatigue(odds ratios(ORs):1.43–1.97).Meeting guidelines using MVPA was associated with no quality-of-life issues(OR=1.53).Meeting guidelines using both self-reported measures were associated with good sleep quality(ORs:1.33–1.40).Conclusion Less than half of all adults affected by cancer are meeting physical activity guidelines,regardless of measure.Meeting guidelines is associated with lower fatigue across all measures.Associations with quality of life and sleep differ depending on measure.Future research should consider the impact of physical activity measure on findings,and where possible,use multiple measures.展开更多
Deficient sleep quality (SQ) has been linked with a higher hospitalization rate and mortality in dialysis patients, however the prevalence of sleep disorders and their influence on prognosis in non-dialysis chronic ki...Deficient sleep quality (SQ) has been linked with a higher hospitalization rate and mortality in dialysis patients, however the prevalence of sleep disorders and their influence on prognosis in non-dialysis chronic kidney disease (CKD) has been poorly investigated. The aim of this study was to assess factors related with SQ in CKD patients (stages I-IV) followed in a nephrology outpatient clinic as well as the long-term impact of SQ on patient’s outcome. Between January and May 2008, Pittsburgh Sleep Quality Index (PSQI) was self-administered by 122 patients (68 males and 54 females) with a mean age of 65 years. Patients were classified as “good” (global PSQI < 6) and “poor” sleepers (global PSQI ≥ 6). We identified 66 (54%) poor sleepers (PS), characterized by an older age (66 ± 14.2 vs 57 ± 17.0, p < 0.01), female predominance (59% vs 26%, p < 0.01) and worse renal function (49 ± 19.1 vs 57 ± 23.2 ml/min, p < 0.05). There was a significant correlation between phosphate and PSQI score (r = 0.234, p = 0.01), however no correlation with calcium or PTH. Vitamin D was also lower in PS (17 ± 7.2 vs 23 ± 15.1 ng/ml, p < 0.05). Until June 2015, hospitalization rate was higher among PS (64% vs 44%, p < 0.05). In this period, there was also a trend towards higher mortality for PS (18% vs 16%). In summary, over 50% of CKD patients have poor SQ, which was associated with older age, female gender, worse renal function, lower vitamin D and higher phosphate levels. Deficient sleep was associated with a greater probability of hospitalization and might be a prognostic marker in CKD.展开更多
This study aimed to investigate the sleep quality of medical staff in China who are combatting novel coronavirus pneumonia(COVID-19).To perform this,a survey of 127 medical staff from three separate wards(the general ...This study aimed to investigate the sleep quality of medical staff in China who are combatting novel coronavirus pneumonia(COVID-19).To perform this,a survey of 127 medical staff from three separate wards(the general ward,isolation ward,and fever clinic)of a Grade A tertiary hospital in China was conducted.The survey questionnaire measured general characteristics and included the Pittsburgh Sleep Quality Index(PSQI).We consequently found that global PSQI scores differed significantly between the different wards(χ2=44.561,P<0.001).Whilst the medical staff in the general ward did not report any sleep disturbances,those in the isolation ward and the fever clinic both exhibited various degrees of sleep disturbance(global PSQI score>7).Medical staff in the isolation ward had the worst sleep quality(mean rank=91.74),followed by those in the fever clinic(mean rank=70.52)and the general ward(mean rank=39.10),respectively.The primary sleep disturbances reported by the medical staff from the isolation ward included difficulty falling asleep(24 cases,71.42%),waking early or at night(28 cases,80%),and nightmares(18 cases,51.42%).In addition,31.42%(11 cases)of the medical staff from the isolation ward had less than six hours of sleep a night,and 65.71%(23 cases)felt that their sleep quality was poor;meanwhile,for the staff from the fever clinic these ratios were 16.67%(seven cases)and 33.33%(14 cases),respectively.In contrast,among medical staff in the general ward,98%(49 cases)reported sleeping for more than six hours a night,and 96%felt that their sleep quality was good.In conclusion,of the medical staff providing treatment for COVID-19,those in isolation wards and fever clinics are more likely to experience sleep disturbances.展开更多
Objective:To study the effect of mindfulness-based cognitive training on sleep quality and mindfulness cognitive level of college students who score below the critical value of sleep disorders.Methods:The subjects wer...Objective:To study the effect of mindfulness-based cognitive training on sleep quality and mindfulness cognitive level of college students who score below the critical value of sleep disorders.Methods:The subjects were freshmen of a university in Shanghai who had scored below the critical value of sleep disorders.They were divided into the control group and experimental group by a random number table method,with 35 students in each group.No intervention was provided in the control group,and the mindfulness-based cognitive training(1 hour per day,5 days per week for 8 consecutive weeks)was performed in the intervention group.Eight weeks later,the Pittsburgh Sleep Quality Index(PSQI)and Five Facet Mindfulness Questionnaire(FFMQ)scores were compared between the two groups before and after the intervention for changes in the sleep quality and mindfulness cognitive level.Results:The sleep quality and daytime dysfunction were significantly improved,the sleep latency was shortened,the sleep duration was prolonged(P<0.05),and the mindfulness level of the subjects was significantly improved(P<0.05)in the intervention group compared with the control group.Conclusion:Mindfulness-based cognitive training can significantly improve the sleep quality of college students who scored below the critical value of sleep disorders.Furthermore,its psychological mechanism may be associated with the improvement of the mindfulness level of college students.展开更多
