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دسترسی آزاد پژوهشی داوری‌شده انگلیسی

Self-reported Sleep Quality and Perceived Sleep Disruptors among Hospitalized Patients in a Tertiary Care Hospital: A Cross-sectional Study

کیفیت خواب خودگزارش‌شده و عوامل مختل‌کننده خواب ادراک‌شده در بیماران بستری در یک بیمارستان مراقبت عالی: یک مطالعه مقطعی

Rohan Mishra, Rounak Mandal, Ruhan Rana Hossein, Saed Hamza Molla, Sahanaj Parvin, Sahid Anowar, Sahil Seikh, Saikat Das, Samir Alam, Sananda Sahoo, Saniya Khatun, Shaswata Kumar Ghosh, Sayan Mallick, Sayani Basu, Sk Iqbal, Sk Sarfaraj, Soumya Chattopadhyay, Swapnodeep Sarkar, Abhijit Mukherjee

The ESRF Research Journal for Undergraduate Medical Students 2026 Vol. 4(1)
https://doi.org/10.5281/zenodo.23368561

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چکیده

Abstract Introduction: Sleep disturbance is common among hospitalized patients and may adversely affect recovery and well-being. This study aimed to determine the proportion of patients hospitalized for at least 3 days, with unsatisfactory sleep, describe perceived sleep disruptors, and assess their association with socio-demographic, clinical and hospital-related factors. Materials and Methods: A hospital-based descriptive cross-sectional study was conducted among patients admitted to five randomly selected in-patient departments of a tertiary medical college, Kolkata, from 10 April to 20 May 2026. Eligible patients admitted for at least three days were recruited. Data were collected through face-to-face interviews using a pre-designed, pre-tested schedule. Perceived sleep quality and perceived sleep disruptors were assessed using 5-point Likert scales. Participants reporting fair, poor or very poor sleep were categorised as having unsatisfactory sleep. Associations were assessed using Chi-square/Fisher's exact test and Mann–Whitney U test, with p<0.05 considered significant. Results: A total of 183 patients were included in the final analysis. The median age was 40 years (IQR: 26–46.5), 50.8% were male, and median length of stay was 7 days (IQR: 4–13.5). Unsatisfactory sleep was reported by 101 (55.2%) participants, including 36 (19.7%) with fair, 39 (21.3%) with poor and 26 (14.2%) with very poor sleep. Acute medical conditions related to the current admission were the most commonly reported significant disruptor of sleep (77, 42.1%), followed by pre-existing medical conditions (45, 24.6%), noise (40, 21.9%) and light (38, 20.8%). Unsatisfactory sleep was significantly associated with perceived disruption from noise (p<0.001), light (p=0.006), frequent vital-sign monitoring (p=0.016), personal care routines (p=0.037), existing medical conditions (p=0.033), and acute medical conditions (p=0.010). Age, sex, department of admission, diagnosis and length of stay showed no significant association with sleep quality. Conclusion: More than half of hospitalized patients experienced unsatisfactory sleep. Clinical conditions and modifiable hospital-related factors, particularly noise, light and interruptions related to routine care, were associated with poorer sleep. Measures to minimize unnecessary nighttime disturbances may improve sleep among hospitalized patients.

