Excessive Daytime Sleepiness, Sleep Hygiene, and Work Hours Among Medical Residents in India

Mastin, David; Siddalingaiah, H S; Singh, Amarjeet; Lal, Vivek

doi:10.1017/jtp.2012.3

Cited by 17 publications

(25 citation statements)

References 57 publications

(64 reference statements)

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“…[1][2][3] Little is known about the effects of long work hours on patients' safety, 4,5 but contrary to common assumptions, 6,7 recent evidence suggests that fatigue (ie, the mental and physical exhaustion generated by time-on-duty) does not always impair surgical performance. [8][9][10][11] Studies focused on residents 12 report conflicting results, both in terms of behavioral 13 and physiological measures.…”

mentioning

confidence: 99%

Saccadic Eye Movement Metrics Reflect Surgical Residents' Fatigue

et al. 2014

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confidence: 99%

Saccadic Eye Movement Metrics Reflect Surgical Residents' Fatigue

et al. 2014

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“…[23][24][25][26][27] There had been some studies on sleep conducted among medical students in India too which reflect similar findings as in our present study. 28,29 The lack of sleep can lead to making mistakes at work due to impaired decision making and poor communication skills. This is evident from the recent instances of assaults against resident doctors in India.…”

Section: Discussionmentioning

confidence: 99%

Is it wrong for doctors to be human? Can resident doctors learn to function with less sleep?

Maan

Sandhu

Thomas

et al. 2020

Int J Otorhinolaryngol Head Neck Surg

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Background: Medical residency programs are traditionally supposed to be having long working hours, which can be associated with a poor quality of sleep and resultant daytime sleepiness. This poses threat to both physician and patient. This study has an alarming importance in recent scenario, where India is witnessing growing incidents of assaults against resident doctors. We evaluated the subjective sleep quality, day time sleepiness, satisfaction with life, stress, anxiety and depression and their association with subjective sleep quality amongst the residents on their offduty days and also compared these findings amongst various departments of our institution. Methods: This cross-sectional study was conducted among 77 first year resident doctors of Government Medical College, Amritsar during the period from May 2018 to March 2019. The tools used for assessment were Pittsburgh sleep quality index, Epworth sleepiness scale, the satisfaction with life scale (SWLS) and depression, anxiety and stress scale-21 questionnaire. Results: Our results indicated that 71.43% residents were poor sleepers. 53.24% residents had day time sleepiness of which 46.75% had excessive day time sleepiness. 40.26% residents had mild to moderate stress, 44.16% had mild to moderate anxiety, 31.16% residents suffered from depression of which 18.18% residents suffered moderate to severe depression. 90.91% residents were satisfied with their life on applying SWLS. Poor sleep quality was perceived greatly by the resident doctors in our public hospital. Conclusions: Understanding the potential impacts of fatigue on resident physicians performance /safety and using this knowledge to optimize shift-duty schedule may reduce the risks to both doctors and patients.

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“…[10][11][12] In India, though studies on sleep are scarce, a few have documented a high prevalence among general population as well as specific population sub-groups. 8,9,13,14 …”

Section: Prevalencementioning

confidence: 99%

Sleep problems: an emerging public health issue.

Siddalingaiah

2017

Int J Community Med Public Health

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Sleep is one of the most significant yet neglected topic by health professionals as well as general public. Sleep has profound implications for physical, mental and psychological wellbeing of an individual. Modern socio-economic and lifestyle factors have resulted in sudden increase of the prevalence of sleep disorders over last few decades. Sleep disorders are resulting in significant economic losses for nations and are becoming a public health burden. High quality research studies have helped to better understand the determinants of sleep problems. Also the understanding of the nature and the control mechanisms of sleep have helped in devising screening, preventive and early-intervention modalities which need to be utilized widely by clinical and public health professionals. Advocating and educating about optimal sleep quantity, quality and sleep hygiene at occupational, institutional and various high risk group settings should be done by public health professionals through regulation on work hours, work shift patterns, and behaviour modification measures.

show abstract

Excessive Daytime Sleepiness, Sleep Hygiene, and Work Hours Among Medical Residents in India

Cited by 17 publications

References 57 publications

Saccadic Eye Movement Metrics Reflect Surgical Residents' Fatigue

Saccadic Eye Movement Metrics Reflect Surgical Residents' Fatigue

Is it wrong for doctors to be human? Can resident doctors learn to function with less sleep?

Sleep problems: an emerging public health issue.

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