Purpose:To investigate the sleep quality of patients with type 2 diabetes(T2D)and its impact on glycaemic control.Methods:Using a convenience sampling method,220 patients with T2D were recruited.The Pittsburgh Sleep Q...Purpose:To investigate the sleep quality of patients with type 2 diabetes(T2D)and its impact on glycaemic control.Methods:Using a convenience sampling method,220 patients with T2D were recruited.The Pittsburgh Sleep Quality Index(PSQI)was used to evaluate the sleep quality with threshold at PSQI8.The glycosylated haemoglobin A1c(HbA1c)test was used to measure the glycaemic control with threshold at HbA1c<7%.Results:The PSQI score was 8.30±4.12.The sleep disorder incidence rate was 47.1%.Patients with HbA1c7%had significantly lower PSQI global and factor scores(p<0.01)versus the control group.Sleep latency,sleep disturbance,and daytime dysfunction were the risk factors for poor glycaemic control.Conclusion:Patients with T2D have high sleep disorder rate negatively impacting glycaemic control.Health care providers should pay close attention to the sleep quality of T2D patients,and provide them with appropriate educational material.展开更多
Purpose:To evaluate the effect of acupressure on blood pressure and sleep quality in middle-aged and elderly patients with hypertension.Methods:A total of 75 elderly hypertensive patients with sleep disorders were ran...Purpose:To evaluate the effect of acupressure on blood pressure and sleep quality in middle-aged and elderly patients with hypertension.Methods:A total of 75 elderly hypertensive patients with sleep disorders were randomly divided into either an experimental group(n=38)or a control group(n=37).All subjects received conventional treatment and health guidance.The experimental group also received acupressure treatment.The score of PSQI(Pittsburgh Sleep Quality Index)and blood pressure were measured and recorded before and after the treatment.Results:After the intervention,the systolic(SBP)and diastolic blood pressure of the experimental group decreased significantly(p<0.01).There was a significant difference in SBP between the groups(p<0.01).After four weeks of intervention,the total PSQI score in the experimental group was significantly lower compared to the control group(p<0.01).Conclusion:Acupressure can lower SBP and effectively improve the sleep quality in middleaged and elderly patients with hypertension.展开更多
BACKGROUND The sleep quality of patients with postoperative glioma at home has not been reported worldwide.In this study,the sleep quality of postoperative glioma patients at home was explored through telephone interv...BACKGROUND The sleep quality of patients with postoperative glioma at home has not been reported worldwide.In this study,the sleep quality of postoperative glioma patients at home was explored through telephone interviews.AIM To investigate the sleep quality of patients with postoperative glioma.METHODS Glioma patients who were treated and operated on at Nanjing Brain Hospital from May 2012 to August 2019 were selected as participants via convenience sampling.A total of 549 patients were recruited by telephone,and 358 of those patients responded to the Pittsburgh Sleep Quality Index(PSQI).RESULTS The total PSQI score was 5.19±3.39 in all patients with postoperative glioma,which was higher than that of the normal group.There were 135 patients with poor sleep quality(PSQI>7),which accounted for 37.7%of all respondents.The scores of the seven dimensions of the PSQI were sleep latency(1.22±1.05),sleep disturbance(1.12±0.98),subjective sleep quality(1.03±0.92),habitual sleep efficiency(1.02±0.91),daytime dysfunction(0.95±0.43),sleep persistence(0.83±0.76),and use of sleeping medication(0.25±0.24).The results showed that the subjective sleep quality of the patients who underwent an operation 1-2 years ago was worse than that of the patients who underwent an operation more than 2 years ago(P<0.05).Older patients had worse sleep latency and sleep duration scores than younger patients(P<0.05).Sleep disturbance and daytime dysfunction were worse in patients who received postoperative radiotherapy/chemotherapy(P<0.05).CONCLUSION The sleep quality of patients with postoperative glioma at home is worse than that of normal adults.Moreover,difficulty falling asleep and sleep disorders are common complications among these patients,and age,postoperative duration,and postoperative chemoradiotherapy could affect sleep quality.展开更多
Sleep hygiene and knowledge about sleep basics is unknown in college student populations. The college student population have abbreviated sleep due to social schedules and busy academic schedules. A measurement of sle...Sleep hygiene and knowledge about sleep basics is unknown in college student populations. The college student population have abbreviated sleep due to social schedules and busy academic schedules. A measurement of sleep hygiene and knowledge about sleep in the college student population indicates that there are varying levels along with sleep knowledge. The objective of the study was to examine young adult sleep quality because of providing an educative intervention. A sleep class of one hour provided once a week for ten weeks was provided following the administration of a ten-item sleep survey. Following the sleep class, the sleep survey was read ministered. Measures of central tendency and non-parametric analysis of nominal data were conducted. The results indicated two of the five cohorts had statistically significant differences. Further, the measures of sleep quality differed, statistically, for two of the cohorts receiving the classroom instruction. This research finding indicates a continued need to educate college student populations about their sleep health.展开更多
