Journal articles on the topic 'Epworth Hospital'
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1
Fuller, John, and Brian Buxton. "Cardiac Surgical Audit Epworth Hospital 2002." Heart Lung Circulation 12, s2 (May 2003): S39—S41. http://dx.doi.org/10.1046/j.1443-9506.2003.t01-10-.x.
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Dick, Ronald. "Epworth Hospital Interventional Cardiology Report, 2002." Heart Lung Circulation 12, s2 (May 2003): S35—S38. http://dx.doi.org/10.1046/j.1443-9506.2003.t01-9-.x.
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Buxton, Brian. "Epworth Hospital Cardiac Surgery Audit – 2007." Heart, Lung and Circulation 17 (January 2008): S7—S8. http://dx.doi.org/10.1016/j.hlc.2008.10.002.
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Dick, Ronald. "Epworth hospital interventional cardiology report, 2002." Heart, Lung and Circulation 12 (January 2003): S35—S38. http://dx.doi.org/10.1016/s1443-9506(03)90386-6.
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Fuller, John, and Brian Buxton. "Cardiac surgical audit Epworth hospital 2002." Heart, Lung and Circulation 12 (January 2003): S39—S41. http://dx.doi.org/10.1016/s1443-9506(03)90387-8.
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Skillington, Peter D., Randall Moshinsky, John C. Goldblatt, and Aubrey A. Almedia. "Robotic Cardiac Surgery at Epworth Hospital." Heart, Lung and Circulation 13 (December 2004): S3—S6. http://dx.doi.org/10.1016/j.hlc.2004.09.017.
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Denton, Michael. "Developments in Vascular Surgery at Epworth Hospital." Heart Lung Circulation 12, s2 (May 2003): S49—S50. http://dx.doi.org/10.1046/j.1443-9506.2003..x.
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Dick, Ron. "Epworth Hospital Interventional Cardiology Audit for 2007." Heart, Lung and Circulation 17 (January 2008): S4—S6. http://dx.doi.org/10.1016/j.hlc.2008.09.004.
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Denton, Michael. "Developments in vascular surgery at Epworth hospital." Heart, Lung and Circulation 12 (January 2003): S49—S51. http://dx.doi.org/10.1016/s1443-9506(03)90389-1.
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Jones, Michael A. "Epworth Hospital Electrophysiology and Pacing Report, 2004–2005." Heart, Lung and Circulation 14, no. 2 (January 2005): S34—S38. http://dx.doi.org/10.1016/j.hlc.2005.09.005.
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Pokharel, M., B. L. Shrestha, A. Dhakal, P. Rajbhandari, K. S. Shrestha, A. K. KC, A. Bhattarai, and D. R. Karki. "Clinical Profile and Diagnosis of Obstructive Sleep Apnea Syndrome using Overnight Polysomnography in a Tertiary Care Hospital." Kathmandu University Medical Journal 19, no. 3 (September 30, 2021): 361–65. http://dx.doi.org/10.3126/kumj.v19i3.49717.
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Background Obstructive sleep apnea is a highly prevalent yet largely under-diagnosed disease that poses a significant burden on the healthcare system.
Objective To determine the role of predictors for Obstructive sleep apnea syndrome and its severity in Nepalese population.
Method Prospective and analytical study conducted in the Department of Otorhinolaryngology and Head and Neck surgery at Kathmandu University Hospital between March 2018 and June 2020. A total of 85 adult patients with Obstructive sleep apnea with an Epworth sleepiness score greater than 10 were included. Overnight polysomnography was done and scoring of sleep associated events were done according to the American Academy of Sleep Medicine criteria. Participants were classified as simple snoring and mild, moderate or severe Obstructive sleep apnea syndrome groups depending on the Apnea Hypopnea Index values. Relationship of Apnea hypopnea index was analyzed with age, neck circumference, body mass index and Epworth Sleepiness score.
Result Simple snoring was seen in 18(21.17%) patients, 14(16.47%) had mild Obstructive sleep apnea, 13(15.29%) had moderate Obstructive sleep apnea, whereas the severe group consisted of 40(47.05%) patients. The minimum Epworth Sleepiness Score was 10 and the maximum was 25. The Apnea hypopnea index correlated positively with Body mass index (p=.010) and Epworth sleepiness score (p<.001). However, Apnea hypopnea index had no association with age (p=.437) and neck circumference (p=.118).
Conclusion Health professionals need to be extremely vigilant while examining patients presenting with Obstructive Sleep Apnea. Polysomnography is the investigation of choice in the early identification of this treatable disease.
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Sánchez Fernández, Valentina, Néstor Ricardo González Marín, and Camilo Alberto Eslava Jácome. "Alteraciones del sueño en pacientes llevados a cirugía ortognática para corrección de anomalía dentofacial clase iii en el servicio de cirugía oral y maxilofacial del Hospital Militar Central." ACTA DE OTORRINOLARINGOLOGÍA & CIRUGÍA DE CABEZA Y CUELLO 43, no. 2 (January 16, 2017): 109–16. http://dx.doi.org/10.37076/acorl.v43i2.21.
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Introducción: Las técnicas quirúrgicas utilizadas en cirugía maxilofacial handemostrado mejoría del Síndrome de Apnea Obstructiva del Sueño (SAHOS), sin embargo, en el paciente con perfil cóncavo, con diagnóstico de anomalía dentofacial clase III, se evidencia una reducción del espacio faríngeo, es decir, una disminución en el volumen de la vía aérea superior incrementando el riesgo de SAHOS. Objetivo: Describir y evaluar la relación entre los cambios faríngeos resultantes de la cirugía ortognática en pacientes con anomalía dentofacial clase III y los síntomas de somnolencia diurna mediante la evaluación pre y post quirúrgica de la Escala de Epworth. Diseño: Estudio Pseudoexperimental de antes y después. Metodología: Se tomó a los pacientes operados para corrección de anomalía dento facial clase III y se realizó una evaluación prequirúrgica radiográfica (cefalometría) y con la escala de Epworth validada para Colombia, Posteriormente, se realizó la misma evaluación posoperatoria a los 6 meses. Resultados: Se reclutaron 16 pacientes con una edad media de 27,2 años, al 75% de los pacientes en estudio se les realizó cirugía ortognática bimaxilar, no se evidenciaron diferencias estadísticamente significativas en el espacio de la via aérea superior de los pacientes ni en el estado de somnolencia diurna medido con la escala de Epworth antes y después de la ciurgía (p>0,05). Conclusión: No evidenciamos cambios significativos entre el análisis cefalométrico preperatorio y postoperatorio evaluado 6 meses después de la cirugía, tampoco encontramos impacto clínico de la cirugía ortognática en la somnolencia diurna evaluada con la escala Epworth.
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Welcheck, Julie, Helmut Schreiber, Indukumar Sonpal, Linda A. Patterson, Aviv Ben-Meir, Joseph Sopko, Berta Briones, and Dawn Miller. "Epworth Sleepiness Scale and modified Berlin Questionnaire: Comparison in a bariatric community hospital." Surgery for Obesity and Related Diseases 1, no. 3 (May 2005): 290. http://dx.doi.org/10.1016/j.soard.2005.03.194.
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Pulliam, Samantha J., Debra F. Weinstein, Atul Malhotra, Eric A. Macklin, and Lori R. Berkowitz. "Baseline Sleep Dysfunction Among Matriculating Interns." Journal of Graduate Medical Education 4, no. 2 (June 1, 2012): 202–8. http://dx.doi.org/10.4300/jgme-d-11-00153.1.
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Abstract Background Work hour limitations for graduate medical trainees, motivated by concerns about patient safety, quality of care, and trainee well-being, continue to generate controversy. Little information about sleep habits and the prevalence of sleep disorders among residents is available to inform policy in this area. Objectives To evaluate the sleep habits of matriculating residents, postgraduate year-1 (PGY-1). Design An anonymous, voluntary, self-administered survey study was used with 3 validated questionnaires: the Pittsburgh Sleep Quality Index, the Insomnia Severity Index, and the Epworth Sleepiness Scale, which were fielded to PGY-1 residents entering the Accreditation Council for Graduate Medical Education–accredited programs at Massachusetts General Hospital and/or Brigham and Women's Hospitals in June and July 2009. Results Of 355 eligible subjects, 310 (87%) participated. Mean sleep time for PGY-1 residents was 7 hours and 34 minutes, and 5.6% of PGY-1 residents had Pittsburgh Sleep Quality Index global scores greater than 5, indicating poor quality sleep. Using multiple linear and ordinal logistic regression models, men had higher Pittsburgh Sleep Quality Index sleep latency scores, whereas women and those with children had higher Epworth Sleepiness Scale daytime sleepiness scores, and 18% of PGY-1 residents had abnormal amounts of daytime sleepiness based on the Epworth Sleepiness Scale. The Insomnia Severity Index identified 4.2% of PGY-1 residents with moderate insomnia. Conclusions Some PGY-1 residents may begin residency with sleep dysfunctions. Efforts to provide targeted help to selected trainees in managing fatigue during residency should be investigated.
