The correlation of screen time with sleep quality: A cross-sectional study on undergraduate medical students

Background: Continuous and long-term exposure to the screens of electronic devices, especially smartphones, cell phones, and tablets, is associated with poor quality of sleep. Aim and Objectives: The study was undertaken to correlate screen time exposure and the quality of sleep in undergraduate medical students and to find out the effects of increased screen time exposure on the health of students. Materials and Methods: The study was carried out on 200 undergraduate medical students at Smt. B. K. Shah Medical Institute and Research Centre, Piparia, Vadodara, Gujarat with the help of an online pre-validated questionnaire constructed on Google Form after obtaining ethical approval. The questionnaire was comprised demographic profiles, screen time exposure, and Pittsburgh sleep quality index (PSQI) statements. Data were entered into an Microsoft Excel sheet. For the descriptive statistical part, means, standard deviations, and frequency tables were used. A Chi-square test was applied to detect the strength of the association. P < 0.05 was considered statistically significant. Results: The prevalence of increased screen time among the study population was found 79%. The prevalence of PSQI scores >5 observed in the present study was 73%. There was a significant association observed between increased screen time exposure and PSQI score >5. Conclusion: Increased screen time was significantly associated with poor sleep quality. The most common effect of increased screen time exposure among students found was a headache.

Influence of shared medical appointments on health-related quality of life and quality of sleep in patients after liver transplantation / 中华健康管理学杂志

Objective:To observe the influence of shared medical appointments on health-related quality of life and quality of sleep in patients after liver transplantation.Methods:By randomized controlled study, a total of 124 patients after liver transplantation were included from our hospital from January 2018 to January 2019, and according to the lottery method, all subjects were divided into the routine management group ( n=64) who received routine outpatient intervention and the shared medical management group ( n=60) who received shared medical appointments management. The health-related quality of life and quality of sleep were investigated and compared by post-liver transplant quality of life questionnaire (pLTQ) and Pittsburgh sleep quality index (PSQI) before intervention (the day of discharge) and after intervention (the end of the last shared outpatient service). Results:After intervention, the dimension scores of worry, economics, body function, emotional function, health service, complication and total score of pLTQ were improved in tow groups than before intervention [the routine management group: (41.90±7.61), (18.13±4.22), (22.22±5.10), (14.92±3.28), (20.39±4.87), (14.63±3.99), and (132.19±37.09) vs (32.25±5.55), (12.77±3.47), (17.58±4.72), (9.23±1.38), (15.17±4.81), (10.89±1.51) and (98.00±29.03) score, t=8.20, 7.85, 3.58, 12.79, 6.10, 7.01, 5.81, all P<0.001; shared medical management group: (46.12±7.92), (24.16±5.34), (25.55±5.42), (17.90±3.60), (24.81±5.12), (17.93±3.60) and (155.47±41.00) vs (32.57±5.69), (12.81±3.82), (17.00±4.70), (9.60±1.39), (15.39±4.84), (11.00±3.52) and (98.37±28.96) score, t=10.76, 13.39, 9.23, 16.66, 10.36, 10.66, 8.81, all P<0.001], and those in the shared medical management group were higher than those in routine management group ( t=3.03, 6.95, 3.53, 4.82, 4.93, 4.83, 3.32, all P<0.05). After intervention, the total score of PSQI scale were lower than before intervention in the routine management group [(10.48±2.14) vs (11.89±2.45) score, t=3.47, P=0.001], and the dimensions score of sleep quality, full-sleep time, sleep time, sleep efficiency, sleep disorders, daytime function, hypnotic and total score of PSQI were lower than before intervention in the shared medical management group [(1.41±0.32), (0.54±0.13), (1.17±0.26), (1.11±0.35), (1.21±0.27), (1.30±0.33), (1.08±0.21) and (8.05±1.75) vs (1.88±0.53), (0.86±0.37), (1.84±0.41), (2.05±0.56), (1.39±0.33), (1.47±0.43), (1.22±0.32) and (11.71±2.43) score, t=-5.88, -6.32, -10.69, -11.03, -3.27, -2.43, -3.65, -9.47, all P<0.05], and those in the shared medical management group were lower than those in routine management group ( t=-6.68, -6.39, -10.43, -10.97, -2.62, -2.12, -3.54, -6.90, all P<0.05). Conclusion:Shared medical appointments model can improve the health-related quality of life and quality of sleep in patients after liver transplantation, and improve the effectiveness of outpatient intervention.

Lesiones del manguito rotador con dolor nocturno y calidad de sueño antes y después del tratamiento / Rotator cuff injuries with nighttime pain and sleep quality before and after treatment

Resumen: Introducción: Evidencia creciente sugiere que las lesiones del hombro que involucran al manguito rotador causan dolor severo y deterioro de la calidad de vida y del sueño. Objetivo: Presentar los resultados de una revisión sistemática sobre la asociación de lesiones del manguito rotador con dolor nocturno y calidad de sueño antes y después del tratamiento. Material y métodos: Se realizó una búsqueda en PubMed limitada a humanos, sin límite de idioma, edad y período de tiempo con los siguientes términos: [rotator cuff tear and (nocturnal pain OR sleep)]. Se utilizaron los criterios PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) para revisiones sistemáticas. Se extrajo información sobre la frecuencia de dolor nocturno y calidad del sueño en pacientes con lesiones del manguito rotador. Resultados: De 123 registros encontrados, 10 estudios fueron incluidos por cumplir criterios, incluyendo 1,516 pacientes. El dolor nocturno afectó de 91-93% de los pacientes; su intensidad media fue de 5.5 puntos de la escala visual análoga (EVA). Cien por ciento de los estudios reportaron alteraciones en la calidad de sueño asociado a lesión del manguito rotador. Tras la reparación, en todos los estudios se reportó disminución de dolor a puntuaciones inferiores a 2 y mejoría de la calidad del sueño. Conclusión: Las lesiones del manguito rotador producen dolor nocturno y alteraciones de la calidad del sueño que mejoran con el tratamiento. Las alteraciones de la calidad del sueño se deben no sólo a dolor, sino a alteraciones en la funcionalidad del hombro.

