Too long or repeated shifts reduce the opportunity for sleep, shorten recovery time in nurses, thus endangering their safety and health as well as the quality of care and patients' safety. Bearing in mind the significance of the problerm it is necessary to conduct the surveys of sleep quality and health of nurses in the Republic of Serbia as well in order to tackle this issue which is insufficiently recognized.
Introduction. The purpose of this study was to evaluate sleep quality among healthcare science students and to assess its association with sleep hygiene knowledge and practices, circadian typology and lifestyle factors. Material and Methods. The research was conducted as a cross-sectional questionnaire-based internet study on a sample of 268 students. The Pittsburgh Sleep Quality Index and The Self-Morningness-Eveningness Questionnaire were applied as research instruments to assess sleep quality and chronotypes respectively, while evaluation of the other variables was conducted using he Sleep Hygiene Knowledge Questionnaire, socio-demographic questionnaire and the questionnaire of lifestyle factors. Results. The average of the Pittsburgh Sleep Quality Index global score for all students was 6.9 ± 3.2. The poor sleep quality (The Pittsburgh Sleep Quality Index > 5) was reported in 62.7% of students. Sleep efficiency less than 85% was found in 43.0% of students, and 78% of students reported daytime dysfunctionality. Sleep quality was significantly worse among female students; coffee, alcohol and energy drink consumers and long-term cell phone users. Only 11.9% of students were classified as the morning chronotype and they had the best quality of sleep and the best sleep hygiene knowledge and practices, whereas the evening chronotype had the worst quality of sleep. A significant negative correlation was identified between sleep hygiene knowledge (r = -0.133) and practice (r = 0.501) and sleep quality whereby the lower t he Sleep Hygiene Knowledge Questionnaire and Sleep Hygiene Practice Scale scores follow a higher the Pittsburgh Sleep Quality Index score. Conclusion. Majority of students had a suboptimal level of overall sleep quality, satisfactory knowledge of sleep hygiene, but they did not have the sleep hygiene practices which suggests that knowledge is not a factor of deterring from unhealthy behaviors. SažetakUvod. Cilj ove studije bio je da se proceni kvalitet spavanja studenata zdravstvenih nauka i ispita njegova veza sa znanjem i praksom higijene spavanja, cirkadijalnom tipologijom i faktorima životnog stila. Materijal i metode. Istraživanje je sprovedeno kao studija preseka onlajn anketiranjem 268 studenta. Kao instrumenti istraživanja koristili su se Pitsburški indeks kvaliteta spavanja za procenu kvaliteta spavanja, Upitnik o samoproceni "jutarnjosti/ večernjosti" za procenu diurnalne sklonosti, a za evaluaciju ostalih varijabili korišten je Upitnik znanja o higijeni spavanja i Skala prakse higijene spavanja, sociodemografski upitnik i upitnik o životnom stilu i navikama. Rezultati. Prosečan ukupni skor Pitsburškog indeksa kvaliteta spavanja svih studenata iznosio je 6,9 ± 3,2. Loš kvalitet spavanja (Pitsburški indeks kvaliteta spavanja > 5) imalo je 62,7% studenata. Efikasnost spavanja manju od 85% imalo je 43% studenata, a 78% je prijavilo dnevnu disfunkcionalnost. Studenti ženskog pola, konzumenti kafe, alkohola i energetskih napitaka, kao i oni koji duže koriste mobilne telefone, imali su značajno l...
Background/Aim. Colorectal cancer and its treatment can have a negative impact on the quality of life which has become an important outcome measure for cancer patients. The aim of this work was assessment of psychological and spiritual dimension of the quality of life in colostomy patients, regarding the gender and age. Methods. This is a cross-sectional study conducted at the Abdominal Surgery Polyclinic in the Clinical Canter of Vojvodina among colostomy patients operated between January 2010 and June 2011. The instrument used in this study was Quality of Life Questionnaire for a Patient with an Ostomy (QOL-O). Results. Majority of respondents were male (M:F = 50.7% : 49.3%). The age ranged between 36-86 years. Respondents did not report difficulties in adjustment to stoma, but their great difficulty was to look at it and the sense of depression and anxiety. The care of stoma was worse perceived by younger respondents (p = 0.014). Respondents were mostly satisfied with their memorizing ability and having the sense of control. The lowest score was found in sensing satisfaction or enjoyment in life. The age had a significant impact on positive aspects of psychological well-being (p < 0.05). Higher scores were found among younger age groups. The mean score of spiritual well-being (6.47 ± 3.01) was lower than the mean score of psychological well-being (7.76 ± 2.35). There were no statistically significant differences regarding gender (t =-0.738, df = 65, p = 0.463) or age (F = 1.307, p = 0.280). Conclusion. Psychological and spiritual well-being in colostomy patients appeared to be at satisfactory level, but it is necessary to provide tailor made support in order to prevent and resolve negative responses to stoma.