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Bhat, Asif iqbal, Dr Manmeet Singh, Dr Raghav Arora, Dr sunny Babber, Dr Rohit Jasrotia, and Dr Parul Gupta. "Prevalance of Insomnia Among Elderly Patients Attending Teritiary Care Hospital." Indian Journal of Behavioural Sciences 25, no. 01 (May 8, 2022): 35–39. http://dx.doi.org/10.55229/ijbs2022.0307.
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BACKGROUND: Sleep disorders among elderly society constitute a substantial public health problem. It is estimated that nearly 50% of people aged 55years and older have trouble sleeping, including initiating and maintaining sleep. The aim of this study was to determine the prevalence of sleep disorders among elderly patients attending tertiary care hospital.
METHODS: The study included a total of 60 people – aged 60 or older 27 women (45%) and 33 men (55%). Data was collected from elderly patients attending tertiary care hospital and were screened for cognitive impairment by using mini mental state examination (MMSE). Patients who had MMSE score more than 24 were studied.
The study used two standardized psychometric scales: The Epworth Sleepiness Scale (ESS) and The Insomnia Severity Index (ISI).
RESULTS: As per insomnia severity index scale (ISI) out of 60 patients ,n=18(30%) had mild insomnia n=13(21.67) had moderate insomnia and n=1(1.67%) severe insomnia ,where as n=28(46.67%) had no insomnia.
As per Epworth sleepiness scale (ESS) out of 60 patients ,n=3(05%) had mild day time sleepiness and n=57(95%) had no sleepiness. As per the study there is significant correlation between ISI and ESS .There was a statistically significant association between increasing age and insomnia in elderly patients. The incidence of comorbidities in the patients complaining of insomnia was analyzed. Cardiovascular disorders were the most common followed by Diabetes mellites and chronic obstructive pulmonary disease.
CONCLUSION: Sleep conditions, particularly insomnia, constitute an important social and health problem among elderly people visiting tertiary care hospital. In light of the obtained study results, it is suggested to conduct and improve existing health education plans aimed at the elderly regarding sleep disorders to improve the quality of their sleep, and thus quality of life, and raise the alertness of the elderly about the importance of sleep in everyday life. There is a need for further research in the field of sleep disorders in the elderly to determine the prevalence of these disorders on a nationwide scale.
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Lees, J., B. De Zoete, and G. Webb. "Sister partnership: a collaborative partnership between Dhulikhel Hospital (Nepal) and Epworth Healthcare (Australia) physiotherapy departments." Physiotherapy 101 (May 2015): e854-e855. http://dx.doi.org/10.1016/j.physio.2015.03.1677.
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Aliyu, Ibrahim, Ismail Inuwa Mohammed, Taslim O. Lawal, Mustapha Gudaji, Nuhu Garba, Kehinde Fasasi Monsudi, Godpower Chinedu Michael, and Igoche David Peter. "Assessment of Sleep Quality among Medical Doctors in a Tertiary Hospital in a Semi-Rural Setting." Journal of Neurosciences in Rural Practice 09, no. 04 (October 2018): 535–40. http://dx.doi.org/10.4103/jnrp.jnrp_91_18.
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ABSTRACT Introduction: Sleep is an integral part of human physiology; therefore, disorders of sleep may result in significant derangement in human functionality. Sleep medicine has received little attention in Nigeria. Against this backdrop, this survey seeks to evaluate the quality of sleep among doctors. Methodology: This was a cross-sectional descriptive study involving 59 doctors working with Federal Medical Centre Birnin Kebbi, Kebbi State, Nigeria; it was done between August 2017 and December 2017. Purposive sampling method was adopted. The Pittsburgh Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (ESS) were adopted. The questionnaire was self-administered. Results: There were 34 (57.6%) males and 25 (42.4%) females. Their age ranged from 20 to 66 years, with a mean of 34.39 ± 8.00. The Epworth score ranged from 8 to 29, with a mean of 16.1 ± 4.4, while the PSQI score ranged from 5 to 19, with a mean of 9.5 ± 2.7. The mean work hour per week was 90.3 ± 36.2 h, and majority of the respondents worked for >80 h and or >24 h consecutively in the preceding week, and most had high ESS scores; however, this observation was not statistically significant (Fisher's exact test = 4.0904, P = 0.213). All respondents were poor sleepers and majority sleep for <7 h in the night. Respondents had worked for 5 years and less; house officers and medical offers had more tendencies for daytime sleepiness. Conclusion: All respondents were poor sleepers and also had prolonged work hours per week; there was also heightened daytime sleepiness.
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Asaiag, Paulo Eduardo, Bruno Perotta, Milton de Arruda Martins, and Patrícia Tempski. "Avaliação da qualidade de vida, sonolência diurna e burnout em Médicos Residentes." Revista Brasileira de Educação Médica 34, no. 3 (September 2010): 422–29. http://dx.doi.org/10.1590/s0100-55022010000300012.
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A residência médica pode gerar sonolência diurna e burnout, que afetam a saúde física e mental do médico e prejudicam sua qualidade de vida (QV). Nosso objetivo foi conhecer a QV do médico residente e fatores de influência. Os residentes (n = 136) do Hospital Universitário Evangélico de Curitiba responderam à autoavaliação da QV, WHOQOL - abreviado, escala de sonolência diurna de Epworth e inventário de burnout de Maslach. Observou-se que a nota atribuída à QV na residência foi mais baixa que a nota da QV geral, e 76% dos residentes apresentaram escores patológicos de sonolência diurna, sendo maiores no grupo no primeiro ano e nas mulheres. Na análise de burnout, encontraram-se altos níveis de exaustão emocional (32,1 ± 8,2) e de despersonalização (11,0 ± 6,8), com moderado nível de realização pessoal (33,9 ± 7,0), não tendo havido diferença nos escores de burnout entre os sexos. Obteve-se correlação negativa entre os escores de Epworth, do WHOQOL e da autoavaliação, e correlação positiva entre sonolência diurna e carga horária de trabalho.
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Silva, Steffany Luana da, Rhayana Ayres Pereira de Oliveira, Marcel José de Souza Crasto, Thiago dos Santos Carvalho, Jéssica Oliveira Pacheco, and Fabíola Santana de Oliveira Costa. "Prevalência da Síndrome de Burnout e sua relação com a sonolência em fisioterapeutas intensivistas de um hospital de referência da cidade do Recife-PE." Research, Society and Development 11, no. 14 (October 29, 2022): e356111435555. http://dx.doi.org/10.33448/rsd-v11i14.35555.
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O sono é vital para o descanso, a recuperação e a sobrevivência do indivíduo. O setor da Unidade de Terapia Intensiva (UTI) é altamente estressante e com vários fatores, como por exemplo, sonolência excessiva, que levam os profissionais de saúde a desenvolver um quadro de estresse. A síndrome de Burnout é definida como esgotamento profissional, despersonalização e baixa realização pessoal, que pode acontecer em pessoas que trabalham com contato direto com outras pessoas em decorrência do estresse prolongado. Os fisioterapeutas estão vulneráveis ao Burnout devido a sua importância na reabilitação que requer um contato estreito com o paciente. Objetivo: Avaliar a síndrome de Burnout e sua relação com o sono em fisioterapeutas intensivistas. Método: estudo analítico, observacional do tipo transversal, realizado nas unidades de terapia intensiva de um hospital de referência da cidade do Recife-PE onde foram aplicados três questionários: Escala de Sonolência de Epworth, um questionário preliminar de identificação da Burnout (QPIB) adaptado do Maslach Burnout Inventory – MBI e um sócio, demográfico em 25 fisioterapeutas intensivistas. Resultados e discussões: Foi verificada correlação significativa entre os escores do QPIB e a escala de Epworth (p<0,01; r= 0,47), indicando uma relação diretamente proporcional entre as variáveis. Conclusão: Este estudo observou que se faz necessária novas pesquisas para conscientizar e alertar os profissionais dos fatores desencadeantes da síndrome de Burnout.
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Chung, K. F. "Use of the Epworth Sleepiness Scale in Chinese patients with obstructive sleep apnea and normal hospital employees." Journal of Psychosomatic Research 49, no. 5 (November 2000): 367–72. http://dx.doi.org/10.1016/s0022-3999(00)00186-0.
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V., Suresh, Gowri Shankar M., Prabhu D., and Natarajan S. "The correlation of the severity of polysomnography with clinical assessment in cases of adult OSA in a tertiary hospital." International Journal of Otorhinolaryngology and Head and Neck Surgery 4, no. 4 (June 23, 2018): 1076. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20182717.