Abstract: Introduction: Growing evidence suggests that shoulder injuries involving the rotator cuff cause severe pain and deterioration of quality of life and sleep. Objective: To present the results of a systematic review on the association of rotator cuff injuries with nighttime pain and sleep quality before and after treatment. Material and methods: We searched PubMed limited to humans, with no language, age and time period limit with the following terms: [rotator cuff tear and (nocturnal pain OR sleep)]. We used the PRISMA criteria for systematic reviews. Information was extracted on the frequency of nighttime pain and sleep quality in patients with rotator cuff injuries. Results: Of 123 records found, 10 studies were included for meeting criteria, including 1,516 patients. Nighttime pain affected 91-93% of patients; its average intensity was 5.5 points of the EVA. 100% of the studies reported alterations in sleep quality associated with rotator cuff injury. After repair, a decrease in pain to inferior scores of 2 and improvement in sleep quality were reported. Conclusion: Rotator cuff injuries produce nighttime pain and sleep quality disturbances that improve with treatment. Alterations in sleep quality are due not only to pain but to alterations in shoulder functionality.

The effect of dexmedetomidine combined with thoracic paravertebral block on sleep quality, serum interleukin -6 and high mobility group protein-1 in patients undergoing thoracoscopic pulmonary surgery / 中国医师进修杂志

Objective:To analyze the effect of dexmedetomidine combined with thoracic paravertebral block (TPVB) on sleep quality, serum interleukin-6 (IL-6) and high mobility group protein (HMGB-1) levels in patients undergoing thoracoscopic pulmonary surgery.Methods:The clinical data of 90 patients who received thoracoscopic pulmonary surgery from January 2020 to January 2021 in Affiliated Hospital of Xuzhou Medical University were retrospectively analyzed. Among them, 45 patients were given dexmedetomidine combined with TPVB before operation (experiment group), and 45 patients were given TPVB before operation (control group). The indexes of sleep quality were recorded, including Pittsburgh sleep quality index (PSQI) and total sleep time 24 and 48 h after operation. The visual analogue score (VAS) during quiet and cough 1, 6, 12, 24 and 48 h after operation were recorded. The serum substance P (SP), 5-hydroxytryptamine (5-HT), C-reactive protein (CRP), IL-6 and HMGB-1 before operation and 1 d after operation were detected. The adverse reactions were compared between 2 groups.Results:The PSQI 24 and 48 h after operation in experiment group was significantly lower than that in control group: (11.38±4.61) scores vs. (13.65±2.72) scores and (8.78±3.79) scores vs. (10.95±2.81) scores, the total sleep time was significantly longer than that in control group: (7.71±2.64) h vs. (5.49±2.10) h and (9.75±3.14) h vs. (7.82±2.67) h, and there were statistical differences ( P<0.01). The VAS during quiet and cough 1, 6 and 12 h after operation in experiment group was significantly lower than that in control group, and there was statistical difference ( P<0.01); there was no statistical difference in the VAS during quiet and cough 24 and 48 h after operation between 2 groups ( P>0.05). There were no statistical differences in serum SP, 5-HT, CRP, IL-6 and HMGB-1 before operation between 2 groups ( P>0.05); the SP, 5-HT, CRP, IL-6 and HMGB-1 1 d after operation in experiment group were significantly lower than those in control group: (132.59±10.34) ng/L vs. (141.57±12.26) ng/L, (0.73±0.11) μmol/L vs. (0.95±0.09) μmol/L, (32.46±3.54) mg/L vs. (38.53±4.12) mg/L, (145.67±24.68) ng/L vs. (162.79±23.51) ng/L and (70.35±6.81) ng/L vs. (92.36±7.08) ng/L, and there were statistical differences ( P<0.01). The incidence of adverse reactions in experiment group was significantly lower than that in control group: 20.00% (9/45) vs. 48.89% (22/45), and there was statistical difference ( χ2 = 8.32, P = 0.004). Conclusions:Dexmedetomidine combined with TPVB can effectively improve postoperative sleep quality of patients undergoing thoracoscopic pulmonary surgery, relieve pain, and reduce postoperative serum pain mediators and inflammatory factors, with fewer adverse reactions.

The effects of gadget use on sleep quality among elementary students in grades 4-6 in a private school in Lucena City, Quezon Province

Objective@#The study aimed to determine whether prolonged gadget use will have an effect in the child's sleep quality. The study also aimed to ascertain if there is a significant relationship between the parameters of CSHQ and the average length of sleep, average length of gadget use, and frequency of gadget use.@*Design@#Descriptive research design was used, particularly the survey method. Simple random sampling was used.@*Setting@#Private school in Lucena City, Quezon Province.@*Participants@#Parents of Grades 4-6 students in a private schools in Lucena City. Sample size was computed at n=131.@*Results@#53.4% of the respondents were males, 29.8% of which are 11 year-old, grade 6 students (35.9%). The average length of sleep of most children was at 6-8 hours (57.3%), with an average length of gadget use at 5-10 hours daily (58%), 5-7x a week (61.8%). Weighted means computation showed that parents agreed to the positive statements of the CSHQ but key problems based on the CSHQ statements were identified upon further analysis. @*Conclusions@#With an a = 0.05, significant relationships were established between the parameters of the CSHQ and the average length of gadget use (p = 0.012615 < 0.05), as well as the frequency of gadget use (p = 0.000116 < 0.05). Generalization should be made with caution due to the small sample size and non-diversity of the samples. Recommendations are due to improved generalizability by increasing sample size and diversity of the samples.

