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CC BY-NC-ND 4.0 · Sleep Sci 2022; 15(S 01): 120-127
DOI: 10.5935/1984-0063.20220010
ORIGINAL ARTICLES

Subjective sleep pattern in hospitalized patients

Authors

  • Reijane Oliveira Lima

    1   Universidade Federal do Piauí, Centro de Ciências da Saúde - Teresina - Piauí - Brazil.

  • Maurício Batista Paes Landim

    1   Universidade Federal do Piauí, Centro de Ciências da Saúde - Teresina - Piauí - Brazil.

  • Luana Gabrielle de França Ferreira

    2   Hospital Universitário da Universidade Federal do Piauí, Clínicas médica e cirúrgica - Teresina - Piauí - Brazil.

  • Jivago Gentil Moreira Pinto

    1   Universidade Federal do Piauí, Centro de Ciências da Saúde - Teresina - Piauí - Brazil.

  • Nayla Raabe Venção de Moura

    2   Hospital Universitário da Universidade Federal do Piauí, Clínicas médica e cirúrgica - Teresina - Piauí - Brazil.

  • Marcela Flávia Lopes Barbosa

    1   Universidade Federal do Piauí, Centro de Ciências da Saúde - Teresina - Piauí - Brazil.
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Objective To evaluate the subjective sleep pattern in hospitalized patients.

Methods This is a cross-sectional design developed with 230 patients in a university hospital in northeastern Brazil from September 2017 to March 2018. We included patients 18 years old or older, hospitalized for a minimum of 48 hours and a maximum of five days, with stable clinical conditions and preserved guidance. For data collection, a structured questionnaire was used and the subjective sleep pattern was assessed using Visual Analog Sleep Scales. Univariate and bivariate statistics were calculated using IBM® SPSS® software, version 23.0.

Results In the hospitalization, the Disorder, Effectiveness, and Supplementation scales reached scores of 208.7 points, 353.8 points, and 62.9 points, respectively. The clinical characteristics that interfered with sleep were the practice of regular physical activity (p = 0.024) and a higher body mass index (p = 0.033). We also observed statistically significant differences between VAS scores and factors influencing sleep.

Conclusion There was a certain level of sleep disturbance during the hospitalization period, and consequently the need for sleep supplementation during the day. We also observed that some factors negatively influenced the quality of hospital sleep.

Sleep - Sleep deprivation - Inpatients


Publication History

Received: 05 July 2020

Accepted: 09 August 2021

Article published online:
01 December 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • REFERENCES