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<p class="abstract"><strong>Background:</strong> Now days increasing number of people with sleep related breathing disorders especially obstructive sleep apnea are reporting every day in our institute, which is a tertiary referral centre. The objective was to correlate between clinical assessment andpolysomnographic features in an obstructive sleep apnea patient.</p><p class="abstract"><strong>Methods:</strong> A total number of 60 cases were analyzed retrospectively and those who were already clinically assessed and diagnosed as OSA by AHI>5/h in overnight PSG study. The clinical history, body mass index, Epworth sleepiness scale score and full night polysomnograpic data were obtained for all 60 cases. The age and gender differences in OSA cases were analyzed. The correlations between the BMI, ESS score, AHI, oxygen saturation sleep apnea, Epworth sleeps scale and apnea hypopnea index were explored. </p><p class="abstract"><strong>Results:</strong> Of the 60 cases OSA were analyzed, the mean (SD) age was 36.62 (±11.90) years and the men was mostly affected 96.7% than women only 3.3%. Of 60 cases, 30% of patients having mild form, 25% of patients moderate form, 45% of patients having severe form. The obese patients affected more 83.3% (50/60) than normal only 10% (6/60). The clinical symptom were analyzed by ESS score the normal 18.3%, mild 18.3%, moderate 28.3% and severe 35%. The mean oxygen saturation and heart rate of OSA patients were 72.35 (±11.47) and 69.90 (±15.26) respectively.</p><p><strong>Conclusions:</strong> The BMI and ESS score were positively correlated with severity of OSA. The oxygen saturation and heart rate were negatively correlated with OSA. </p>
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Thomas, Adrian J., Martha Chavoya, and David J. Terris. "Preliminary Findings from a Prospective, Randomized Trial of Two Tongue-Base Surgeries for Sleep-Disordered Breathing." Otolaryngology–Head and Neck Surgery 129, no. 5 (November 2003): 539–46. http://dx.doi.org/10.1016/s0194-59980300728-9.
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OBJECTIVES: This study compares the efficacy of 2 tongue-base surgical procedures in the treatment of patients with moderate to severe sleep-disordered breathing. STUDY DESIGN AND SETTING: We conducted a prospective, randomized crossover surgical trial at a university hospital. METHODS: Seventeen patients with moderate to severe sleep-disordered breathing and Fujita type II upper airway collapse for whom conservative treatment failed were enrolled into an institutional review board-approved surgical protocol. They were randomly assigned to undergo palatopharyngoplasty combined with either tongue advancement (mandibular osteotomy) or tongue suspension. Parameters assessed included severity of sleep-disordered breathing (polysomnography), sleepiness (Epworth Sleepiness Scale), and anatomic changes (upper airway endoscopy), as well as demographic factors. Patients not achieving satisfactory improvement in their condition were offered nonsurgical management or additional surgical treatment that varied based on the postoperative assessment but included crossing over to the other tongue surgical procedure. RESULTS: Nine of the 17 patients were randomized to the tongue suspension group, and 8 to the tongue advancement group. In the 9 tongue suspension patients, Epworth Sleepiness Scale scores fell from 12.1 to 4.1 ( P = 0.007). Airway collapse for all 9 patients measured on Müller maneuver improved, by a mean of 64% ( P = 0.0006) at the palate and 83% ( P = 0.0003) at the base of the tongue. In the 8 tongue advancement patients, Epworth Sleepiness Scale scores fell from a mean of 13.3 to 5.4 ( P = 0.004). Airway collapse for 5 of 8 patients measured on Müller maneuver improved by a mean of 31% ( P = 0.1) at the palate and 75% ( P = 0.03) at the base of the tongue. CONCLUSION: Prospective, randomized trials of tongue-base surgery for sleep-disordered breathing are possible. Preliminary findings from the current protocol reveal a slight advantage of tongue suspension over tongue advancement.
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Phucharoen, Phuttharaksa, and Phakkharawat Sittiprapaporn. "Excessive sleepiness of Thai night shift workers in medical circumstances indexed by Epworth Sleepiness Scale." Asian Journal of Medical Sciences 10, no. 5 (August 11, 2019): 43–48. http://dx.doi.org/10.3126/ajms.v10i5.24987.
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Background: Excessive sleepiness is a cardinal symptom of many sleep disorders including shift work sleep disorder. As shift work sleep disorder is one type of the circadian rhythms sleep–wake disorders (CRSDs), it composes of symptoms of insomnia or excessive sleepiness associated with a recurring work schedule that intersections with the usual sleep timetable.
Aims and Objective: The objective was to study the sleep propensity (SPs) in Thai medical staffs who are working in the hospital in Thailand.
Materials and Methods: Ten participants included night shift workers with excessive sleepiness. Each participant was assessed by standardized measures of excessive sleepiness (Epworth sleepiness scale [ESS] ≥ 11). Exclusions included clinical major medical problem, psychiatric, neurological problem, use of drugs other than alcohol, uncorrected serious vision issue, pregnancy and lactation, use of antibiotics and herbs during this study. The ESS item scores in this study are all assessments of different situational SPs.
Results: The results showed that about 70% of the subjects answered slight chance of dozing, while 20% answered moderate chance of dozing for sitting and reading situation. Only 10% of the subjects would never doze. There were 60% of the subjects answered slight chance of dozing, while 10% answered moderate chance of dozing for as a passenger in a car for hour without a break of the ESS. There were 30% mentioned that they would never doze.
Conclusion: The situations can be described in general terms but not completely, for they depend on the subject’s perception of them. Although these preliminary findings represent a relatively information, it may not reflect all the SPs in Thai medical staffs who are working in hospital. It need further research to be done in the larger extended way.
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Ravi, Abinaya, Sivapriya KRS, Neethu George, Rock Britto, Anirudh Parthiban, and Nagarajan Anukruthi. "Sleep Quality among Healthcare Professionals in a Tertiary Care Hospital." National Journal of Community Medicine 13, no. 4 (April 30, 2022): 213–18. http://dx.doi.org/10.55489/njcm.1342022434.
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Introduction: A person spends one third life in sleep, so the quality and quantity of sleep is of utmost importance. Health Care Professionals (HCPs) are more prone to inconsistency in sleep both in quality and quantity, which leads to deflection from health and well-being of themselves and care of others. This study aims to assess the various factors influencing sleep quality and daytime sleepiness among medical and nursing healthcare professionals.
Methodology: A cross sectional study was conducted using a structured questionnaire to collect socio-demographic and work-related information, co-morbidity and quality of Sleep using ESS (Epworth Sleepiness Scale) and PSQI (Pittsburgh Sleep Quality Index) scale.
Results: Among the 150 HCPs, 64.7% were medical and 35.3% were nursing professionals. 53.6% of medical and 66% of nursing professionals reported poor sleep quality. Increased coffee consumption influences sleep quality and it was found to be statistically significant. Nursing professionals had more excessive daytime sleepiness (58.5%) with significant p-value (p=0.01).
Conclusion: According to our study results, sleep quality was poor among nursing professionals which highlights the need for measures to improve their quality of sleep.
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Kim, Hyeyun, Yong Won Lee, Hyo Jin Ju, Bong Jin Jang, and Yeong In Kim. "An Exploratory Study on the Effects of Forest Therapy on Sleep Quality in Patients with Gastrointestinal Tract Cancers." International Journal of Environmental Research and Public Health 16, no. 14 (July 10, 2019): 2449. http://dx.doi.org/10.3390/ijerph16142449.
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The improvement of sleep quality in patients with cancer has a positive therapeutic effect on them. However, there are no specific treatment guidelines for treating sleep disturbance in cancer patients. We investigated the effect of forest therapy on the quality of sleep in patients with cancer. This study was conducted on nine patients (one male, eight female; mean age, 53.6 ± 5.8 years) with gastrointestinal tract cancer. All patients participated in forest therapy for six days. They underwent polysomnography (PSG) and answered questionnaires on sleep apnea (STOP BANG), subjective sleep quality (Pittsburgh Sleep Quality Index, PSQI), sleepiness (Stanford and Epworth Sleepiness Scales), and anxiety and depression (Hospital Anxiety and Depression Scale) to evaluate the quality of sleep before and after forest therapy. Sleep efficiency from the PSG results was shown to have increased from 79.6 ± 6.8% before forest therapy to 88.8 ± 4.9% after forest therapy (p = 0.027) in those patients, and total sleep time was also increased, from 367.2 ± 33.4 min to 398 ± 33.8 min (p = 0.020). There was no significant difference in the STOP BANG score, PSQI scores, daytime sleepiness based on the results of the Stanford and Epworth Sleepiness Scales, and depression and anxiety scores. Based on the results of this study, we suggest that forest therapy may be helpful in improving sleep quality in patients with gastrointestinal cancers.
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ATABOHO, Ebenguela EBATETOU, and Juste Morel MANTINOU. "Shift Work among Nurses in Public Hospitals in the Congo: Consequences on Sleep." Journal of Medical and Health Studies 3, no. 1 (January 17, 2022): 09–17. http://dx.doi.org/10.32996/jmhs.2022.3.1.2.
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The negative effects of shift work on sleep are well documented. The requirement for permanent hospital care requires nurses to adopt this organization. The objective of this study was to assess these effects on the sleep of nurses in Congolese public hospitals. This was a multi-centre, cross-sectional descriptive study conducted from January to November 2021 with nurses from nine public hospitals. Data were collected using the Epworth Sleepiness Scale and the Pittsburgh Sleep Quality Index. The study included 700 nurses with a 22.54% participation rate. Female staff (83.6%) and those aged 30 to 50 (76.1%) were predominant, with 64.9% being nurses and 35.1% being caregivers. The "2X12" work schedule was predominant (66.6%), 73.9% of staff had a continuous pace, and 94.6% had a rapid turnover. Daytime sleepiness, drowsiness and poor sleep quality were observed in 33.6%, 4.9% and 42% of nurses, respectively. Significant associations were found between sleep disorders on the one hand and age, number of dependent children, hours, and pace of shift work on the other. The health impacts of the work, including sleep disorders in nurses in our hospitals, are real and require prevention, which will result in better services for patients.