Efectos de Omega-3 en el Sueño: Revisión Sistemática

RESUMEN: Objetivo: Determinar el efecto de omega-3 sobre la calidad/cantidad de sueño en humanos. Métodos: Se realizó la búsqueda sistemática de artículos (2010-2019), incluyendo pacientes sin limitación de edad/sexo, sometidos a cambio o suplemento de dieta con omega-3 y evaluaciones de sueño. La revisión se realizó bajo los criterios PICOT y PRISMA, la calidad de la evidencia y riego de sesgo fueron evaluados con criterios GRADE. Resultados: Seis ensayos superaron todos los filtros, dos estudios incluyeron pescado en la dieta y cuatro ingesta de cápsulas de omega-3. En cuatro estudios Omega-3 favorece el sueño presentando impacto moderadamente positivo en calidad y alto en cantidad. Los estudios fueron efectuados con variables de alta heterogeneidad, imposibilitando el análisis cuantitativo de los datos. El riesgo de sesgo fue moderado-alto. Conclusión: Omega-3, como suplemento dietético o directamente en los alimentos, interviene como coadyuvante para mejorar el sueño. No se pudo concluir sobre su recomendación de uso clínico en la gestión del sueño debido a la heterogeneidad de las metodologías para medir la intervención, las poblaciones estudiadas y cantidad de ingesta. Se necesitan estudios con mayor estandarización metodológica, para determinar dosis óptima, período de intervención y proporción de ácidos eicosapentaenoico/docosahexaenoico, necesarios para mejorar la calidad y la cantidad del sueño.

ABSTRACT: Objective: To determine the effect of omega-3 on the quality/quantity of sleep in humans. Methods: We conducted a systematic search for articles (2010-2019), including patients without age or sex limitation, undergoing omega-3 diet change or supplementation and sleep assessments. The review was conducted under the PICOT and PRISMA criteria, the quality of evidence and risk of bias were evaluated with GRADE criteria. Results: Six trials passed all filters. Two studies included dietary fish and four omega-3 capsule intake. In four studies, omega-3 favored sleep with moderately positive impact on quality and high impact on quantity. The studies were conducted with highly heterogeneous variables, making a quantitative analysis of the data impossible. The risk of bias was moderate to high. Conclusion: Omega-3 as a dietary supplement or directly in food intervenes as an adjuvant to improve sleep. We could not conclude on its recommendation for clinical use in sleep management due to the heterogeneity of the methodologies to measure the intervention, the populations studied and amount of intake. Studies with greater methodological standardization are needed, to determine optimal dose, intervention period and eicosapentaenoic/docosahexaenoic acid ratio, needed to improve sleep quality and quantity.

Nivel de estrés, calidad de sueño, ansiedad y depresión como factores de riesgo de cardiopatía isquémica en el Hospital Central Militar / Level of stress, sleep quality, anxiety and depression as risk factors of ischemic heart disease in military patients and lawyers of military central hospital

Resumen Introducción: La cardiopatía isquémica es la principal causa de mortalidad en México y el mundo, un reto importante para la salud pública dada su magnitud y el efecto negativo que ejerce sobre la salud de la población. Objetivos: Determinar si el nivel de estrés, calidad del sueño, ansiedad y depresión, son factores de riesgo para tener cardiopatía isquémica en pacientes militares y derechohabientes del Hospital Central Militar. Material y métodos: Se realizó un estudio observacional, analítico, casos tipo y controles, se determinó la fuerza de asociación entre el nivel de estrés, la calidad del sueño, la ansiedad y la depresión con la cardiopatía isquémica. El análisis se realizó mediante la prueba de X2 (chi cuadrado) y razón de momios ajustadas por sexo y edad. Resultados: Durante el estudio ingresaron 83 pacientes. La edad de los participantes fue de 62.95±9.13 años. El OR de la variable depresión fue de 4.176, IC (1.63-10.68), para la variable mala calidad de sueño: OR= 6.061, IC (2.278-16.124). Conclusiones: La depresión y la mala calidad del sueño son factores de riesgo para padecer cardiopatía isquémica en los pacientes militares y derechohabientes del Hospital Central Militar.

Abstract Introduction: Ischemic heart disease is the main cause of mortality in Mexico and the world, an important challenge for public health given its magnitude and the negative effect it has on the health of the population. Objectives: To determine if the level of stress, quality of sleep, anxiety and depression are risk factors for having ischemic heart disease in military patients and right holders of the Central Military Hospital. Material and methods: An observational, analytical, case-control study was conducted, the strength of association between stress level, sleep quality, anxiety and depression with ischemic heart disease was determined. The analysis was done by the X2 test (chi square) and odds ratio adjusted by sex and age. Results: During the study 83 patients entered. The age of the participants was 62.95 ± 9.13 years old. The OR of the depression variable was 4.176, CI (1.63-10.68), for the variable poor sleep quality: OR = 6.061, CI (2.278-16.124). Conclusions: Depression and poor sleep quality are risk factors for ischemic heart disease in military patients and right holders of the Central Military Hospital.

