Sleep Deprivation and its Associated Factors Among the Hospitalised Patients

Sapana Gharti Magar, S. Shrestha
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Abstract

Introduction: Sleep is an important factor in maintaining health and wellbeing of an individual. Various factors can lead to poor sleep quality in a patient during hospitalization. Therefore, the purpose of this study was to assess the prevalence of sleep deprivation and its associated factors among the hospitalized patients. Methods: This study was done using descriptive survey design. A total of 65 hospitalized patients were selected for the study using non-probability purposive sampling technique. Informed written consent was taken from each respondent beforehand.  Data was collected by interviewing the patients meeting the criteria with pretested semi-structured interview schedule at their bedside by maintaining privacy through bedside curtains. Collected data were analyzed by using descriptive statistics and inferential statistics i.e., chi-square test and Fisher’s exact test. Results: Almost all (98.8%) of respondents had sleep deprivation on the first night of hospitalization which decreased in frequency with increased length of hospital stay. Majority (73.8%) of respondents expressed that hospital environment was disturbing to sleep. Hospital noise (95.8%) and light (66.6%) were reported as the most disturbing factors. Sleep deprivation was associated with hospital environment (p=0.036, p=0.002, p=0.002) on first, second, and third day of hospitalization. This study revealed no significant association of sleep deprivation with age and pain or discomfort of respondents. Conclusions: Hospital environment is the most important factor of sleep deprivation among hospitalized patients, particularly noise and light. Hospital staff should be more careful during the night shift and take measures to minimize noise and lights in the ward to promote sound sleep among patients.
住院患者睡眠剥夺及其相关因素分析
引言:睡眠是维持个人健康和幸福的重要因素。在住院期间,各种因素可能导致患者睡眠质量差。因此,本研究的目的是评估住院患者睡眠剥夺的患病率及其相关因素。方法:本研究采用描述性调查设计。采用非概率目的抽样技术,共选择65名住院患者进行研究。事先取得每位受访者的知情书面同意书。通过在床边通过窗帘保持隐私,对符合标准的患者进行预先测试的半结构化访谈,收集数据。收集的数据采用描述性统计和推断统计学进行分析,即卡方检验和Fisher精确检验。结果:几乎所有(98.8%)的受访者在住院第一晚都有睡眠剥夺,这种情况随着住院时间的增加而减少。大多数(73.8%)受访者表示医院环境干扰睡眠。医院噪声(95.8%)和光照(66.6%)是最令人不安的因素。在住院的第一天、第二天和第三天,睡眠剥夺与医院环境有关(p=0.036,p=0.002,p=0.002)。这项研究表明,睡眠剥夺与受访者的年龄、疼痛或不适没有显著关联。结论:医院环境是导致住院患者睡眠剥夺的最重要因素,尤其是噪声和光线。医院工作人员在夜班期间应更加小心,并采取措施尽量减少病房内的噪音和灯光,以促进患者的良好睡眠。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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12 weeks
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