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Wang, Gang, Xin-Jian Li, Yi-Song Hu, Qi Cheng, Chun-Fang Wang, Qin Xiao, Jun Liu, et al. "Mortality from Parkinson’s disease in China: Findings from a five-year follow up study in Shanghai." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 42, no. 4 (May 20, 2015): 242–47. http://dx.doi.org/10.1017/cjn.2015.49.
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AbstractIntroduction: The mortality of Parkinson’s disease (PD) and its associated risk factors among clinically definite PD patients in China has been rarely investigated. Our study aimed to identify the mortality rates and predictors of death in PD patients in China. Methods: 157 consecutive, clinically definite PD patients from the urban area of Shanghai were recruited from a central hospital based movement disorder clinic in 2006. All patients were regularly followed up at the clinic until December 31, 2011, or death. Mortality and associations with baseline demographics, health and medical factors were then determined within the cohort. Results: After 5 years, 11(7%) patients had died. The standardised mortality ratio was 0.62 (95% CI 0.32 to 1.07, P=0.104). The main causes of death were pneumonia (54.5%, 6/11) and digestive disorders (18.2%, 2/11), respectively. Age at onset, independent living, the mini mental state examination score, the Parkinson’s disease sleep scale score and the Epworth sleepiness scale score at baseline were statistically significantly different between the survival group and the deceased group (P<0.05). Across all participants, risk factors for death included low mini mental state examination score, and high Epworth sleepiness scale score according to a binary variable logistic regression analysis. Conclusions: This study confirms the similar survival of patients with PD to the control population up to a follow-up of 5 years. Interventions tailored to potential risk factors associated with death may offer further benefits.
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Septian Mixrova Sebayang, Made Suandika, Ita Apriliyani, Suci Khasanah, Asmat Burhan, Noor Yunida Triana, and Dwi Astuti. "Fatigue and excessive daytime sleepiness among nurses." Bali Medical Journal 11, no. 3 (November 15, 2022): 1640–43. http://dx.doi.org/10.15562/bmj.v11i3.3746.
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Background: Nurses are responsible for ensuring the safety of their patients. It has long been known that weariness and sleepiness can lead to mistakes that jeopardize patient safety. The researchers wanted to see if there was a link between exhaustion and excessive daytime sleepiness among nurses. Methods: The study used a cross-sectional correlational design with 36 nurses from a Tertiary Eye Care Hospital as participants. Convenience sampling was used to collect data. The Epworth Sleepiness Scale (ESS) and the Three-Dimensional Work Fatigue Inventory (3D-WFI) were used to collect data. Pearson's correlation coefficient was used to calculate the correlation between WFI and ESS. Results: The statistical analysis with ratio data between exhaustion and Excessive Daytime Sleepiness, we obtained that p 0.000 with Pearson correlation and suggests that there is a strong link between fatigue and excessive daytime sleepiness (EDS) among hospital nurses. Conclusions: Fatigue and daytime sleepiness are significant occupational health concerns for hospital nurses. According to this study, nurses should optimize their work hours to avoid daytime sleepiness and maintain circumstances to avoid excessive sleepiness, which can lead to adverse outcomes.
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Souza, José Carlos. "Sonolência diurna excessiva em trabalhadores da área de enfermagem." Jornal Brasileiro de Psiquiatria 56, no. 3 (2007): 180–83. http://dx.doi.org/10.1590/s0047-20852007000300004.
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OBJETIVO: A sonolência diurna excessiva (SDE) caracteriza-se por episódios de sono em situações em que o indivíduo deveria estar acordado. Objetivou-se detectar a prevalência de SDE em trabalhadores da área de enfermagem. MÉTODOS: Fez-se um estudo, descritivo e de corte transversal em 226 trabalhadores de enfermagem de um hospital público de Campo Grande, MS. Foi aplicada a Escala de Sonolência de Epworth (ESE). RESULTADOS: Foi encontrada uma prevalência de 30,09% de SDE. Não foram detectadas relações entre SDE e gênero, idade, trabalho em turnos, uso de hipnóticos; 27,64% trabalhavam em turnos fixos e 32% alternados. CONCLUSÕES: Foi alta a prevalência de SDE em trabalhadores da área de enfermagem na amostra avaliada. Sugere-se que medidas sejam tomadas para uma abordagem adequada deste transtorno neste grupo.
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Daltro, Manuela Carla De Souza Lima. "Qualidade do sono de profissionais noturnos de um hospital em um município do sertão paraibano." Fisioterapia Brasil 19, no. 5 (November 6, 2018): 252. http://dx.doi.org/10.33233/fb.v19i5.2630.
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A má qualidade do sono é um problema entre os trabalhadores que efetuam suas atividades em turno noturno. O objetivo deste trabalho foi analisar a qualidade de sono e sinais de prejuízos na saúde de profissionais atuantes em um hospital público de um município paraibano. O hospital conta com 72 funcionários, a amostra foi composta por 25 profissionais que executavam suas funções laborais em turno noturno. Utilizou-se uma entrevista semiestruturada, o Índice de Qualidade de Sono de Pittsburgh e a Escala de Sonolência Excessiva de Epworth. Observou-se que, 64% sentiam dor de cabeça após as noites de plantão, 60% ardência nos olhos, 40% diminuição na atenção, 20% dor no estômago, 8% disseram ter outros sintomas além desses e 20% não sentiam nada após as noites de trabalho, é importante salientar que, os participantes puderam marcar mais de um sintoma, além disso, 40% sentiam que sua vida social era afetada pelo trabalho noturno. O Índice de Qualidade de Sono de Pittsburgh mostrou que 16% apresentaram uma boa qualidade de sono, 48% má qualidade no sono e 36% demonstram presença de distúrbios do sono. Conclui-se que os participantes desse estudo apresentam sinais de danos na qualidade de vida.Palavras-chave: sono, profissionais de saúde, trabalho noturno.
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Koseoglu, Sabri, Aykut Ikinciogullari, Mehmet Ali Cetin, Gokce Saygi Uysal, Rauf Oguzhan Kum, and Berna Arli. "The Clinical Efficiency of Positive Airway Pressure Treatment." Scientific World Journal 2013 (2013): 1–5. http://dx.doi.org/10.1155/2013/245476.
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Objectives. The aim of this study was to evaluate the clinical efficiency and compliance of positive airway pressure (PAP) treatment.Materials and Methods. This study was conducted on moderate-severe obstructive sleep apnea syndrome (OSAS) patients who admitted to Ankara Numune Hospital Sleep Center between 2008 and 2012. Seventy-five patients with moderate-severe OSAS who were using PAP treatment regularly were enrolled in the study. Patient's usage data, Epworth sleepiness scale (ESS) scores, and the differences in complaints of OSAS were recorded.Results. The overall complaints were improved when compared to pretreatment period. Particularly there was improvement in apnea, snoring, excessive daytime sleepiness, fatigue, and sleep quality.Conclusion. PAP is effective in reducing symptoms in people with moderate and severe OSAS. To inform the patients with details and the creation of strategies for close followup are necessary for improving the compliance of the patients.
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Da Silva, Kellen, Ariane Naidon Cattani, Maiara Carmosina Hirt, Anahlú Peserico, Rosângela Marion Da Silva, and Carmem Lúcia Colomé Beck. "Sonolência diurna excessiva e os efeitos do trabalho na saúde de trabalhadores de enfermagem." Enfermería Global 19, no. 1 (December 21, 2019): 263–301. http://dx.doi.org/10.6018/eglobal.19.1.377381.