Accidentalidad vial: efectos de la calidaddel sueño en el funcionamiento ejecutivo deconductores de transporte público urbano / Road accident: effects of sleep quality on the executiveFunctioning of urban public transport drivers

El propósito de este estudio fue comprender cómo la calidad del sueño, los cam-bios de las funciones ejecutivas y su posible asociación con la accidentalidad vial en los conductores de servicio de transporte público urbano son temas fundamentales para los escenarios de prevención de accidentes en las ciudades. Esta investigación se desarrolló con un diseño cuantitativo-analítico, observacional, prospectivo y re-trospectivo, para evaluar estos tres puntos, a saber: la calidad de sueño, el funciona-miento ejecutivo y su relación con la siniestralidad de tránsito. A partir de un sondeo preliminar, realizado en trabajadores de servicio público y urbano en el 2010, se hizo una segunda evaluación en 2016 para examinar la trazabilidad de los cambios observables en los tres factores delimitados. Nuestro estudio pudo determinar que la perturbación del sueño sugiere una tendencia al deterioro en la ejecución de tareas que exigen flexibilidad y planificación, lo cual contribuye a aumentar la accidentali-dad vial entre los conductores de servicio público.

The objective of this study is to understand how sleep quality, changes in executive functions and the possible association with the presence of traffic accidents in ur-ban public transport service drivers is fundamental in accident prevention context in cities. This research developed a quantitative-analytical, observational, prospective and retrospective design, to evaluate three essential points: sleep quality, executive function and their relationship with the traffic accident rate of drivers. From a pre-liminary observation of public service and urban drivers made in 2010, a second evaluation was made up to 2016, to examine the three chosen factors. Our study was able to determine that the effect on sleep quality suggests a trend towards a de-terioration in flexibility and planning tasks, which contributes to an increase in road accidents among public service drivers

Relación entre estrés percibido y calidad de sueño en enfermeras de turnos nocturno y rotativo / Relationship between perceived stress and sleep quality in night-shift and rotating nurses

Objetivo: determinar si existe relación entre el estrés percibido y la calidad de sueño en las enfermeras de los turnos nocturno y rotativo de la empresa social del Estado Hospital San Rafael de Facatativá. Metodología: estudio transversal con alcance correlacional donde se evaluó el estrés percibido y la calidad de sueño por medio de la escala de estrés percibido - versión 14 y el índice de calidad de sueño de Pittsburg -versión colombiana, respectivamente, en una muestra de 98 enfermeras que cumplieron con los criterios de inclusión. Resultados: se presentó una prevalencia del 72,45% de estrés percibido y del 79,59% de mala calidad de sueño; entre estas dos variables se halló una correlación baja (r=0,258; p=0,010). Se puede asegur ar con un 95 % de confianza que mientras una variable aumenta, la otra también lo hace, queriendo decir que a mayor puntaje en la escala de estrés percibido, mayor puntaje en el índice de calidad de sueño de Pittsburgh, lo que sugiere que el nivel de estrés es un factor que tiene relación directamente proporcional con el sueño, es decir, entre mayor estrés, peor calidad de sueño. Conclusiones: se concluye que sí existe relación entre el estrés percibido y la calidad de sueño, lo cual evidencia, por un lado, que en las enfermeras a mayor estrés, peor calidad de sueño, y por otro, que a peor calidad de sueño, mayor estrés.

Objective: To determine if there is a relationship between perceived stress and sleep quality in nurses in the night and rotating shifts of the social enterprise of the State Hospital San Rafael of Facatativá. Methodology: Study cross-sectional with a correlational scope where the perceived stress was assessed through the Perceived Stress Scale, Version 14, and sleep quality using the Pittsburg Sleep Quality Index, Colombian Version, in a sample of 98 nurses who met the inclusion criteria. Results: a prevalence of 72.45% of stress and 79.59% of poor sleep quality were perceived; there was a low correlation between these two variables (r= 0.258; p=0.010). It may be ensured with 95% of confidence that while a variable increases, the other one does the same; this means that higher stress level in the perceived stress scale implies a higher score in the Pittsburgh Sleep Quality Index; which suggests that stress level is a factor that has directly proportional relationship with sleep; so, higher stress level is equal to worse sleep quality. Conclusions: It is concluded that there is a relationship between perceived stress and sleep quality, showing that, the greater the stress in the nurses, the worse the quality of sleep, as well as the worse the quality of sleep, the greater the stress

Quality of Sleep in Association with Relapse in Patients with Bipolar Affective Disorder

Introduction: Bipolar Affective Disorders is an episodic mooddisorder with significant global morbidity. Sleep deprivationin addition to being a core symptom and early warning sign ofimpending mood episodes can also trigger relapse. Individualswith Bipolar Affective Disorder in specific, differ in theirtendency for sleep loss to trigger relapse depending on theirsociodemographic and clinical factors.Current study objective was to evaluate the frequency andquality of sleep as a trigger for relapse of mood episode inpatients with bipolar affective disorders and to correlate itwith socio-demographic profile and clinical variables.Material and methods: This observational cross sectionalclinical study was conducted on 62 patients with ICD10diagnosis of bipolar affective disorders presenting with relapseof mood episode. Presence of acute sleep deprivation andchronic sleep insufficiency according to American academy ofsleep medicine criteria was considered. Young Mania RatingScale (YMRS) and Hamilton Depression Rating Scale (HAMD) were administered. Pittsburgh Sleep Quality Index (PSQI)Scale was used to assess quality of sleep. Written Informedconsents were taken from all the subjects. The data wasanalyzed with appropriate statistical methods.Results: Of the 62 patients assessed with diagnosis of bipolaraffective disorders presenting with mood episode, 58.1% havepoor quality of sleep and 41.9% have good quality of sleep.No statistically significant association noted in any domains ofsocio demographic profile. Statistically significant associationis noted with triggers in the present episode of relapse with94.4% of individual were noted to have sleep deprivation(p<0.001). 52.8% individuals with current episode manic,16.7% with depression, 27.8% with hypomania and 2.8% withcurrent episode mixed is noted to have poor quality of sleepand statistically significant association is noted with polarityof current episode. No statistically significant associationnoted between quality of sleep with other clinical variables.Conclusion:Poor quality of sleep may trigger relapse ofmood episode in patients with bipolar affective disorders.Our finding substantiates the need for careful assessment andmanagement of sleep disturbances during maintenance phasefor bipolar disorders