Aims:The aim of this article is to explore the relation of sleep quality,anxiety status,fatigue level and psychological resilience among rotating‑shift nurses,thus,to propose solutions and promote physical and psychol...Aims:The aim of this article is to explore the relation of sleep quality,anxiety status,fatigue level and psychological resilience among rotating‑shift nurses,thus,to propose solutions and promote physical and psychological health of shift nurses.Methods:The cross‑sectional survey was performed on 263 clinical nurses recruited from three tertiary hospitals of Xinxiang City,Henan Province,China from October 2017 to June 2018.The questionnaire survey was conducted using Pittsburgh Sleep Quality Index(PSQI)for measuring nurses’sleep quality,connor‑davidson resilience scale(CD‑RISC)for measuring their psychological resilience,self‑rating anxiety scale(SAS)for measuring their anxiety status,and Fatigue‑14 Scale for measuring their fatigue.The relationship among above indicators were analysed using Pearson correlation analysis.The mediating effect of psychological resilience on the process of sleep quality impacting anxiety and fatigue was analyzed using Wen’s causual steps method and linear regression.Results:The mean CD‑RISC score of shift nurses was 57.76±11.90,which indicated that resilience level was at a medium level.The mean of PSQI,SAS and total fatigue score was(7.53±2.83),(50.56±9.57)and(7.81±9.42),respectively.Resilience could negatively predict the anxiety state(β=−0.366,P<0.01)and fatigue(β=−0.197,P<0.01).Sleep quality could positively predict anxiety(β=0.395,P<0.01)and fatigue level(β=0.495,P<0.01)for shift nurses.The mediating effects of resilience upon sleep quality and anxiety or fatigue was 0.044 and 0.026,respectively.Conclusion:The resilience could fuel sleep quality and reduce the occurrence of negative emotion and fatigue among shift nurses.展开更多
Objective:The objective was to investigate the relationship between resilience,illness uncertainty,and sleep quality in patients with type 2 diabetes mellitus(T2DM).Methods:This cross‑sectional study was conducted fro...Objective:The objective was to investigate the relationship between resilience,illness uncertainty,and sleep quality in patients with type 2 diabetes mellitus(T2DM).Methods:This cross‑sectional study was conducted from September 2019 to August 2020 from a tertiary hospital in Guangzhou,China.Totally,205 participants completed questionnaires concerning demographic characteristics,Pittsburgh sleep quality index,Mishel uncertainty in illness scale(MUIS),and Connor–Davidson Resilience Scale(CD‑RISR)were collected by convenience sampling.Multiple hierarchical regression analysis was used to evaluate the interaction of illness uncertainty,resilience,and sleep quality.The mediating role of resilience was also tested.Results:The total score of illness uncertainty was 94.68±11.19 in T2DM patients,which was proved in the medium level.There was a significant negative correlation between the total CD‑RISR score and total MUIS score(r=−0.716,P<0.01);there was a significant negative correlation between the total CD‑RISR score and total PISQ score(r=−0.806,P<0.01);total MUIS score was positively correlated with PISQ score(r=0.872,P<0.01).Psychological resilience could partially mediate the association between sleep quality and the level of illness uncertainty,and the mediating effect was 0.293,accounting for 34.20%of the total effect.Conclusion:Patients with T2DM have a moderate level of illness uncertainty,and it was negatively correlated with mental resilience level and positively associated with sleep quality.Medical staff should strengthen psychological intervention for T2DM patients to reduce the sense of uncertainty.展开更多
文摘Objective:The aim of the study was to evaluate the quality of sleep in nurses performing shift work in therapeutic and surgical depar tments and to establish possible relationships between level of blood pressure(BP)and quality of sleep.Methods:A total of 20 nurses of the therapeutic depar tments and 20 nurses of the surgical depar tments were enrolled in the study.Sleep quality was assessed using the Pittsburgh Sleep Quality Index(PSQI).BP was measured according to the standard protocol using the Korotkoff method;a sphygmomanometer was used for this twice with an interval of 2 min between 10:00 a.m.and 10:30 a.m.The average value for the 2 indicators was calculated.The diagnosis of essential ar terial hyper tension(AH)was established according to the recommendations of the European Association of Cardiology and the European Association of Hypertension(2018).Results:The overall assessment of the sleep quality of the nurses involved in shift work indicates poor sleep quality;this was true in respondents of both the surgical and therapeutic profiles.However,it was observed that the quality of sleep was significantly lower in nurses of the therapeutic departments.Moreover,poor sleep quality was associated with AH,which was diagnosed in 65%of the nurses of the therapeutic departments and 45%of the nurses of the surgical departments,that is,in almost all of the subjects.Herewith,in the nurses of the therapeutic departments,the level of systolic BP exceeded that of the nurses of the surgical departments.Conclusions:Poor sleep quality is a significant risk factor for AH development and is relevant to nurses performing shift work.Additional clinical studies should be conducted to better understand the mechanisms underlying such adverse cardiometabolic outcomes associated with sleep disorders in the health-sector shift workers.