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Objetivo: Analizar la somnolencia diurna excesiva y los efectos del trabajo en la salud de trabajadores de enfermería actuantes em la Unidad de Recuperación Post-Anestésica.Método: Estudio transversal, realizado con 39 trabajadores de enfermería de una Unidad de Recuperación Post-Anestésica de un Hospital Universitario. Los instrumentos de recolección de datos fueron el cuestionario de caracterización sociolaboral, la Escala de Somnolencia de Epworth y la Escala de Evaluación de los Daños Relacionados al Trabajo. Los datos fueron analizados con ayuda de Predictive Analytics Software, de la SPSS (Statistical Package for the Social Sciences), a través de pruebas estadísticas.Resultados: Indican que los daños físicos presentaron mayor promedio (2,33 ± 1,15), predominando dolores en el cuerpo, espalda y piernas, dicho una clasificación grave, lo cual potencia el sufrimiento en el trabajo. En cuanto a la presencia de somnolencia diurna excesiva, el 41% de los trabajadores la presentaron. No se identificó asociación significativa entre la somnolencia diurna excesiva y los efectos del trabajo en la salud de trabajadores de enfermería.Conclusión: Este estudio podrá auxiliar en la planificación de acciones con el objetivo de minimizar los daños relacionados al trabajo y promover la salud del trabajador. Objective: To analyze excessive daytime sleepiness and the effects of work on the health of nursing workers working in the Post-Anesthetic Recovery Unit.Method: A cross-sectional study carried out with 39 nursing workers from a Post-Anesthetic Recovery Unit of a University Hospital. Data collection instruments were the socio-labor characterization questionnaire, the Epworth Sleepiness Scale and the Work-Related Damage Assessment Scale. The data were analyzed with the aid of Predictive Analytics Software, SPSS (Statistical Package for the Social Sciences), through statistical tests.Results: Indicate that physical damage presented a higher mean (2.33 ± 1.15), and pain in the body, back and legs predominated, a severe classification, which potentiates suffering at work. As to the presence of excessive daytime sleepiness, 41% of the workers presented. No significant association was identified between excessive daytime sleepiness and the effects of work on the health of nursing workers.Conclusion: This study may help in the planning of actions with the intention of minimizing the damages related to work and promoting the health of the worker. Objetivo: Analisar a sonolência diurna excessiva e os efeitos do trabalho na saúde de trabalhadores de enfermagem atuantes na Unidade de Recuperação Pós-Anestésica.Método: Estudo transversal, realizado com 39 trabalhadores de enfermagem de uma Unidade de Recuperação Pós-Anestésica de um Hospital Universitário. Os instrumentos de coleta de dados foram o questionário de caracterização sociolaboral, a Escala de Sonolência de Epworth e a Escala de Avaliação dos Danos Relacionados ao Trabalho. Os dados foram analisados com auxílio do Predictive Analytics Software, da SPSS (Statistical Package for the Social Sciences), por meio de testes estatísticos.Resultados: Indicam que os danos físicos apresentaram maior média (2,33±1,15), sendo que dores no corpo, costas e pernas predominaram, dito uma classificação grave, o qual potencializa o sofrimento no trabalho. Quanto à presença de sonolência diurna excessiva, 41% dos trabalhadores apresentaram. Não foi identificada associação significativa entre a sonolência diurna excessiva e os efeitos do trabalho na saúde de trabalhadores de enfermagem.Conclusão: Este estudo poderá auxiliar no planejamento de ações com o intuito de minimizar os danos relacionados ao trabalho e promover a saúde do trabalhador.
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Santos, Jueline da Silva, Camila de Araújo Lima, Whelen de Sousa Moreira, Paulo Nixon Cardoso Monteiro, Mylena Cardoso Sales, Jaíne de Sousa Lima, Carlos Eduardo Nunes Vieira, and LUANA GABRIELLE FRANÇA FERREIRA. "A qualidade de sono de fisioterapeutas de um hospital público durante a pandemia de Covid-19." Revista Pesquisa em Fisioterapia 11, no. 3 (August 27, 2021): 510–17. http://dx.doi.org/10.17267/2238-2704rpf.v11i3.3911.
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INTRODUÇÃO: A pandemia de covid-19 tornou necessário estudos sobre o impacto da pandemia e das novas rotinas de trabalho impostas ao trabalhador no estado de saúde de profissionais de saúde, em especial os fisioterapeutas hospitalares. OBJETIVO: Avaliar a qualidade de sono e sonolência diurna de profissionais de fisioterapia hospitalar durante o período de pandemia do covid-19. MATERIAIS E MÉTODOS: Pesquisa observacional, transversal, prospectiva em um hospital público do nordeste brasileiro. A pesquisa teve como público-alvo fisioterapeutas hospitalares atuantes ou não em setores covid durante a pandemia de covid-19. Foram aplicados os instrumentos Índice de Qualidade do Sono de Pittsburgh (IQSP), Escala de Sonolência de Epworth (ESE) e questionários com características demográficas, trabalho, saúde e percepção de estresse. RESULTADOS: Participaram do estudo 45 fisioterapeutas e foi observado que 62,2% eram do sexo feminino, 66,7% relataram trabalhar 60h por semana e 55,6% trabalharam em setor covid e não covid. Observou-se elevada frequência de má qualidade do sono (68,9%) independente de carga horária ou setor de trabalho. Houve maior prevalência de sonolência diurna excessiva (43,3%) entre os fisioterapeutas que trabalhavam 60h por semana. CONCLUSÃO: Os fisioterapeutas hospitalares de uma instituição pública têm má qualidade do sono e aqueles que trabalham com maior carga horária apresentam maior prevalência de sonolência diurna excessiva.
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Andrade, Jocyane de Souza, José Roberto Bentes Capeloni, Mateus Pantoja Rocha, Felipe Xavier de Souza, Ana Larisse Gondim Barbosa, and André dos Santos Brandão. "Correlação dos aspectos clínicos e questionários do sono com achados polissonográficos em pacientes com apnéia obstrutiva do sono." Revista Eletrônica Acervo Saúde 12, no. 3 (March 5, 2020): e2851. http://dx.doi.org/10.25248/reas.e2851.2020.
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Objetivo: Correlacionar alterações clínicas e questionários de sono com achados polissonográficos em pacientes com Apnéia Obstrutiva do Sono (AOS) atendidos em ambulatório de sono de um hospital de referência. Métodos: Estudo observacional, transversal, realizado em um hospital de referência em otorrinolaringologia. Foram selecionados 35 pacientes com queixa de roncos e que já haviam realizado polissonografia. Os pacientes preencheram três questionários de sono: Escala de Sonolência de Epworth (ESE), Questionário de Berlim e Questionário STOP-BANG. Resultados: AOS foi encontrada em 83% dos pacientes, sendo 55,2% homens e 44,8% mulheres, maioria na sexta década de vida (41.4%). A média do Índice de Massa Corporal (IMC) foi de 32,6 (± 4,9 DP) e da circunferência cervical, foi de 39,7 cm (± 4,9 DP). Quanto à sensibilidade e especificidade dos questionários em predizer risco de AOS, obteve-se que a ESE apresentou sensibilidade de 68,97 % e especificidade de 33,33%, STOP-BANG apresentou sensibilidade 93.1% e especificidade 16,6% e o Questionário de Berlim, sensibilidade 96,5% e especificidade 0%. Conclusão: Os questionários ESE, Berlim e STOP-BANG, identificaram pacientes de alto risco para AOS, mas não excluíram com precisão os de baixo risco.
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Orrego-Ramírez, Jorge Hernán, Ángela María Mojica-Rojas, and Kevin Adolfo Guzmán-Ortiz. "Manejo quirúrgico de la válvula nasal en apnea obstructiva del sueño: reporte de casos." ACTA DE OTORRINOLARINGOLOGÍA & CIRUGÍA DE CABEZA Y CUELLO 46, no. 3 (April 13, 2019): 217–22. http://dx.doi.org/10.37076/acorl.v46i3.424.
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Objetivo: Valorar el manejo quirúrgico de la válvula nasal en la apnea obstructiva del sueño. Diseño y Métodos: Serie de casos, con seguimiento a pacientes con apnea obstructiva del sueño manejados en el Hospital Militar Central de Bogotá, con reconstrucción de válvula nasal. Resultados: Un total de 7 casos, 5 con colapso dinámico de ambas válvulas nasales y 2 con colapso estático de válvula nasal interna. Cinco casos presentaron una reducción significativa de la puntuación en la escala NOSE y en la escala somnolencia de Epworth. La mejoría subjetiva en la adherencia se presentó en 3 de 4 pacientes usarios dispositivos de presión positiva. Conclusión: Proponemos el manejo quirúrgico de la válvula nasal como parte fundamental del tratamiento de la apnea obstructiva del sueño, dado que mejora la sintomatología y la calidad de vida; así como la mejor adherencia a los dispositivos de presión positiva.
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Słomko, Joanna, Julia L. Newton, Sławomir Kujawski, Małgorzata Tafil-Klawe, Jacek Klawe, Donald Staines, Sonya Marshall-Gradisnik, and Pawel Zalewski. "Prevalence and characteristics of chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) in Poland: a cross-sectional study." BMJ Open 9, no. 3 (March 2019): e023955. http://dx.doi.org/10.1136/bmjopen-2018-023955.