Study on the influence and intervention strategy of nursing staff rushing to plateau on sleep quality / 中国实用护理杂志

Objective@#To understand the changing characteristics of sleep quality of acute plateau nursing staff during the period of assistance to Tibet, formulate comprehensive intervention measures, improve the support ability of nursing staff, and provide the basis for effectively completing the work of plateau assistance to Tibet.@*Methods@#From November to December 2017, 12 nurses who participated in the assistance work for Tibet in Lhasa region with an altitude of 3,650 m were selected as the emergency group, and 12 nurses from a hospital in Tibet were selected as the plateau group. Pittsburgh sleep quality index (PSQI) was used to investigate the sleep quality of the acute group before and after Tibet entry and the plateau group respectively. A sleep quality survey scale was designed to investigate the sleep quality of nursing staff in the emergency group and the plateau group at 5 different shifts on the same night after admission to Tibet.@*Results@#The scores of total sleep score, sleep quality, sleep time, sleep time, sleep efficiency and daytime dysfunction in the acute group were 3.77±1.79, 0.89±0.47, 0.78±0.36, 0.76±0.41, 0.19±0.05, 0.54±0.07, and 5.37±1.23, 1.57±0.36, 1.53±0.43, 1.21±0.38, 0.72±0.10, 0.99±0.91 respectively. The differences before and after Tibet were statistically significant (t=2.327-4.399, P <0.05).The scores of sleep time, sleep time, sleep efficiency and sleep disorder in the acute group were 1.53±0.43, 1.21±0.38, 0.72±0.19, 1.16±0.21, and 1.04±0.21, 0.86±0.32, 0.39±0.31 and 0.76±0.33 respectively. The differences between the two groups were statistically significant (t=2.441-3.547, P<0.05 or 0.01).Radical groups after Tibet plateau and nursing staff sleep quality scale scores compare, radical group day shift, middle shift, night after night under three different shifts the total score of sleep quality, respectively 11.76±0.12, 11.98±0.23, 12.43±0.52, higher than that of plateau group 11.18±0.04 11.23±0.57, 11.98±0.54, the difference between two groups was statistically significant (t=15.554, 4.227, 2.07, P<0.01 or 0.05). The sleep quality score (11.38±0.36) in the night of the rest class was lower than that of the plateau group (11.92±0.38), and the difference was statistically significant (t=-3.574, P=0.002). The score of sleep quality and sleep delay of the acute group were 1.87±0.57, 1.93±0.61, and 1.39±0.39, 1.25±0.42 respectively. The difference between the two groups was statistically significant (t=2.408, 3.181, P< 0.05 or 0.01).@*Conclusions@#It is a common sleep problem for medical and nursing personnel in Tibet who rush into the plateau. Comprehensive intervention measures should be taken in advance, scientific popularization, education and health technical guidance should be carried out in the early stage, mental health conditions should be improved, and drug prevention should be taken when necessary to help medical and nursing personnel in Tibet sleep quality.

Study on the influence and intervention strategy of nursing staff rushing to plateau on sleep quality / 中国实用护理杂志

Objective To understand the changing characteristics of sleep quality of acute plateau nursing staff during the period of assistance to Tibet, formulate comprehensive intervention measures, improve the support ability of nursing staff, and provide the basis for effectively completing the work of plateau assistance to Tibet. Methods From November to December 2017, 12 nurses who participated in the assistance work for Tibet in Lhasa region with an altitude of 3,650 m were selected as the emergency group, and 12 nurses from a hospital in Tibet were selected as the plateau group. Pittsburgh sleep quality index (PSQI) was used to investigate the sleep quality of the acute group before and after Tibet entry and the plateau group respectively. A sleep quality survey scale was designed to investigate the sleep quality of nursing staff in the emergency group and the plateau group at 5 different shifts on the same night after admission to Tibet. Results The scores of total sleep score, sleep quality, sleep time, sleep time, sleep efficiency and daytime dysfunction in the acute group were 3.77 ± 1.79, 0.89 ± 0.47, 0.78 ± 0.36, 0.76 ± 0.41, 0.19 ± 0.05, 0.54 ± 0.07, and 5.37 ± 1.23, 1.57 ± 0.36, 1.53 ± 0.43, 1.21 ± 0.38, 0.72 ± 0.10, 0.99 ± 0.91 respectively. The differences before and after Tibet were statistically significant (t=2.327-4.399, P <0.05).The scores of sleep time, sleep time, sleep efficiency and sleep disorder in the acute group were 1.53±0.43, 1.21±0.38, 0.72±0.19, 1.16 ± 0.21, and 1.04 ± 0.21, 0.86 ± 0.32, 0.39 ± 0.31 and 0.76 ± 0.33 respectively. The differences between the two groups were statistically significant (t=2.441-3.547, P<0.05 or 0.01).Radical groups after Tibet plateau and nursing staff sleep quality scale scores compare, radical group day shift, middle shift, night after night under three different shifts the total score of sleep quality, respectively 11.76 ± 0.12, 11.98 ± 0.23, 12.43 ± 0.52, higher than that of plateau group 11.18 ± 0.04 11.23 ± 0.57, 11.98±0.54, the difference between two groups was statistically significant (t=15.554, 4.227, 2.07, P<0.01 or 0.05). The sleep quality score (11.38±0.36) in the night of the rest class was lower than that of the plateau group (11.92±0.38), and the difference was statistically significant (t=-3.574, P=0.002). The score of sleep quality and sleep delay of the acute group were 1.87±0.57, 1.93±0.61, and 1.39± 0.39, 1.25±0.42 respectively. The difference between the two groups was statistically significant (t=2.408, 3.181, P<0.05 or 0.01). Conclusions It is a common sleep problem for medical and nursing personnel in Tibet who rush into the plateau. Comprehensive intervention measures should be taken in advance, scientific popularization, education and health technical guidance should be carried out in the early stage, mental health conditions should be improved, and drug prevention should be taken when necessary to help medical and nursing personnel in Tibet sleep quality.