文摘AIM:To compare the vergence mechanisms between good and poor sleepers in university students.METHODS:A total of 64 university students were recruited in this study.The validated Malay version of Pittsburgh Sleep Quality Index questionnaire(PSQI-M)was used to measure the participants’sleep quality over the past month.Participants were categorized as good sleepers(n=32)and poor sleepers(n=32)based on the PSQI-M scores.Heterophoria and fusional vergences were measured at distance and near.Mann-Whitney U test was used to compare heterophoria,negative fusional vergence(NFV),and positive fusional vergence(PFV)at distance and near between good and poor sleepers.Spearman correlation analysis was used to study the relationship between PSQI-M score and PFV at distance.RESULTS:Both distance and near heterophorias were not significantly different between good and poor sleepers(P>0.05).There was a difference in distance PFV(P<0.05)between good and poor sleepers,but not in distance NFV,near NFV,and near PFV(P>0.05).Distance PFV was negatively correlated with PSQI-M score(rs=-0.33,P<0.05).CONCLUSION:University students with poor sleep quality demonstrates a reduced ability to maintain fusion with increasing convergence demand at distance.Sleep quality assessment during binocular vision examination in university students is recommended.
基金the Tianjin Philosophy and Social Science Planning Project“Research on Value-Added Evaluation of Career Adaptability for Engineering Students Oriented towards Outstanding Engineers”,Grant Number TJJXQN22-001.
文摘Under the effects of COVID-19 and a number of ongoing lockdown tactics,anxiety symptoms and poor sleep quality have become common mental health issues among college freshmen and are intimately related to their emotional adaptation.To explore this connection,this study gathered data from a sample of 256 freshmen enrolled in an elite university in China in September 2022.The association between sleep quality,anxiety symptoms,and emotional adaptation was clarified using correlation analysis.Additionally,the mediating function of anxiety symptoms between sleep quality and emotional adaptation was investigated using a structural equation model.The results reveal that:(1)Chinese elite university freshmen who were subjected to prolonged lockdown had poor sleep quality and mild anxiety symptoms;(2)a significant positive correlation between poor sleep quality and anxiety symptoms was identified;(3)anxiety symptoms were found to have a significant negative impact on emotional adaptation;(4)poor sleep quality had a negative impact on emotional adaptation through anxiety symptoms.This research makes a valuable contribution by offering insights into the intricate relationship between sleep quality and emotional adaptation among freshmen in elite Chinese universities during prolonged lockdown conditions,and it is beneficial for schools and educators to further improve school schedules and psychological health initiatives.
基金Supported by Key R&D and Promotion Special Project(Science and Technology Research)in Henan Province in 2023,No.232102310089.
文摘BACKGROUND Sepsis is a serious infectious disease caused by various systemic inflammatory responses and is ultimately life-threatening.Patients usually experience depression and anxiety,which affect their sleep quality and post-traumatic growth levels.AIM To investigate the effects of sepsis,a one-hour bundle(H1B)management was combined with psychological intervention in patients with sepsis.METHODS This retrospective analysis included 300 patients with sepsis who were admitted to Henan Provincial People’s Hospital between June 2022 and June 2023.According to different intervention methods,the participants were divided into a simple group(SG,n=150)and combined group(CG,n=150).H1B management was used in the SG and H1B management combined with psychological intervention was used in the CG.The changes of negative emotion,sleep quality and post-traumatic growth and prognosis were compared between the two groups before(T0)and after(T1)intervention.RESULTS After intervention(T1),the scores of the Hamilton Anxiety scale and Hamilton Depression scale in the CG were significantly lower than those in the SG(P<0.001).Sleep time,sleep quality,sleep efficiency,daytime dysfunction,sleep disturbance dimension score,and the total score in the CG were significantly lower than those in the SG(P<0.001).The appreciation of life,mental changes,relationship with others,personal strength dimension score,and total score of the CG were significantly higher than those of the SG(P<0.001).The scores for mental health,general health status,physiological function,emotional function,physical pain,social function,energy,and physiological function in the CG were significantly higher than those in the SG(P<0.001).The mechanical ventilation time,intensive care unit stay time,and 28-d mortality of the CG were significantly lower than those of the SG(P<0.05).CONCLUSION H1B management combined with psychological intervention can effectively alleviate the negative emotions of patients with sepsis and increase their quality of sleep and life.
文摘Objective: To investigate the nursing effects of rapid recovery care measures on lung cancer surgery patients. Methods: 42 cases of lung cancer surgery patients were divided into control group and study group, with 21 cases in each group. The sleep quality and postoperative recovery indicators were compared between the two groups. Results: The study group showed better results than the control group in terms of PSQI scores, venting time, extubation time, time to getting out of bed, and duration of antibiotic use, with P Conclusion: Rapid recovery nursing has a positive impact on improving sleep quality and promoting postoperative recovery in lung cancer surgery patients.