(1) KATEDRA ZA ZDRAVSTVENU NEGU, MEDICINSKI FAKULTET, UNIVERZITET U NOVOM SADU, (2) VISOKA MEDICINSKA ŠKOLA STRUKOVNIH STUDIJA, ĆUPRIJA, (3) ZDRAVSTVENI CENTAR, ZAJEČAR, (4) KLINIKA ZA NEUROLOGUJU, KLINIČKI CENTAR VOJVODINE, NOVI SAD, (5) KATEDRA ZA NEUROLOGIJU, MEDICINSKI FAKULTET, UNIVERZITET U NOVOM SADU Sažetak:Uvod: Cilj ove studije je bio da proceni kvalitet spavanja, nivo dnevne pospanosti i umora kod zaposlenih studenata sestrinstva i utvrdi svaku moguću vezu između ovih varijabli. Metode: Studija je dizajnirana kao deskriptivna, analitička, studija preseka, a sprovedena je u dve visoke zdravstvene strukovne škole u Srbiji i Crnoj Gori na uzorku od N=76 studenata. Kao instrumenti istraživanja korišćeni su: Pitsburški indeks kvaliteta spavanja (Pittsburgh Sleep Quality Index -PSQI), za procenu kvaliteta spavanja, Epfortova skala pospanosti (Epworth Sleepiness Scale -ESS), za procenu nivoa dnevne pospanosti, Čalderov upitnik umora (Chalder Fatigue Questionnaire -CFQ), za procenu stepena umora, sociodemografski i upitnik o faktorima životnog stila i ponašanja. Rezultati: Kvalitet spavanja je kod 65,8% studenata ocenjen kao loš, a prisustvo prekomerne dnevne pospanosti i simptoma umora je potvrđen kod (50,0% i 55,3%) studenata. Prosečni ukupni skorovi PSQI, ESS i CFQ bili su značajno različiti u odnosu na pol, rad u smenama i zadovoljstvo trenutnim rasporedom rada. Između kvaliteta spavanja, prekomerne dnevne pospanosti i težine umora utvrđena je jaka pozitivna povezanost. Rezultati ove studije ukazuju na neophodnost uspostavljanja efikasnih obrazovnih strategija koje bi omogućile uspostvaljanje zdravih obrazaca spavanja među studentima sestrinstva i medicinskim sestrama, kao i implementiranje higijene spavanja u programe visokoškolskog obrazovanja na studijama sestrinstva. Klučne reči:Studenti strukovnih studija, poremećaji spavanja; Pitsburški indeks kvaliteta spavanja (PSQI); Epfotova skala pospanosti (ESS); noćni rad; Čalderov upitnik umora (CFQ). Summary:Introduction: The aim of this study was to assess sleep quality, level of daytime sleepiness and fatigue among working nursing students and to determine possible relations among them. Methods: It was a descriptive, analytical cross-sectional study conducted in two Colleges of Health Studies in Serbia and Montenegro on a sample of 76 students. Instruments used in this research included: The Pittsburgh Sleep Quality Index (PSQI) for the assessment of sleep quality, The Epworth Sleepiness Scale (ESS) for the assessment of level of daytime sleepiness, The Chalder Fatigue Questionnaire (CFQ) for the assessment of fatigue rates, the socio-demographic questionnaire and the questionnaire on behavior and lifestyle factors. Results: Sleep quality was poor in 65.8% of students and symptoms of daytime sleepiness and fatigue were confirmed in 50.0% and 55.3% of students. The average values of the total score in the PSQI, ESS and CFQ were significantly different with respect to gender, shift work and satisfaction with the current work schedule. The strong positive co...
Virtual worlds, which should be the subject of further research and improvements, in the field of hospital emergency response training for mass casualty incidents, certainly have a promising future.
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