Impacto de la calidad del sueño y somnolencia diurna en pacientes con diabetes mellitus e hipertensión arteria / Impact of sleep quality and day sleep in patients with diabetes mellitus and blood hypertension

Objetivo: Evaluar la calidad del sueño nocturno y la somnolencia diurna en pacientes con diagnóstico de diabetes mellitus e hipertensión arterial.Métodos:Se realizó un estudio transversal, prospectivo, en pacientes mayores de 18 años con diagnóstico de diabetes Mellitus e hipertensión Arterial, según la ADA2016 y ESH/ESC, que asistena la consulta de medicina interna del Hospital "Dr. Miguel Pérez Carreño" enel periodo comprendido deenero a juliodel 2017.Resultados: Se evaluó 263,con predominiofemenino con 63,1 %; con un rango de edad de 19-92 años, una media de 61 años ± 13. Se aplicó el cuestionario de Berlín para estimar el riesgo de SAOS, evidenciando 56,27 % bajo riesgo y 43,7 % alto riesgo; los pacientes con sobrepeso tenían un 27 % y los obesos un 21,7 % con alto riesgo. Se observó mala calidad de sueño en el 79,8% de los pacientes hipertensosy 95,5 % en pacientes diabéticos. La somnolencia diurna en hipertensos fue de47,2 %, y endiabéticos el 45,4 %. Se presentóAlto riesgo de SAOS en hipertensos 47,9 %, en diabéticos 40,9 %.Se determinó que no hubo relación entre HTA y DM con mala calidad de sueño (p = 0,186), somnolencia diurna (0,627) y SAOS (p = 0,208). Conclusiones: La mala calidad de sueño estuvo presente en la mayoría de la población y la presencia de somnolencia diurna fue menor. Hubo alto riesgo de SAOS en relación conel índice de masa corporal y el hábitoalcohólico.

Objective:To evaluate the quality of nocturnal sleep and daytime sleepiness in patients diagnosed with diabetes mellitus and arterial hypertension. Methods: A prospective, cross-sectional study was conducted in patients older than 18 years diagnosed with diabetes mellitus and arterial hypertension, according to the ADA 2016 and ESH / ESC, who attend the internal medicine clinic of the "Dr. Miguel Pérez Carreño "in the period from January to July 2017.Results:263 were evaluated, with female predominance with 63.1%; with an age range of 19-92 years, an average of 61 years ± 13. The Berlin questionnaire was applied to estimate the risk of OSAS, evidencing 56.27% low risk and 43.7% high risk; overweight patients had 27% and obese patients 21.7% at high risk. Poor sleep quality was observed in 79.8% of hypertensive patients and 95.5% in diabetic patients. Daytime sleepiness in hypertensive patients was 47.2%, and in diabetics 45.4%. There was a high risk of OSAS in hypertensive patients, 47.9%, in diabetics, 40.9%. It wasdetermined that there was no relationship between hypertension and DM with poor sleep quality (p = 0.186), daytime sleepiness (0.627) and OSAS (p = 0.208). Conclusions:The poor quality of sleep was present in the majority of the population and the presence of daytime sleepiness was lower. There was a high risk of OSAS in relation to body mass index and alcohol habit.

Effectiveness of Warm Footbath on Quality of Sleep among the Elderly

Sleep disturbance is one among the biggest worldwide health threats. Regardless of the age groups, people are affected with symptoms ofinsomnia one or the other way. To mention, the geriatrics. The objectives of the study are to assess the effectiveness of warm foot bath onquality of sleep among experimental group. Evaluative approach and quasi-experimental, non-randomized control group design wereadopted for the study. A total of 60 subjects were selected by non-probability purposive sampling technique. The subjects were assignedto experimental and control group so as to include 30 subjects in each group. The quality of sleep was assessed by Pittsburgh SleepQuality Index. Independent sample t-test was used to compare the quality of sleep between experimental and control groups. In theexperimental group, the mean post-test score of the quality of sleep among the elderly (11.73 ± 3.9) was much less than of control group(15.16 ± 4.24). In the experimental group the mean difference was 4.16 and it was more than the difference of control group (?2.26).Furthermore, in the experimental group, the calculated “t” value (t(29) = 18.08) was found to be greater than the table value (t(29) =2.09) at <0.05 level of significance, indicating that warm foot bath is effective in improving the quality of sleep among elderly people. Thelikelihood ratio and Chi-square test were used to find the association between pre-test scores of the quality of sleep and selecteddemographic variables. There was no association between pre-test sleep quality scores and selected demographic variables.