  • 1 Costa SV, Ceolim, MF. Fatores que interferem na qualidade do sono de pacientes internados. Rev Esc Enferm USP. 2013;47(1):46-52.
  • 2 Dogan O, Ertekin S, Dogan S. Sleep quality in hospitalized patients. J Clin Nurs. 2005;14(1):107-13.
  • 3 Reid E. Factores affecting how patients sleep in the hospital environment. Br J Nurs. 2001;10(14):912-5.
  • 4 Silva LE, Oliveira ML, Inaba WK. Fatores que interferem na qualidade do sono de pacientes internados. Rev Eletr Enf.2011;13(3):521-8.
  • 5 Besedovsky L, Lange T, Bom J. Sleep and immune function. Pflugers Arch. 2012:463(1):121-37.
  • 6 Lashley FR. Measuring sleep. In: Frank-Stromborg M, Olsen SJ, editors. Instruments for clinical health-care research. 3rd ed. Boston: Jones and Bartlett; 2004. p. 293-314.
  • 7 Beltrami, FG, Nguyen X, Pichereau C, Maury E, Fleury B, Fagondes S. Sleep in the intensive care unit. J. Bras. Pneumol.2015;41(6):539-46.
  • 8 Monteiro NT, Ceolim MF. Qualidade do sono de idosos no domicílio e na Hospitalização. Texto Contexto Enferm. 2014;23(2):356-64.
  • 9 Bergamasco EC, Cruz DALM. Adaptação da Visual Analog Sleep Scales para a língua portuguesa. Rev. Latino Am. Enferm. 2007; 15(5):123-9.
  • 10 World Health Organization. Obesity: preventing and managing the global epidemic. Report of a World Health Organization Consultation. Geneva: World Health Organization. WHO Obesity Technical Report Series. 2000; 284:256.
  • 11 Arora VM et al. Objective sleep duration and quality in hospitalized older adults: associations with blood pressure and mood. J Am Geriatr Soc. 2011;59(11)2185-6.
  • 12 Bano M et al. The influence of environmental factors on sleep quality in hospitalized medical patients. Frontiers Neurol. 2014;5(267):1-8.
  • 13 Dobing S. Frolova N, McAlister F, Ringrose J. Sleep Quality and Factors Influencing Self-Reported Sleep Duration and Quality in the General Internal Medicine Inpatient. PLoS One. 2016;11(6):1-6.
  • 14 Adachi M, Staisiunas PG, Knutson KL, Beveridge C, Meltzer DO, Arora VM. Perceived control and sleep in hospitalized older adults: a sound hypothesis? Hosp Med April. 2013;8(4)184-90.
  • 15 Beccuti G, Pannain S. Sleep and obesity. Curr Opin Clin Nutr Metab. Care. 2011;14(4):402-12.
  • 16 Kim SK et al. Smoking induces oropharyngeal narrowing and increases the severity of obstructive sleep apnea syndrome. J Clin Sleep Med. 2012;8(4):367-74.
  • 17 Peters EN, Fucitoa LM, Novosadb C, Toll BA, O’Malleya SS. Effect of night smoking, sleep disturbance, and their co-occurrence on smoking outcomes. Psychol. Addict Behav. 2011;25(2):312-9.
  • 18 Galli G et al. Inverse relationship of food and alcohol intake to sleep measures in obesity. Nutr Diabetes. 2013;3(1):1-8.
  • 19 Zuo H, Shi Z, Yuan B, Dai Y, Hu G, Wu G, Hussain A. Interaction between physical activity and sleep duration in relation to insulin resistance among non-diabetic Chinese adults. BMC Public Health. 2012;12(247)1-9.
  • 20 Nerbass FB, Peruchi BB. Distúrbios do sono em unidades de terapia intensiva. In: Associação Brasileira de Fisioterapia Cardiorespiratória e Fisioterapia em Terapia Intensiva; Martins, JA, Andrade FM, Dias CM, organizadores. PROFISIO Programa de Atualização em Fisioterapia em Terapia Intensiva Adulto. Ciclo 05. Porto Alegre: Artmed Panamericana; 2015. p. 99-131.
  • 21 Pulak LM, Jensen L. Sleep in the Intensive Care Unit: A Review. J Intensive Care Med. 2014;31(1):14-23.
  • 22 Pinto JP. Estudo da qualidade do sono dos pacientes internados no serviço de cirurgia e de medicina interna do Centro Hospitalar Cova da Beira. Dissertação [mestrado]. Universidade da Beira Interior, Covilhã,2014.
  • 23 Frighetto L, Marra C, Bandali S, Wilbur K, Naumann T, Jewesson P. An assessment of quality of sleep and the use of drugs with sedating properties in hospitalized adult patients. Health Qual. Life Outcomes. 2004; 2(17):1-10.
  • 24 Ohayon MM, Carskadon MA, Guilleminaut C, Vitiello MV. Meta-analysis of quantitative sleep parameters from child-hood to old age in healthy individuals: developing normative sleep values across the human lifespan. Sleep. 2004;27(7):1255-73.
  • 25 Hung HC, Yang YC, Ou HY, Wu JS, Lu FH, Chang CJ. The association between self-reported sleep quality and overweight in a Chinese population. Obesity. 2013;21(3)486-92.
  • 26 Yilmaz M, Sayin Y, Gurler H. Sleep quality of hospitalized patients in surgical units. Nurs Forum.2012;47(3):183-92.
  • 27 Lima LE, Vargas NN. O Relógio Biológico e os ritmos circadianos de mamíferos: uma contextualização histórica. Rev Biol. 2014;12(2)1-7.