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ObjectivesThe aim of this study was to estimate the prevalence of chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) and describe illness characteristics in a community population in Poland. Design: cross-sectional study.SettingPoland.ParticipantsOf the cohort of 1400 who self-presented with fatigue only 69 subsequently were confirmed as having CFS/ME using the Fukuda criteria.Main outcome measuresParticipants completed the following screening symptom assessment tools: Chalder Fatigue Scale, Hospital Anxiety and Depression Scale (HADS), Epworth Sleepiness Scale (ESS), Composite Autonomic Symptom Score 31 (COMPASS 31), Quality of Life Scale (QOLS). Haemodynamic and autonomic parameters were automatically measured at rest with a Task Force Monitor.ResultsIn 1308, from 1400 (93%) individuals who identified themselves as fatigued, recognised chronic conditions were identified, for example, neurological (n=280, 21.5%), neurodegenerative (n=200, 15%), psychiatric (n=654, 50%) and immunologic (n=174, 13.5%) disorders. The remaining 69 participants (mean age 38.3±8.5) met the Fukuda defintion for CFS/ME and had baseline objective assessment. The majority had experienced symptoms for over 2 years with 37% having symptoms for 2–5 years and 21.7% for more than 10 years. The COMPASS 31 indicated that 50% have symptoms consistent with orthostatic intolerance. About 43/69 (62%) had Epworth sleepiness scores ≥10, ie, consistent with excessive daytime sleepiness, 26/69 (38%) had significant anxiety and 22/69 (32%) depression measured by HADS A & D. Quality of life is significantly impaired in those with Fukuda criteria CFS (QLS score 64±11) with significant negative relationships between quality of life and fatigue (p<0.0001), anxiety (p=0.0009), depression (p<0.0001) and autonomic symptoms (p=0.04).ConclusionThis is the first study to summarise illness characteristics of Polish CFS/ME patients. Our study has confirmed that fatigue is a common and under-recognised symptom affecting the Polish population.
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Gharraf, H., and A. Baess. "0612 Validation of NEMS-BG Score in Screening of Patients with Obstructive Sleep Apnea." Sleep 43, Supplement_1 (April 2020): A234. http://dx.doi.org/10.1093/sleep/zsaa056.609.
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Abstract Introduction Obstructive sleep apnea (OSA) is one of the most prevalent diseases worldwide. Diagnosis of OSA is still a dilemma despite our well known disease-related impact on human body health. Under-diagnosis of OSA is still a problem despite the well-established clinical and laboratory criteria of diagnosis. Over-diagnosis may lead to exhaustion of our limited health-care resources. Therefore, an efficient screening tool that is well validated and easily applied, will be an ideal solution for the over or under-diagnosis of OSA. NAMES-BG score was suggested to efficiently screen for OSA depending on neck circumference, airway classification, comorbidities, Epworth sleepiness scale, snoring score, body mass index and gender Methods The aim of the work was to validate NEMS-BG score in screening of patients with obstructive sleep apnea (OSA). Patients and Methods This is a retrospective single center clinical study. Records of patients with documented obstructive sleep apnea were collected. Those records were collected from the database of department of chest diseases in Alexandria Main University Hospital (AMUH). The records of included patients included demographic data, clinical findings, anthropometric measures and polysomnographic records. Statistics were formulated to validate the sensitivity and specificity of this score in our cohort of patients. The significance of the results were at the 5% level of significance. Results The cutoff value for the composite NAMES tool was calculated at ≥3 points. In the validation group, NAMES demonstrated similar test characteristics to the Berlin questionnaire, and sensitivity was statistically significantly better than that seen with the Epworth scale. The addition of BMI and gender to the tool improved screening characteristics Conclusion The NAMES assessment is an effective, inexpensive screening strategy for moderate to severe OSA. Support no support
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Bader, S., W. Abbes, I. Sellami, W. El Falah, M. Hajjaji, and L. Ghanmi. "Sleep disorders among health care workers practicing in emergency department in south tunisia." European Psychiatry 64, S1 (April 2021): S555. http://dx.doi.org/10.1192/j.eurpsy.2021.1480.
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IntroductionSleep disorders are the most common health problem among the health care staff, mainly those who perform night shifts.ObjectivesTo assess the prevalence of sleep disorders among health care workers in emergency department and to determine its associated factors.MethodsIt was a cross-sectional study, including health care workers assigned to emergency ward and intensive care unit of Hedi Chaker and Habib Bourguiba hospitals in Sfax and regional hospital of Kebili, during the first six months of 2017. We used an anonymous and confidential self-administered questionnaire. We used hospital anxiety and depression scale (HAD) to assess anxiety and depression. Sleep quality was assessed by the Pittsburgh Sleep Quality Index and day time sleepiness by the Epworth Sleepiness Scale.Results240 nurses were included. Mean age was 37 years-old, 59.2% were female and 64.2% were married and 79.2% assured night shifts. The prevalence of sleep disorders was 70.4%. Sleep difficulties were significantly correlated with anxiety (p=0.001) and depression (p=0.02). In multivariate study, sleep disorders were related to the absence of leisure activity (OR=0.42 [0.19-0.94]; p=0.035) and anxiety (OR=3 [1.4-6.1]; p=0.002). 40.8% of nurses experienced drowsiness. Sleepiness was significantly correlated with the absence of leisure activities (p=0.04) and with psychiatric family history (p=0.02). In the multivariate study, sleep disorders were correlated with female gender (OR=0.43 [0.19-0.9]; p=0.042) and with no leisure activity (OR=2.6 [1.2-5.6]; p=0.01).ConclusionsSleep disorders were common among emergency nurses, in order of that; working conditions should be improved to provide less stressful conditions for nurses.Conflict of interestNo significant relationships.
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Bhimwal, Raj Kumar, Mohan Makwana, Ravindra Jangid, and Ratan Lal Bhati. "To study the prevalence of obstructive sleep apnoea in type 2 diabetes patients in Western Rajasthan, India." International Journal of Advances in Medicine 4, no. 4 (July 20, 2017): 894. http://dx.doi.org/10.18203/2349-3933.ijam20172569.
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Background: Obstructive Sleep Apnoea (OSA) has been too common yet under diagnosed clinical entity. It is associated with the metabolic syndrome, a cluster of cardio-metabolic parameters including central obesity, insulin resistance, hypertension and dyslipidemia. Obesity predisposes to both OSA and disorders in glucose metabolism. There is growing evidence that OSA confers an independent risk of adverse glucose metabolism.Methods: The present study conducted in the Department of Medicine at MDM Hospital attached to Dr. S.N. Medical College, Jodhpur, Rajasthan, India. Participants after understanding the study protocol and procedure, asked to give their written consent for the study. It was a cross sectional hospital based study in patients, screened at Diabetic clinic and those referred from the periphery. Berlin questionnaires and Epworth score are tools to screen for OSA attending the Medicine OPD and IPD, Dr. S. N. Medical College, Jodhpur. 50 patients with type 2 DM and 20 age and sex-matched controls were studied. Randomly selected T2DM subjects of age 20 to 75 years both sex with obesity, BMI>25 kg/m2, clinical history suggestive of OSA, Epworth score>6, Positive Berlin questionnaires were included in the study. Acute and unstable medical condition e.g. CHF, CRF, COPD, Recent stroke, Acute ACS, Pregnant women were excluded.Results: In the study OSA was prevalent in the diabetic population (54%), Mean age of the study population was 54.96±9.35 years. OSA was found to be increased with increasing age with maximum prevalence in ≥60 year’s age group. OSA was more prevalent in the male population (64.29%), in urban population. Snoring, observed sleep apnoea, restless sleep/insomnia, excessive daytime sleepiness and non-refreshing sleep were significantly associated with OSA. (P<0.001). Prevalence of OSA was more in high BMI group (≥35 kg/m2), OSA increased with increase in neck circumference. OSA was more in subjects with uncontrolled diabetes (blood sugar>200 mg/dl), smokers and alcoholics.Conclusions: This study shows that OSA has a high prevalence in subjects with T2DM and identify several factors that may be associated with its presence in the diabetic population. OSA can be usefully and easily assessed in an outpatient setting by using a portable device such as Apnea Link. Clinicians should increase patients' awareness of the signs and symptoms of OSA and refer for sleep studies when appropriate. Once diagnosed, patients should be encouraged to adhere to CPAP treatment in order to halt progression and prevent complications.
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Choi, Su Jung, Hyunjin Jo, Dongyeop Kim, and Eun Yeon Joo. "Sleep-Wake Pattern, Sleep Quality and Daytime Status in Fixed Day-Shift Hospital Workers." Journal of Sleep Medicine 18, no. 3 (December 31, 2021): 167–74. http://dx.doi.org/10.13078/jsm.210021.
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Objectives: Sleep issues are more prevalent in healthcare workers compared to workers in other industries. This study investigated sleep-wake pattern, sleep quality, and daytime status in hospital workers using a Galaxy Watch3 (GW3), a wrist-worn device that uses an accelerometer and heart rate sensor to distinguish sleep and wakefulness.Methods: Multiple sleep parameters including total sleep time (TST) were obtained using a GW3. The Epworth sleepiness scale (ESS), insomnia severity index (ISI), Pittsburgh sleep quality index (PSQI), and bedtime procrastination scale (BPS) were used to assess participants’ status.Results: A total of 70 daytime hospital workers (male, 45.7%; mean age, 35.66±7.79 yr) participated in the monitoring of their sleep-wake patterns for 30 consecutive days. Participants had a mean ESS of 8.14±3.62, ISI of 6.13±3.83, and PSQI of 4.86±2.14. The mean TST was 5.75±0.74 hr (range: 3.42–6.88) during workdays and 5.92±0.92 hr (range: 2.87–8.25) during free days. Chronotype (mid-sleep on freedays corrected for sleep debt accumulated over the work week) was 3.60±1.03 clock hr (range: 1.84–6.69). BPS was negatively correlated with age (rho=-0.27, p=0.022), TST of workdays (rho=-0.53, p<0.001), and TST of free days (rho=-0.43, p<0.001). A higher BPS was associated with larger social jetlag (rho=0.28, p=0.018) and later chronotype (rho=0.41, p<0.001).Conclusions: In this study, 91.5% of daytime hospital workers suffered from chronic sleep insufficiency (<7 hr during both workdays and free days) although their daytime sleepiness or subjective sleep were not poor. Individuals with a later chronotype had poorer sleep quality and worse sleep procrastination behavior.