文摘Objectives:To examine the association between social media addiction and sleep quality among undergraduate nursing students.Methods:This research is an analytical observational study with a cross-sectional approach.The sampling technique was purposive sampling of 150 nursing students at a private university in Malang,Indonesia.Respondents filled out a questionnaire about self-identity,a sleep quality questionnaire from the Pittsburgh Sleep Quality Index(PSQI),and social media addiction from Social Media Addiction Scale(SMAS).This was a bivariate analysis which was conducted using the Pearson Product Moment Correlation test.Results:The results of this study reported that most nursing students were addicted to social media(76%).As for the parameter of the quality variable,most respondents had poor sleep quality,which were about 106 people(70.3%).The result of the Pearson Product Moment Correlation test obtained a P value of 0.000.The Pearson correlation coefficient was 0.358.Social media addiction(adjusted odds ratio[OR]4.80,95%confidence interval[CI]=2.08-11.02),gender(adjusted OR 3.79,95%CI=1.58-9.12),and using social media for a long time(adjusted OR 4.21,95%CI=1.97-10.48)were associated with sleep quality.Conclusions:We found that there is an association between social media addiction and sleep quality among nursing students.Furthermore,we might be educating nursing students to manage their time to improve their quality of sleep to avoid any health problems.
文摘Purpose: To investigate the relationship between stress, fatigue and sleep quality among shift work nurses in Japan. Design: A descriptive correlation design using self-administered surveys. Methods: Questionnaires on stress, fatigue and sleep quality (the Pittsburgh Sleep Quality Index;PSQI-J) among shift work nurses were distributed to 653 nurses in Japan from January 2015 to February 2015. Results: Participants who reported higher levels of fatigue reported higher levels of stress (r = 0.774, p = 0.000), lower levels of sleep satisfaction (r = −0.411, p = 0.000) and overall lower levels of health (r = −0.323, p = 0.000).PSQI scores were also significantly correlated with reported levels of stress (r = 0.294, p = 0.000), fatigue (r = 0.291, p = 0.000) and levels of health (r = −0.370, p = 0.000). Nurses who have stress-relieving recourses were younger (t = −2.842, p = 0.005), reported higher levels of overall health (t = 2.727, p = 0.007), had higher levels of sleep quality measured by the PSQI (t = −2.560, p = 0.011), and required less time to fall asleep (t = −3.207, p = 0.001). Conclusions: This study showed an association between stress and sleep satisfaction among shift work nurses in Japan. In addition, nurses that engage in activities to manage stress might achieve higher levels of health and high sleep quality.
文摘BACKGROUND Patients with chronic hepatitis B(CHB)experience various problems,including low psychological flexibility,negative emotions,and poor sleep quality.Therefore,effective nursing interventions are required to reduce adverse events.Acceptance and commitment therapy(ACT)combined with enabling cognitivebehavioral education(ECBE)can improve patients'psychological and sleep.Therefore,we speculate that this may also be effective in patients with CHB.AIM To investigate the effects of different intervention methods on psychological flexibility,negative emotions,and sleep quality in patients with CHB.METHODS This retrospective study examined clinical and evaluation data of 129 patients with CHB.Intervention methods were divided into a conventional group(routine nursing,n=69)and a combination group(ACT combined with ECBE,n=60).We observed changes in psychological flexibility,negative emotions,sleep quality,and self-care ability in both groups.Observation items were evaluated using the Acceptance and Action Questionnaire-2nd Edition(AAQ-II),Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Pittsburgh Sleep Quality Index(PSQI),and Exercise of Self-Care Agency Scale(ESCA).RESULTS Compared with the conventional group,the AAQ-II score of the combined group was lower(F_(between-group effect)=8.548;F_(time effects)=25.020;F_(interaction effects)=52.930;all P<0.001),the SAS score(t=5.445)and SDS score(t=7.076)were lower(all P<0.001),as were the PSQI dimensions(tsleep quality=4.581,tfall sleep time=2.826,tsleep time=2.436,tsleep efficiency=5.787,tsleep disorder=5.008,thypnotic drugs=3.786,tdaytime dysfunction=4.812);all P<0.05).The ESCA scores for all dimensions were higher(thealth knowledge level=6.994,t self-concept=5.902,tself-responsibility=19.820,tself-care skills=8.470;all P<0.001).CONCLUSION ACT combined with ECBE in patients with CHB can improve psychological flexibility and sleep quality,alleviate negative emotions,and improve self-care.
文摘Objective:To investigate the relation between sleep quality and glycemic control among type 2 diabetic patients.Methods:Across sectional descriptive design was used;the study sample including 125 diabetic patients was recruited at diabetic clinics in Zagazig University hospitals.The interview questionnaire sheet consists of 4 par ts:(1)demographic data,(2)medical history,(3)an Arabic version of the Pittsburgh sleep quality index(PSQI),and(4)glycated hemoglobin A1c(Hb A1c)analysis test.Results:The mean of sleep duration was the highest score of PSQI components,96.8%of diabetic patients had poor sleep quality,and 90.4%of diabetic patients had poor glycemic control.A highly statistically significant relationship was found between Hb A1c and sleep quality.Moreover,income,duration of disease and smoking were independent positive predictors of Hb A1c level,while the female gender was a statistically significant negative predictor.Additionally,female gender and income were statistically significant independent positive predictors of PSQI score.Conclusions:Poor sleep quality and poor glycemic control were very common among type 2 diabetic patients.There was a highly significant relation between sleep quality and glycemic control.