Effects of a Mindfulness-Based Mind-Body Intervention Program using Marine Resources on the Improvement of Sleep Quality and Mood Symptoms in Korean Female Emotional Labor Workers : A Pilot Study / 수면정신생리

OBJECTIVES: The purpose of this pilot study was to examine the effects of a mindfulness-based Body-Mind Intervention Program using marine resources on the improvement of quality of sleep, mood symptoms, and cognitive function in Korean female emotional labor workers. METHODS: Twelve female workers who experienced excess emotional labor participated at the training camp program for five days in Danghangpo-ocean park, Goseung-gun, Gyeongnam Province in South Korea. Participant sleep quality, mood symptoms, and cognitive functioning before, after, and 1.5 months later were evaluated and analyzed. RESULTS: After participating in the marine resource program, participants reported significantly decreased sleep latency. Global sleep quality, cognitive functions (attention, flexibility, and inhibition control), and mood states, including depression, tension, anger, fatigue, were also improved. These effects were generally maintained after 1. 5 months (PSQI t = 2.63, p = 0.02 ; HAM-D t = 5.92, p < 0.001). CONCLUSION: A Body-Mind Intervention Program using marine resources was effective in relaxing emotion-related tension and improving cognitive function. To advance this pilot study, it is necessary to carry out further research to investigate the use of marine resources in mental health interventions.

The survey of quality of life and sleep among pediatric patients with the end-staged liver diseases / 中国实用护理杂志

Objective@#This research was designed to survey the quality of life (QOL) and sleep of the pediatric patients with end-staged liver diseases.@*Methods@#The Pediatric Quality of Life InventoryTM and the Pediatric Sleep Questionnaire were adapted to develop the questionnaire of the survey. The patients of first half year of 2017 were investigated.@*Results@#The median age was 8 month, and median height was 66 cm, while the median weight was 7.45 kg respectively. The median score of QOL was 67.4, and the median score of sleep was 0.22, while the median score of indirect sleep was 0.33 respectively.@*Conclusions@#The QOL of pediatric patients with end-staged liver diseases was relatively low, and the age, monthly income, weight, height were the impact factor of it. The quality of sleep was relatively good, and "whether having the insurance or not" is the impact factor of it.

Effect of music therapy combined with aerobic exercise on the quality of sleep and quality of life after modified radical mastectomy for breast cancer patients with chemotherapy / 中国实用护理杂志

Objective To explore the effect of music therapy combined with aerobic exercise on the quality of sleep and quality of life after modified radical mastectomy for breast cancer patients with chemotherapy. Methods A tolal of 166 breast cancer patients with chemotherapy after modified radical mastectomy were divided into intervention group (86 cases) and the control group (80 cases) by random digits table method. The patients in control group were received routine nursing, and the patients in intervention group were received music therapy combined with aerobic exercise on the basis of routine nursing. With Pittsburgh Sleep Quality Index (PSQI) and Functiond Assessment of Cancer Therapy-Breast (FACT-B)V4.0 as assessment tool. The quality of sleep and quality of life were measured postoperative 10 days, 1 cycle of chemotherapy, 3 cycles of chemotherapy and 6 cycles of chemotherapy and compared. Results The total score of the quality of sleep and quality of life after intervention in intervention group were (6.08±1.61), (94.13±12.39) points, those in control group were (11.00±2.10),(77.14±13.14) points, and there were significant differences between two groups (t = 8.67, 9.47, P < 0.01). Repeated measurement design result showed:the quality of sleep and quality of life in intervention group and control group had a good effect between groups (F= 81.465, 31.244, P < 0.01) and the interaction effect (F=32.709, 12.243, P< 0.01), the measurement time was no statistical differences (F= 0.629, 0.347, P>0.05). The score of quality of sleep in intervention group with the observation point on a downward trend, until the end of the first cycle of chemotherapy falling slowly, after falling faster. The score of quality of life in intervention group with the observation point is on the rise, until the end of the first cycle of chemotherapy and after 3 cycles of chemotherapy rise faster, slower rise during 1 to 3 cycles of chemotherapy. Conclusions Music therapy combined with aerobic exercise comprehensive nursing can obviously improve the patient′s quality of sleep and the quality of life, and have good effect and interaction effect between groups, no time effect.

Effect of music therapy combined with aerobic exercise on the quality of sleep and quality of life after modified radical mastectomy for breast cancer patients with chemotherapy / 中国实用护理杂志

