Dados do Trabalho

Título

Evaluation of sleep quality in hospitalized patients in a hospital in southern Santa Catarina

Resumo

Background: Despite the importance of sleep for health and recovering of hospitalized patients, the hospitalization period requires changes in routines that can be harmful to the sleep quality of patients. Purpose: This study aims to compare intra and out-of-hospital sleep quality, indicating the associated factors with worse sleep quality in hospitalized patients and their possible clinical repercussions. Methods: this is a cross-sectional study conducted with 252 patients from a tertiary hospital. In addition to searching medical records and conducting interviews to identify clinical characteristics and factors that interfere with sleep quality, the Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality in home and hospital environment. Results: There was a worsening in the components of duration, efficiency and subjective quality of sleep during hospitalization, in addition to greater use of sleep-inducing medications and more complaints of daytime dysfunction when compared to the same components of the PSQI before hospitalization (p<0.05). There was also an average reduction of 57 minutes in total sleep time during hospitalization (7h52min vs. 6h55min; p<0.05). The main disturbing factors reported by patients were associated with the hospital environment, such as interventions by hospital staff and noise. Worse in inpatients sleep quality was also associated with presence of hypertension, diabetes and difficulty sleeping before admission (p<0,05). There was no association of sleep quantity and quality with blood pressure and blood glucose levels. Conclusions: Sleep in hospital environment was considerably worse than home environment and the sleep disturbing factors were predominantly associated with the hospital environment.

Palavras Chave

Neurology; Sleep; Inpatients