文摘Purpose: We aimed to investigate the effects of installing false windows next to hospital beds without windows on the amount of light received by patients and their sleep quality. Methods: The study included patients admitted to the Department of Neurology at our hospital between September 2020 and August 2021. An Actigraph device was fitted to patients’ wrist and their beds to measure the amount of light received and sleep quality. Patients were divided into three groups: bed with a window, aisle bed with a false window, and aisle bed without a window. Mean sleep efficiency (%), mean steps (per day), and the amount of light (lux) received by the patients and beds were measured. Results: Valid data were obtained for 48 participants (median age, 66.5 years). There were 23 patients in beds with a window, 13 patients in aisle beds without a false window, and 12 in aisle beds with a false window. No statistically significant differences were found in terms of mean sleep efficiency, number of steps taken, and the amount of light received by the patients (P > 0.05);however, difference in the mean amount of light received by the beds at the location of the bed was statistically significant (P Conclusion: The amount of light that the patient receives is not necessarily affected by the location of the bed or the presence of a false window.
基金funded by Cancer Research UK (grant numbers C43975/A27498 and C1418/A14133)
文摘Background Greater physical activity is associated with improved outcomes in people living with and beyond cancer.However,most studies in exercise oncology use self-reported measures of physical activity.Few have explored agreement between self-reported and device-based measures of physical activity in people living with and beyond cancer.This study aimed to describe physical activity in adults affected by cancer across self-reported and device-assessed activity,to explore levels of agreement between these measures in terms of their utility for categorizing participants as meeting/not meeting physical activity guidelines,and to explore whether meeting guidelines is associated with fatigue,quality of life,and sleep quality.Methods A total of 1348 adults living with and beyond cancer from the Advancing Survivorship Cancer Outcomes Trial completed a survey assessing fatigue,quality of life,sleep quality,and physical activity.The Godin-Shephard Leisure-Time Physical Activity Questionnaire was used to calculate a Leisure Score Index(LSI)and an estimate of moderate-to-vigorous physical activity(MVPA).Average daily steps and weekly aerobic steps were derived from pedometers worn by participants.Results The percentage of individuals meeting physical activity guidelines was 44.3%using LSI,49.5%using MVPA,10.8%using average daily steps,and 28.5%using weekly aerobic steps.Agreement(Cohen'sκ)between self-reported and pedometer measures ranged from 0.13(LSI vs.average daily steps)to 0.60(LSI vs.MVPA).After adjusting for sociodemographic and health-related covariates,meeting activity guidelines using all measures was associated with not experiencing severe fatigue(odds ratios(ORs):1.43–1.97).Meeting guidelines using MVPA was associated with no quality-of-life issues(OR=1.53).Meeting guidelines using both self-reported measures were associated with good sleep quality(ORs:1.33–1.40).Conclusion Less than half of all adults affected by cancer are meeting physical activity guidelines,regardless of measure.Meeting guidelines is associated with lower fatigue across all measures.Associations with quality of life and sleep differ depending on measure.Future research should consider the impact of physical activity measure on findings,and where possible,use multiple measures.
文摘Deficient sleep quality (SQ) has been linked with a higher hospitalization rate and mortality in dialysis patients, however the prevalence of sleep disorders and their influence on prognosis in non-dialysis chronic kidney disease (CKD) has been poorly investigated. The aim of this study was to assess factors related with SQ in CKD patients (stages I-IV) followed in a nephrology outpatient clinic as well as the long-term impact of SQ on patient’s outcome. Between January and May 2008, Pittsburgh Sleep Quality Index (PSQI) was self-administered by 122 patients (68 males and 54 females) with a mean age of 65 years. Patients were classified as “good” (global PSQI < 6) and “poor” sleepers (global PSQI ≥ 6). We identified 66 (54%) poor sleepers (PS), characterized by an older age (66 ± 14.2 vs 57 ± 17.0, p < 0.01), female predominance (59% vs 26%, p < 0.01) and worse renal function (49 ± 19.1 vs 57 ± 23.2 ml/min, p < 0.05). There was a significant correlation between phosphate and PSQI score (r = 0.234, p = 0.01), however no correlation with calcium or PTH. Vitamin D was also lower in PS (17 ± 7.2 vs 23 ± 15.1 ng/ml, p < 0.05). Until June 2015, hospitalization rate was higher among PS (64% vs 44%, p < 0.05). In this period, there was also a trend towards higher mortality for PS (18% vs 16%). In summary, over 50% of CKD patients have poor SQ, which was associated with older age, female gender, worse renal function, lower vitamin D and higher phosphate levels. Deficient sleep was associated with a greater probability of hospitalization and might be a prognostic marker in CKD.