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Kaliyaperumal, Deepalakshmi, Yaal Elango, and Iswarya Santhanakrishnan. "Fatigue, depression and anxiety among nurses working in shift in a tertiary care hospital in South India." International Journal of Research in Medical Sciences 7, no. 7 (June 28, 2019): 2655. http://dx.doi.org/10.18203/2320-6012.ijrms20192895.
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Background: Shift work has become a social and economic necessity, as most sectors like the healthcare require round the clock operation. Extended and variable working hours leads to desynchronization of the body’s circadian rhythm. Thus, shift work is commonly associated with various physical and mental disorders like insomnia, fatigue, depression, anxiety, cognitive impairment, etc. The aim of the study was to assess the prevalence of sleep deprivation and hence, the levels of fatigue, depression and anxiety among shift working nurses.Methods: This cross-sectional study was conducted among shift working nurses. Sleep deprivation among 97 female and 3 male healthy nurses of age 20-50 years was assessed by Epworth Sleepiness Scale (ESS). Fatigue Severity Scale, Patient Health Questionnaire (PHQ-9) and Hamilton Anxiety Rating Scale (HAM-A) were used for assessing fatigue, depression and anxiety respectively. Level of Sleep deprivation, Depression and Anxiety were expressed in Proportion. Difference in fatigue levels during day and night shift was analyzed using Wilcoxon Signed-Ranks Test.Results: Analysis of ESS, showed, 69% of shift working nurses had poorer sleep quality. The level of fatigue experienced following a night shift work was significantly higher than that following day shift work (Z= 3.34, p = 0.0008). Moderate to severe depression and anxiety was observed in 15% and 16% of the nurses working in shift.Conclusions: Thus, shift work is inevitably associated with sleep deprivation. There exists an increased prevalence of fatigue, depression and anxiety among shift working nurses.
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Hajaghazadeh, Mohammad, Vahid Zamanzadeh, Marjan Ghofrani, and Samira Orujlu. "Morningness-Eveningness Chronotypes, Sleep Quality, and Sleepiness Among Nurses." Open Public Health Journal 12, no. 1 (November 15, 2019): 414–19. http://dx.doi.org/10.2174/1874944501912010414.
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Background:Poor sleep quality and sleepiness is a common problem in nurses. The morningness-eveningness preference of nurses may affect their sleep quality.Objective:The objectives of this study were (1) to describe the quality of sleep in a group of hospital nurses and (2) to analyze the effect of shift work and morningness-eveningness on the sleep quality of nurses.Methods:In this cross-sectional study, 120 nurses completed the survey in a university hospital in Iran. The study tools were Pittsburgh Sleep Quality Questionnaire (PSQI), Epworth Sleepiness Scale (ESS), and Morningness-Eveningness Questionnaire (MEQ). Nurses with PSQI>5 and ESS≥10 were considered having poor sleep quality and excessive daytime sleepiness. Nurses were subdivided into morning-, intermediate- and evening-types according to MEQ. Data were analyzed by chi-square, Mann–Whitney U-test, logistic regression, and analysis of covariance (ANCOVA) tests.Results:The mean (±SD) of PSQI and ESS was 6.88(2.18) and 9.5(±3.9), respectively. About 74% of nurses reported poor sleep quality, and near 40% of the nurses had excessive daytime sleepiness. Sixty percent of nurses were intermediate-type, and the remaining was morning (24.2%) and evening (15.8%) types. The sleep quality and daytime sleepiness had a significant relation with shift work. The mean PSQI was significantly different between shift work and non-shift work nurses. The mean PSQI of three main chronotypes was statistically different.Conclusion:Poor sleep quality was prevalent in the nurses and was significantly associated with shift work and chronotype. The sleep preference of nurses would be considered as an important factor in the assignment of shift work by hospital managers.
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Clark, M., B. Cooper, S. Singh, M. Cooper, A. Carr, and R. Hubbard. "A survey of nocturnal hypoxaemia and health related quality of life in patients with cryptogenic fibrosing alveolitis." Thorax 56, no. 6 (June 1, 2001): 482–86. http://dx.doi.org/10.1136/thx.56.6.482.
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BACKGROUNDA survey of overnight oximetry was conducted to estimate the prevalence of nocturnal hypoxaemia in patients with cryptogenic fibrosing alveolitis and to establish whether nocturnal hypoxaemia is related to quality of life.METHODSAll patients with cryptogenic fibrosing alveolitis attending Nottingham City Hospital were invited to enter the study. Spirometric measurements and capillary blood gas tensions were obtained and overnight oxygen saturation was recorded at home. Quality of life was assessed using the Short Form-36, Chronic Respiratory Questionnaire, Hospital Anxiety Depression Scale, and Epworth Sleepiness Score questionnaires.RESULTSSixty seven eligible patients were identified and 50 agreed to enter the study, although two were subsequently excluded because they already used oxygen overnight. In the remaining 48 the mean (SD) overnight oxygen saturation (Sao2) was 92.5 (4.3)% and the median number of dips greater than 4% per hour was 2.3 (interquartile range 1.5–5.3). Daytime oxygen level predicted mean overnight Sao2 (1.94%/kPa, 95% CI 1.22 to 2.66, p<0.001) but percentage predicted forced vital capacity (FVC) did not (0.018%/% predicted FVC, 95% CI –0.04 to 0.08, p=0.5). Nocturnal hypoxaemia was associated with decreased energy levels and impaired daytime social and physical functioning, and these effects were independent of FVC.CONCLUSIONSNocturnal hypoxaemia is common in patients with cryptogenic fibrosing alveolitis and may have an impact on health related quality of life.
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Maraví Sánchez, Arnaldo A., Freddy M. Montero Gago, Diana Rodríguez Hurtado, and Daniel Guillén Pinto. "Calidad del sueño y somnolencia diurna excesiva en mujeres puérperas atendidas en un hospital general. Estudio comparativo." Revista de Neuro-Psiquiatria 79, no. 2 (July 2, 2016): 89. http://dx.doi.org/10.20453/rnp.v79i2.2832.
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Objetivos: Describir la calidad del sueño y somnolencia diurna excesiva en mujeres puérperas. Material y métodos:El estudio fue observacional y descriptivo de una serie de casos y se llevó a cabo en la consulta externa del Servicio de Pediatría y Gineco-Obstetricia del Hospital Nacional Cayetano Heredia en Lima, Perú. Se constituyeron tres grupos, el primero conformado por puérperas, el segundo por madres no puérperas y el tercero por nulíparas.Además de un instrumento de filiación, se utilizaron las escalas de Pittsburgh y Epworth. El nivel de significación estadística (α) fue de 0,05. Resultados: La edad de las participantes osciló entre 15 y 35 años, con una media de 26,7±4,9años. El 90% [IC 95% 80,2 – 99,7] de puérperas presentó mala calidad del sueño y las de mayor edad (28 ± 5,3 años)la experimentaron con mayor intensidad. La probabilidad de este resultado en el grupo de puérperasfue 4,5 [IC 95% 1,2 – 17,1] veces mayor con respecto a las nulíparas. A su vez, el 35% [IC 9 5% 19,6 – 50,4] de puérperas presentó somnolencia diurna excesiva. Conclusiones: La mala calidad del sueño y la somnolencia diurnaexcesiva fueron más frecuentes en las puérperas en relación a las madres no puérperas y las nulíparas. Fue también más frecuente que la somnolencia diurna excesiva en las puérperas y, dentro de ellas, en las de mayor edad. Las mujeres puérperas muestran 4,5 veces más probabilidades de experimentar un sueño de mala calidad y 6,6 veces más de presentar somnolencia diurna excesiva en comparación con las nulíparas.
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Sebayang, Septian Mixrova, and Dewi Astuti Pasaribu. "Hubungan Fatigue dengan Kejadian Excessive Daytime Sleepiness pada Perawat." Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan 6, no. 1 (June 30, 2021): 28. http://dx.doi.org/10.34008/jurhesti.v6i1.227.
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Nurses hold an important responsibility for maintaining patients’safety. It has been known that fatigue and sleepiness may result in errors with negative consequences for patient safety. The purpose of this study was to examine the relationship between fatigue and excessive daytime sleepiness among nurses. This research design is descriptive correlation. The total sample in this study was 36 nurses. This research was conducted at the Special Eye Hospital Medan. Sampling using purposive sampling. Data collection using the Three-Dimensional Work Fatigue Inventory (3D-WFI) and The Epworth Sleepiness Scale. Data analysis using the Chi-Square test. The results of this study indicate that the majority of nurses experience tired fatigue as many as 22 respondents (61.1%) compared to 14 respondents (38.9%) not tired. Chi Square test showed an association between fatigue and excessive daytime sleepiness (EDS) in nurses (P = 0.000 <α 0.05). This study recommends nurses to optimize the work hours of nurses to overcome daytime sleepiness, and for nurses to maintain conditions in order to avoid excessive sleepiness which can cause adverse event.