Objective To explore the effect of music therapy combined with aerobic exercise on the quality of sleep and quality of life after modified radical mastectomy for breast cancer patients with chemotherapy. Methods A tolal of 166 breast cancer patients with chemotherapy after modified radical mastectomy were divided into intervention group (86 cases) and the control group (80 cases) by random digits table method. The patients in control group were received routine nursing, and the patients in intervention group were received music therapy combined with aerobic exercise on the basis of routine nursing. With Pittsburgh Sleep Quality Index (PSQI) and Functiond Assessment of Cancer Therapy-Breast (FACT-B)V4.0 as assessment tool. The quality of sleep and quality of life were measured postoperative 10 days, 1 cycle of chemotherapy, 3 cycles of chemotherapy and 6 cycles of chemotherapy and compared. Results The total score of the quality of sleep and quality of life after intervention in intervention group were (6.08±1.61), (94.13±12.39) points, those in control group were (11.00±2.10),(77.14±13.14) points, and there were significant differences between two groups (t = 8.67, 9.47, P < 0.01). Repeated measurement design result showed:the quality of sleep and quality of life in intervention group and control group had a good effect between groups (F= 81.465, 31.244, P < 0.01) and the interaction effect (F=32.709, 12.243, P< 0.01), the measurement time was no statistical differences (F= 0.629, 0.347, P>0.05). The score of quality of sleep in intervention group with the observation point on a downward trend, until the end of the first cycle of chemotherapy falling slowly, after falling faster. The score of quality of life in intervention group with the observation point is on the rise, until the end of the first cycle of chemotherapy and after 3 cycles of chemotherapy rise faster, slower rise during 1 to 3 cycles of chemotherapy. Conclusions Music therapy combined with aerobic exercise comprehensive nursing can obviously improve the patient′s quality of sleep and the quality of life, and have good effect and interaction effect between groups, no time effect.

Transcutaneous electrical nerve stimulation at Neiguan(PC 6) and Zusanli(ST 36) for clinical symptoms and life quality of gastroesophageal reflux patients / 中国针灸

<p><b>OBJECTIVE</b>To explore the effect of transcutaneous electrical nerve stimulation(TENS) for symptoms,life quality and sleep quality in patients with gastroesophageal reflux disease(GERD).</p><p><b>METHODS</b>A total of 46 GERD patients were randomly assigned into an observation group and a control group,23 cases in each one. The conventional medication and nursing were applied in the two groups. TENS was used at Neiguan(PC 6) and Zusanli(ST 36) in the observation group for 4 weeks,20 min a time,twice a day. The indexes were compared between the two groups before and after treatment,including reflux disease questionnaire,the MOS 36-item short-form,Pittsburgh sleep quality index(PSQI).</p><p><b>RESULTS</b>Except the factor score of gengral health in the control group, the symptoms,life quality and sleep quality were superior to those before treatment in the two group (all<0.01). The symptom and PSQI scores in the observation group were lower than those in the control group(<0.01,<0.05). The scores of general health, life vitality and mental health in the observation group were more apparently improved than those in the control group (all<0.05).</p><p><b>CONCLUSIONS</b>TENS at Neiguan(PC 6) and Zusanli(ST 36) can improve the clinical symptoms,life quality and sleep quality of GERD based on the conventional treatment.</p>

Salud mental y calidad de sueño en estudiantes de ocho facultades de medicina humana del Perú / Mental health and quality of sleep from eight faculties of medical students in Peru

Introduction: The quality of sleep refers to the fact that we sleep well at night and daytime functioning. Thus, influences health and quality of life. Sleep loss is one of the most striking problem of modern society especially in medical students. This is related to the constant academic demands causing mental health problems and high levels of stress. Methods: A cross-sectional study. We evaluated 1,040 medical students in 8 universities of Peru from the first to the sixth year of study. Of these, 892 surveys were used. Mental health were evaluated according to the scale of Depression, Anxiety and Stress (DASS-21) and "poor sleepers" students were established with a score > 5 according to the Pittsburgh Sleep Quality Index (PSQI). Results: It was found that 693 (77.69%) students were poor sleepers. About mental health was found that 290 (32.51%) suffered from depression, 472 (52.91%) of anxiety and 309 (34.64%) stress. A significant association (p < 0.05) was found between poor sleep quality and female sex (OR = 1.13, CI = 1.05 to 1.21); depression (OR = 1.23, CI = 1,15-1,31); anxiety (OR = 1.32, CI = 1.23 to 1.43); and stress (OR = 1.26, CI = 1.19 to 1.35). Conclusion: We observed a high frequency of poor sleepers in medical students from eight universities of Peru. The poor quality of sleep was associated with anxiety, depression and stress in students of second and third year, respectively.

Introducción: La calidad de sueño nos hace referencia al hecho de dormir bien durante la noche y el rendimiento diurno. De esa forma, influye en salud y la buena calidad de vida. La pérdida de sueño es uno de los problemas de la sociedad moderna más llamativos especialmente en estudiantes de medicina humana. Esto se relaciona a la constante y creciente exigencia académica ocasionando problemas de salud mental y altos niveles de estrés. Métodos: Estudio transversal analítico. Se evaluaron 1.040 estudiantes de medicina humana obtenidos en forma equitativa de 8 universidades del Perú desde el primer al sexto año de estudios. De ellos, se usaron 892 encuestas. Se evaluó la salud mental según la escala de Depresión, Ansiedad y Estrés (DASS-21) y se estableció a los estudiantes "malos dormidores" como aquellos con una puntuación > 5 según el índice de calidad de sueño de Pittsburgh (ICSP). Resultados: Se encontró que 693 (77,69%) alumnos fueron malos dormidores. Con respecto a la salud mental se halló que 290 (32,51%) sufrían de depresión, 472 (52,91%) de ansiedad y 309 (34,64%) de estrés. Se halló asociación significativa (p < 0,05) entre la mala calidad de sueño y el sexo femenino (RP = 1,13; IC = 1,051,21); depresión (RP = 1,23; IC = 1,15-1,31); ansiedad (RP = 1,32; IC = 1,23-1,43); y estrés (RP = 1,26; IC = 1,19-1,35). Conclusión: Se observa una frecuencia elevada de malos dormidores en estudiantes de medicina de ocho universidades del Perú. La mala calidad de sueño se asoció con la ansiedad, depresión y estrés en los estudiantes de segundo y tercer año, respectivamente.