چکیده به فارسی

چکیده مقدمه: اختلال خواب در میان بیماران بستری شایع است و ممکن است بر روند بهبودی و بهزیستی تأثیر منفی بگذارد. هدف این مطالعه تعیین نسبت بیمارانی بود که حداقل به مدت ۳ روز بستری شده‌اند و خواب غیررضایت‌بخش دارند، توصیف عوامل مختل‌کننده خواب ادراک‌شده و ارزیابی ارتباط آن‌ها با عوامل جمعیت‌شناختی، بالینی و مرتبط با بیمارستان. مواد و روش‌ها: یک مطالعه توصیفی مقطعی مبتنی بر بیمارستان در میان بیماران بستری در پنج بخش بستری به‌طور تصادفی انتخاب‌شده در یک دانشکده پزشکی مراقبت عالی در کلکته، از ۱۰ آوریل تا ۲۰ مه ۲۰۲۶ انجام شد. بیماران واجد شرایط که حداقل سه روز بستری بودند، وارد مطالعه شدند. داده‌ها از طریق مصاحبه حضوری با استفاده از پرسشنامه از پیش طراحی‌شده و از پیش آزمون‌شده جمع‌آوری شد. کیفیت خواب ادراک‌شده و عوامل مختل‌کننده خواب ادراک‌شده با استفاده از مقیاس لیکرت پنج‌درجه‌ای ارزیابی شد. شرکت‌کنندگانی که خواب متوسط، ضعیف یا بسیار ضعیف گزارش کردند، به عنوان دارای خواب غیررضایت‌بخش دسته‌بندی شدند. ارتباطات با استفاده از آزمون کای‌اسکوئر/آزمون دقیق فیشر و آزمون Mann–Whitney U ارزیابی شد و مقدار p<0.05 معنادار تلقی شد. نتایج: در مجموع ۱۸۳ بیمار در تحلیل نهایی وارد شدند. میانه سن ۴۰ سال (IQR: ۲۶–۴۶.۵)، ۵۰.۸٪ مرد و میانه مدت بستری ۷ روز (IQR: ۴–۱۳.۵) بود. خواب غیررضایت‌بخش توسط ۱۰۱ نفر (۵۵.۲٪) از شرکت‌کنندگان گزارش شد که شامل ۳۶ نفر (۱۹.۷٪) با خواب متوسط، ۳۹ نفر (۲۱.۳٪) با خواب ضعیف و ۲۶ نفر (۱۴.۲٪) با خواب بسیار ضعیف بود. شرایط حاد پزشکی مرتبط با بستری فعلی شایع‌ترین عامل مختل‌کننده خواب گزارش‌شده (۷۷ نفر، ۴۲.۱٪) بود، و پس از آن شرایط پزشکی پیشین (۴۵ نفر، ۲۴.۶٪)، سر و صدا (۴۰ نفر، ۲۱.۹٪) و نور (۳۸ نفر، ۲۰.۸٪) قرار داشتند. خواب غیررضایت‌بخش با اختلال ادراک‌شده ناشی از سر و صدا (p<0.001)، نور (p=0.006)، پایش مکرر علائم حیاتی (p=0.016)، روال مراقبت شخصی (p=0.037)، شرایط پزشکی موجود (p=0.033) و شرایط حاد پزشکی (p=0.010) ارتباط معنادار داشت. سن، جنس، بخش بستری، تشخیص و مدت بستری ارتباط معناداری با کیفیت خواب نشان ندادند. نتیجه‌گیری: بیش از نیمی از بیماران بستری خواب غیررضایت‌بخش را تجربه کردند. شرایط بالینی و عوامل قابل اصلاح مرتبط با بیمارستان، به‌ویژه سر و صدا، نور و وقفه‌های مربوط به مراقبت‌های روتین، با خواب ضعیف‌تر مرتبط بودند. اقدامات برای کاهش اختلالات غیرضروری شبانه ممکن است به بهبود خواب در بیماران بستری کمک کند.

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موضوع‌ها و کلیدواژه‌ها

ادراکبهزیستیشناختSleep qualityhospital noisehospitalized patientsinpatient carelight at nightpre-existing conditionssleep disruptionvital signs monitoring

ارجاع

Mishra, R., Mandal, R., Hossein, R. R., Molla, S. H., Parvin, S., Anowar, S., Seikh, S., Das, S., Alam, S., Sahoo, S., Khatun, S., Ghosh, S. K., Mallick, S., Basu, S., Iqbal, S., Sarfaraj, S., Chattopadhyay, S., Sarkar, S., & Mukherjee, A. (2026). Self-reported Sleep Quality and Perceived Sleep Disruptors among Hospitalized Patients in a Tertiary Care Hospital: A Cross-sectional Study. The ESRF Research Journal for Undergraduate Medical Students, 4(1). https://doi.org/10.5281/zenodo.23368561