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Hinz, Andreas, Kristina Geue, Markus Zenger, Hubert Wirtz, and Andrea Bosse-Henck. "Daytime Sleepiness in Patients Diagnosed with Sarcoidosis Compared with the General Population." Canadian Respiratory Journal 2018 (July 10, 2018): 1–6. http://dx.doi.org/10.1155/2018/6853948.
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Background. The aim of this study was to analyze daytime sleepiness in a sample of patients diagnosed with sarcoidosis. Methods. A sample of 1197 German sarcoidosis patients was examined with the Epworth Sleepiness Scale (ESS), the Fatigue Assessment Scale, the Hospital Anxiety and Depression Scale, the Pittsburgh Sleep Quality Index, and the Short-Form Health Survey (SF-8). The patients’ ESS mean scores were compared with those obtained from a large general population sample. Results. Exactly 50% of the patients reached the criterion (ESS > 10) for excessive daytime sleepiness, compared with only 22.1% in the general population. The effect size for the mean score difference between both samples was d=0.62. The number of affected organs and the number of concomitant diseases proved to be significant independent predictors of daytime sleepiness. Sleepiness was associated with fatigue (r=0.45), anxiety (r=0.23), depression (r=0.28), sleep problems (r=0.23), and detriments in physical (r=−0.29) and mental (r=−0.28) quality of life. Conclusions. The issue of excessive daytime sleepiness should be considered in the management of sarcoidosis.
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Lin, Chung-Ying, Andy S. K. Cheng, Vida Imani, Mohsen Saffari, Maurice M. Ohayon, and Amir H. Pakpour. "Advanced psychometric testing on a clinical screening tool to evaluate insomnia: sleep condition indicator in patients with advanced cancer." Sleep and Biological Rhythms 18, no. 4 (July 16, 2020): 343–49. http://dx.doi.org/10.1007/s41105-020-00279-5.
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Abstract Purpose To examine the psychometric properties of the Sleep Condition Indicator (SCI) using different psychometric approaches [including classical test theory, Rasch models, and receiver operating characteristics (ROC) curve] among patients with advanced cancer. Methods Through convenience sampling, patients with cancer at stage III or IV (n = 859; 511 males; mean ± SD age = 67.4 ± 7.5 years) were recruited from several oncology units of university hospitals in Iran. All the participants completed the SCI, Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), Hospital Anxiety and Depression Scale (HADS), General Health Questionnaire (GHQ), and Edmonton Symptom Assessment Scale (ESAS). In addition, 491 participants wore an actigraph device to capture objective sleep. Results Classical test theory [factor loadings from confirmatory factor analysis = 0.76–0.89; test–retest reliability = 0.80–0.93] and Rasch analysis [infit mean square (MnSq) = 0.63–1.31; outfit MnSq = 0.61–1.23] both support the construct validity of the SCI. The SCI had significant associations with ISI, PSQI, ESS, HADS, GHQ, and ESAS. In addition, the SCI has satisfactory area under ROC curve (0.92) when comparing a gold standard of insomnia diagnosis. Significant differences in the actigraphy measure were found between insomniacs and non-insomniacs based on the SCI score defined by ROC. Conclusion With the promising psychometric properties shown in the SCI, healthcare providers can use this simple assessment tool to target the patients with advanced cancer who are at risk of insomnia and subsequently provide personalized care efficiently.
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Batista, Marta Maria da Silva Lira, Raimunda Sheyla Carneiro Dias, Gabrielly Martins de Barros, Gleydyson Wesley Freire Lima, Jaynara Keylla Moreira da Silva, Maria Rita Carvalho Silva, Mycaele Aline Santana Sousa, Paulo César dos Santos, Raianny Katiucia da Silva, and Maria do Carmo de Carvalho e. Martins. "Qualidade de Sono, desejos alimentares e marcadores bioquímicos de inflamação em profissionais de Saúde." Research, Society and Development 10, no. 14 (October 31, 2021): e245101422419. http://dx.doi.org/10.33448/rsd-v10i14.22419.
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O desejo por alimentos ocorre para aqueles alimentos que são mais palatáveis, altamente processados, com altos níveis de carboidratos e açúcares refinados e/ou gordura. Já é consolidada a relação direta entre alterações no estado nutricional ideal (como a obesidade) e as doenças cardiovasculares, neurodegenerativas, metabólicas e inflamatórias e o aumento do estresse oxidativo, entretanto, para a análise da qualidade do sono ainda há poucas evidências. Delinear o perfil do estado nutricional, desejo alimentar, marcadores bioquímicos de inflamação e de qualidade sono em profissionais de saúde de um hospital universitário. Este estudo piloto teve caráter transversal, quantitativo e prospectivo. Os participantes recrutados estavam vinculados a um Hospital Universitário Brasileiro. A população alvo foi composta por profissionais de saúde do corpo clínico hospitalar, com admissão realização pelo menos de seis meses anteriores ao início da pesquisa. Foram aplicados questionários para mensuração dos Desejos Intensos por Comida – questionários de Traço e Estado; inflamação, registrados conjuntamente com os dados sociodemográficos e de composição corporal a partir de bioimpedância. Para avaliação do sono, utilizou-se o Índice de Qualidade do Sono de Pittsburgh e da Escala de Sonolência de Epworth. Foram encontradas correlações estatisticamente significativas entre inflamação, qualidade de sono, ângulo de fase e percentual de gordura corporal. Infere-se que os desejos alimentares em grau moderado influenciam na qualidade de sono ruim, perfil bioquímico de inflamação e na composição corporal dos profissionais de saúde. Sugerimos mais estudos de intervenções longitudinais que possam avaliar estas relações à longo prazo.
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Alhejaili, Faris F., Sarah T. Altayyari, and Siraj Wali. "Prevalence of Sleep Disorders among Staff Workers at a Tertiary Health Care Center." Saudi Journal of Internal Medicine 9, no. 2 (December 31, 2019): 37–44. http://dx.doi.org/10.32790/sjim.2019.9.2.5.
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Background: Due to a demanding modern work style, many people sacrifice sleep by intentionally or unintentionally decreasing the number of sleeping hours or by overlooking their sleep disorders. This study aimed to screen university hospital workers in Saudi Arabia for sleep disorders and estimate their prevalence using a cross-sectional study conducted in 2016.
Methods: This study used the Pittsburgh Sleep Quality Index, International Restless Legs Syndrome Study Group diagnostic criteria, Epworth Sleepiness Scale, Berlin Questionnaire, and SLEEP-50 Questionnaire. 116 participants were interviewed (56% males; mean age, 30.9 years (SD: 8.5; range: 21 to 58); mean body mass index, 25.79 (SD: 6.10); 40.5% classified as overweight or obese).
Results: Only 6.9% reported good sleep quality. Insomnia was the most common sleep disorder (72%); sleepwalking was the least common disorder (5%). Women had a higher risk of insomnia, nightmares and circadian rhythm disorders (P = 0.024, 0.015, and 0.009, respectively). A strong relationship between smoking and insomnia was found (P = 0.04).
Conclusion: The population had much lower sleep quality than other populations. The bidirectional relationship between insomnia and smoking presents an opportunity and emphasizes the need for insomnia management to decrease health and economic burdens.
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Costa, Chiara, Michele Teodoro, Giusi Briguglio, Ermanno Vitale, Federica Giambò, Giuliano Indelicato, Elvira Micali, Sebastiano Italia, and Concettina Fenga. "Sleep Quality and Mood State in Resident Physicians during COVID-19 Pandemic." International Journal of Environmental Research and Public Health 18, no. 15 (July 29, 2021): 8023. http://dx.doi.org/10.3390/ijerph18158023.
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Since the novel coronavirus (SARS-CoV-2) has spread worldwide, healthcare workers—resident physicians in particular—have been hugely involved in facing the COVID-19 pandemic, experiencing unprecedented challenges in fighting the disease. We aimed to evaluate the prevalence of poor sleep quality, daytime sleepiness, and alterations in mood state profiles in this category. This cross-sectional study, conducted in 2020, enrolled 119 subjects from a university hospital in southern Italy. Epworth Sleepiness Scale (ESS), Pittsburgh Sleep Quality Index (PSQI), and Profile of Mood States (POMS) questionnaires were administered to physicians divided into four areas: anesthesiology, medicine, service, and surgery. In the overall sample, approximately 45% reported poor sleep quality, although only nine subjects (8%) reported an ESS score that suggested excessive daytime sleepiness. Alterations in mood profiles were also observed; the Vigor and Fatigue factors were the most altered. In particular, anesthesiologists seem to be the most affected category, showing a profound decrease in Vigor with a concomitant increase in Fatigue. Considering the possible consequences of the COVID-19 pandemic, preventive measures should be adopted, especially those aimed at facilitating a better turnover of physicians, optimizing the working schedule, and improving the organization of work.