文摘This study aimed to investigate the sleep quality of medical staff in China who are combatting novel coronavirus pneumonia(COVID-19).To perform this,a survey of 127 medical staff from three separate wards(the general ward,isolation ward,and fever clinic)of a Grade A tertiary hospital in China was conducted.The survey questionnaire measured general characteristics and included the Pittsburgh Sleep Quality Index(PSQI).We consequently found that global PSQI scores differed significantly between the different wards(χ2=44.561,P<0.001).Whilst the medical staff in the general ward did not report any sleep disturbances,those in the isolation ward and the fever clinic both exhibited various degrees of sleep disturbance(global PSQI score>7).Medical staff in the isolation ward had the worst sleep quality(mean rank=91.74),followed by those in the fever clinic(mean rank=70.52)and the general ward(mean rank=39.10),respectively.The primary sleep disturbances reported by the medical staff from the isolation ward included difficulty falling asleep(24 cases,71.42%),waking early or at night(28 cases,80%),and nightmares(18 cases,51.42%).In addition,31.42%(11 cases)of the medical staff from the isolation ward had less than six hours of sleep a night,and 65.71%(23 cases)felt that their sleep quality was poor;meanwhile,for the staff from the fever clinic these ratios were 16.67%(seven cases)and 33.33%(14 cases),respectively.In contrast,among medical staff in the general ward,98%(49 cases)reported sleeping for more than six hours a night,and 96%felt that their sleep quality was good.In conclusion,of the medical staff providing treatment for COVID-19,those in isolation wards and fever clinics are more likely to experience sleep disturbances.
基金supported by National Natural Science Foundation of China(NO.81673911).
文摘Objective:To study the effect of mindfulness-based cognitive training on sleep quality and mindfulness cognitive level of college students who score below the critical value of sleep disorders.Methods:The subjects were freshmen of a university in Shanghai who had scored below the critical value of sleep disorders.They were divided into the control group and experimental group by a random number table method,with 35 students in each group.No intervention was provided in the control group,and the mindfulness-based cognitive training(1 hour per day,5 days per week for 8 consecutive weeks)was performed in the intervention group.Eight weeks later,the Pittsburgh Sleep Quality Index(PSQI)and Five Facet Mindfulness Questionnaire(FFMQ)scores were compared between the two groups before and after the intervention for changes in the sleep quality and mindfulness cognitive level.Results:The sleep quality and daytime dysfunction were significantly improved,the sleep latency was shortened,the sleep duration was prolonged(P<0.05),and the mindfulness level of the subjects was significantly improved(P<0.05)in the intervention group compared with the control group.Conclusion:Mindfulness-based cognitive training can significantly improve the sleep quality of college students who scored below the critical value of sleep disorders.Furthermore,its psychological mechanism may be associated with the improvement of the mindfulness level of college students.
基金We thank Meng Li from the 1st Affiliated Hospital of Xi'an Jiaotong University and Xiao-Hong Li from the 2nd Affiliated Hospital of Xi'an Jiaotong University for helping with the data collection,and their continuous support throughout this study.
文摘Purpose:To investigate the sleep quality of patients with type 2 diabetes(T2D)and its impact on glycaemic control.Methods:Using a convenience sampling method,220 patients with T2D were recruited.The Pittsburgh Sleep Quality Index(PSQI)was used to evaluate the sleep quality with threshold at PSQI8.The glycosylated haemoglobin A1c(HbA1c)test was used to measure the glycaemic control with threshold at HbA1c<7%.Results:The PSQI score was 8.30±4.12.The sleep disorder incidence rate was 47.1%.Patients with HbA1c7%had significantly lower PSQI global and factor scores(p<0.01)versus the control group.Sleep latency,sleep disturbance,and daytime dysfunction were the risk factors for poor glycaemic control.Conclusion:Patients with T2D have high sleep disorder rate negatively impacting glycaemic control.Health care providers should pay close attention to the sleep quality of T2D patients,and provide them with appropriate educational material.
文摘Purpose:To evaluate the effect of acupressure on blood pressure and sleep quality in middle-aged and elderly patients with hypertension.Methods:A total of 75 elderly hypertensive patients with sleep disorders were randomly divided into either an experimental group(n=38)or a control group(n=37).All subjects received conventional treatment and health guidance.The experimental group also received acupressure treatment.The score of PSQI(Pittsburgh Sleep Quality Index)and blood pressure were measured and recorded before and after the treatment.Results:After the intervention,the systolic(SBP)and diastolic blood pressure of the experimental group decreased significantly(p<0.01).There was a significant difference in SBP between the groups(p<0.01).After four weeks of intervention,the total PSQI score in the experimental group was significantly lower compared to the control group(p<0.01).Conclusion:Acupressure can lower SBP and effectively improve the sleep quality in middleaged and elderly patients with hypertension.