(Mishra et al., 2026)

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گفت‌وگو

قوانین پرسش و گفتگو
  1. با احترام و بدون توهین، تحقیر، برچسب‌زنی یا حمله‌ی شخصی با دیگران گفتگو کنید.
  2. از نوشتن هرگونه اطلاعات هویتی یا قابل‌شناسایی مراجعان، بیماران یا اشخاص ثالث، از جمله نام، شماره‌ی تماس، تصویر، نشانی، محل کار یا جزئیات منحصربه‌فرد پرونده خودداری کنید.
  3. اگر درباره‌ی یک تجربه‌ی بالینی سؤال می‌کنید، اطلاعات را تا حد ممکن بی‌نام و کلی بیان کنید تا امکان شناسایی فرد وجود نداشته باشد.
  4. این بخش برای یادگیری و گفت‌وگوی علمی است و جایگزین ارزیابی، تشخیص، مشاوره یا روان‌درمانی شخصی نیست.
  5. در شرایط بحران یا خطر آسیب به خود یا دیگران، به این بخش اتکا نکنید و برای دریافت کمک فوری با اورژانس اجتماعی ۱۲۳ یا صدای مشاور بهزیستی ۱۴۸۰ تماس بگیرید.
  6. انتشار تبلیغات، معرفی خدمات شخصی، شماره‌ی تلفن، شناسه‌ی شبکه‌های اجتماعی، پیوند تبلیغاتی یا درخواست جذب مراجع در این بخش مجاز نیست.
  7. در بیان ادعاهای علمی، به‌ویژه درباره‌ی اثربخشی درمان‌ها، تشخیص یا یافته‌های پژوهشی، تا حد امکان نام منبع معتبر، مقاله یا راهنمای علمی را ذکر کنید.
  8. از ارائه‌ی تشخیص قطعی، تجویز درمان یا دارو و توصیه‌های بالینی شخصی به سایر کاربران خودداری کنید.
  9. پاسخ‌هایی که کارشناسان فکر بنیان می‌دهند با برچسب «پاسخ فکر بنیان» یا «کارشناس فکر بنیان» نمایش داده می‌شوند و سایر نوشته‌ها بیانگر نظر کاربران هستند.
  10. گزارش نوشته‌ی نامناسب: اگر نوشته‌ای حاوی نقض محرمانگی، محتوای آسیب‌زا، توهین، تبلیغ یا تخلف از این قوانین است، گزینه‌ی «گزارش» را انتخاب کنید تا تیم سایت بررسی کند.

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Awareness of Youth-Friendly Sexual and Reproductive Health Services among Undergraduate Students at Saint Augustine University of Tanzania, Mwanza, Tanzania: A Cross-Sectional Study

Frank Deus Samson; Paskas Wagana; Johnson Mavole International journal of social sciences and humanities review, 2026

چکیده

Background: Awareness of youth-friendly sexual and reproductive health services (YFSRHS) is an important starting point for enabling young people to identify and seek appropriate sexual and reproductive health information and care. However, awareness of these services may vary across settings, including higher education institutions. Objective: To determine the level of awareness of YFSRHS among undergraduate students at Saint Augustine University of Tanzania (SAUT), Malimbe Campus. Methods: A quantitative descriptive cross-sectional study was conducted among undergraduate students at SAUT Malimbe Campus. Data were collected using a structured, self-administered questionnaire. Of 109 questionnaires distributed, 108 completed questionnaires were included in the analysis. Descriptive statistics were used to summarize students’ awareness and reported sources of information. Results: Of the 108 respondents, 96 (88.9%) reported having heard of YFSRHS, while 12 (11.1%) had not. Social media was the most frequently reported source of information (44.0%), followed by friends or peers (41.0%) and health facilities (36.0%). University programmes and posters or advertisements were reported less frequently. Conclusion: Most respondents had heard of YFSRHS, with social media and peer networks serving as prominent information channels. Strengthening accurate information through these channels, alongside university-based communication, may help address the awareness gap among students who remain unreached.

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چکیده

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