Investigation of Sleep Quality and Sleep Disorders in Students of Medicine

Abstract

OBJECTIVES:This study was performed on Suleyman Demirel University medical students to determine the quality of sleep and to investigate factors that affect of sleep quality. MATERIAL AND METHODS:Suleyman Demirel University Medical students at 1, 2, 3, 4, 5 and 6 classes included to this crosssectional analytical study (n= 720). Refused to fill to the survey (188), and students were not come to faculty (195), applied survey to 337 students (46.8%). Epworth sleepiness scale (ESS), Pittsburgh (PSQI) and Berlin sleep questionnaires, and 13 pieces closed and open-ended socio-demographic questions were conduct a questionnare under observation. The collected data were analyzed by using descriptive statistics, chi-square, two independent groups t test, Pearson and Spearman's correlation, Mann-Whitney U, Kruskal-Wallis and ANOVA tests. RESULTS:337 students participated in the study, 42.1% were male, 57.9% were female, mean age was 21.3 ± 2.1 years. Depending on Body mass index (BMI) 31 were poor, 212 normal, 53 overweight, and 4 obese students. In 118 students (35.3%), and these students have a chronic disease associated with 15.6% used the drug because of illness and 38 percent of students (11.6%) were smokers. 18.1 ± 16.1 min for pupils in times of falling asleep, sleep duration per night. 6.6 ± 1.3h, the mean departure time was 7.7 ± 1.8. Scale with a total score of Pittsburgh class (p= 0.000), age (p= 0.003), BMI (p= 0.015) had a significant correlation between. Pittsburgh PUKI scores and without a significant difference in gender (p= 0.054), the use of stimulant substances (p= 0.032), weight (p= 0.021) and snoring (p= 0.002) with no significant difference were found. ESS total score and gender (p= 0.025), drug use (p= 0.035) and sports activities (p= 0.038). Ten students had snoring (3.0%), 5 students (1.5%) had witnessed apnea. Snoring 17.2% to in ESS > 10 points on it. Pittsburgh, the mean scores of those who witnessed apnea (14.0 ± 5.3), witnessed apnea, according to non-students (10.2 ± 6.4) were higher (p= 0.191).The effects PSQI and ESS results on the term were statistically significant by the multivariate regression analysis [F(10.602)= 4.56; p< 0.05; Wilkis Lamda 0.864, partial n 2 = 0.07]. To estimate of the value of PSQI by the stepwise regression analysis was performed; age and fall asleep properties has been included of the model (R2= 89%, p< 0.05). To estimate of the value of PSQI by the stepwise regression analysis was performed; fall asleep property has been included of the model in the the male gender (R2= 80%, p< 0.05). To estimate of the value of ESS by the stepwise regression analysis was performed; term property has been included of the model (R2= 65%, p< 0.05). CONCLUSION:Medical school students participating in our study, although female-male ratio close to each other, we found that higher ESS and Pittsburgh scores in female more than male. In this case may be related to physiological, genetic, environmental, cultural and psychological differences.

<p>Determinants of Subjective Poor Sleep Quality in Social Media Users Among Freshman College Students</p>

“…Sleep is a condition in which the body temporarily and partially loses its connection with the environment. 1 Sleep has been assessed using either subjective or objective tools. Overnight Polysomnography (PSG) is the only objective measure of sleep parameters.…”

“…3 Similarly, two studies conducted in Turkey and Sudan revealed that 79.62% and 61.4% of medical students experienced PSQ, respectively. 1,4 In 2019, a study on medical students from two colleges in the western region of Saudi Arabia revealed that 67.1% of the participants experienced PSQ. 5 PSQ and insufficient hours of sleep are associated with a wide range of poor health outcomes, including obesity, 6 diabetes mellitus, 1 high blood pressure, 1 cardiovascular disorders, 7 anxiety, 8 depression, and poor mental health.…”

Comparação de aspectos sociodemográficos e de estilo de vida com qualidade do sono e sonolência excessiva diurna em acadêmicos de medicina em uma universidade do sul de Santa Catarina

“…Em relação aos outros dados sociodemográficos, a maioria declarouse solteiro, com renda maior que três salários mínimos. Estes achados são corroborados por vários estudos (BARBOSA et al, 2015;CÔRREA et al, 2017;KATSURAYAMA et al, 2009;SAYGIN et al, 2016), indicando perfil similar destes acadêmicos.…”

“…O resultado difere do estudo feito por Kloster et al (2013), no qual 49,1% dos entrevistados possuíam alta probabilidade de sonolência diurna excessiva, ou seja, escore acima de 10. Estes valores são maiores que os encontrados em pesquisas feitas com alunos de medicina nos Estados Unidos (JOHNSON et al, 2017) e na Turquia (SAYGIN et al, 2016), nos quais estudantes com escore acima de 10 somavam 26,9% e 17,9%, respectivamente.…”

“…Em se tratando da diferença entre sonolência diurna excessiva entre os sexos, no presente estudo, as mulheres apresentaram maior pontuação no ESS, como também demonstrado por Saygin et al (2016), Yaqoot et al (2016) e Bocabella e Malouf (2017).…”