基金Nanjing Medical Science and Technique Development FoundationNo.QRX17087。
文摘BACKGROUND The sleep quality of patients with postoperative glioma at home has not been reported worldwide.In this study,the sleep quality of postoperative glioma patients at home was explored through telephone interviews.AIM To investigate the sleep quality of patients with postoperative glioma.METHODS Glioma patients who were treated and operated on at Nanjing Brain Hospital from May 2012 to August 2019 were selected as participants via convenience sampling.A total of 549 patients were recruited by telephone,and 358 of those patients responded to the Pittsburgh Sleep Quality Index(PSQI).RESULTS The total PSQI score was 5.19±3.39 in all patients with postoperative glioma,which was higher than that of the normal group.There were 135 patients with poor sleep quality(PSQI>7),which accounted for 37.7%of all respondents.The scores of the seven dimensions of the PSQI were sleep latency(1.22±1.05),sleep disturbance(1.12±0.98),subjective sleep quality(1.03±0.92),habitual sleep efficiency(1.02±0.91),daytime dysfunction(0.95±0.43),sleep persistence(0.83±0.76),and use of sleeping medication(0.25±0.24).The results showed that the subjective sleep quality of the patients who underwent an operation 1-2 years ago was worse than that of the patients who underwent an operation more than 2 years ago(P<0.05).Older patients had worse sleep latency and sleep duration scores than younger patients(P<0.05).Sleep disturbance and daytime dysfunction were worse in patients who received postoperative radiotherapy/chemotherapy(P<0.05).CONCLUSION The sleep quality of patients with postoperative glioma at home is worse than that of normal adults.Moreover,difficulty falling asleep and sleep disorders are common complications among these patients,and age,postoperative duration,and postoperative chemoradiotherapy could affect sleep quality.
文摘Sleep hygiene and knowledge about sleep basics is unknown in college student populations. The college student population have abbreviated sleep due to social schedules and busy academic schedules. A measurement of sleep hygiene and knowledge about sleep in the college student population indicates that there are varying levels along with sleep knowledge. The objective of the study was to examine young adult sleep quality because of providing an educative intervention. A sleep class of one hour provided once a week for ten weeks was provided following the administration of a ten-item sleep survey. Following the sleep class, the sleep survey was read ministered. Measures of central tendency and non-parametric analysis of nominal data were conducted. The results indicated two of the five cohorts had statistically significant differences. Further, the measures of sleep quality differed, statistically, for two of the cohorts receiving the classroom instruction. This research finding indicates a continued need to educate college student populations about their sleep health.
文摘Aims:The aim of this article is to explore the relation of sleep quality,anxiety status,fatigue level and psychological resilience among rotating‑shift nurses,thus,to propose solutions and promote physical and psychological health of shift nurses.Methods:The cross‑sectional survey was performed on 263 clinical nurses recruited from three tertiary hospitals of Xinxiang City,Henan Province,China from October 2017 to June 2018.The questionnaire survey was conducted using Pittsburgh Sleep Quality Index(PSQI)for measuring nurses’sleep quality,connor‑davidson resilience scale(CD‑RISC)for measuring their psychological resilience,self‑rating anxiety scale(SAS)for measuring their anxiety status,and Fatigue‑14 Scale for measuring their fatigue.The relationship among above indicators were analysed using Pearson correlation analysis.The mediating effect of psychological resilience on the process of sleep quality impacting anxiety and fatigue was analyzed using Wen’s causual steps method and linear regression.Results:The mean CD‑RISC score of shift nurses was 57.76±11.90,which indicated that resilience level was at a medium level.The mean of PSQI,SAS and total fatigue score was(7.53±2.83),(50.56±9.57)and(7.81±9.42),respectively.Resilience could negatively predict the anxiety state(β=−0.366,P<0.01)and fatigue(β=−0.197,P<0.01).Sleep quality could positively predict anxiety(β=0.395,P<0.01)and fatigue level(β=0.495,P<0.01)for shift nurses.The mediating effects of resilience upon sleep quality and anxiety or fatigue was 0.044 and 0.026,respectively.Conclusion:The resilience could fuel sleep quality and reduce the occurrence of negative emotion and fatigue among shift nurses.
文摘Objective:The objective was to investigate the relationship between resilience,illness uncertainty,and sleep quality in patients with type 2 diabetes mellitus(T2DM).Methods:This cross‑sectional study was conducted from September 2019 to August 2020 from a tertiary hospital in Guangzhou,China.Totally,205 participants completed questionnaires concerning demographic characteristics,Pittsburgh sleep quality index,Mishel uncertainty in illness scale(MUIS),and Connor–Davidson Resilience Scale(CD‑RISR)were collected by convenience sampling.Multiple hierarchical regression analysis was used to evaluate the interaction of illness uncertainty,resilience,and sleep quality.The mediating role of resilience was also tested.Results:The total score of illness uncertainty was 94.68±11.19 in T2DM patients,which was proved in the medium level.There was a significant negative correlation between the total CD‑RISR score and total MUIS score(r=−0.716,P<0.01);there was a significant negative correlation between the total CD‑RISR score and total PISQ score(r=−0.806,P<0.01);total MUIS score was positively correlated with PISQ score(r=0.872,P<0.01).Psychological resilience could partially mediate the association between sleep quality and the level of illness uncertainty,and the mediating effect was 0.293,accounting for 34.20%of the total effect.Conclusion:Patients with T2DM have a moderate level of illness uncertainty,and it was negatively correlated with mental resilience level and positively associated with sleep quality.Medical staff should strengthen psychological intervention for T2DM patients to reduce the sense of uncertainty.
