Poor sleep quality may contribute to dysfunctional illness perception, physical and emotional distress in hospitalised patients: results of a national survey of the Italian Society of Consultation‐Liaison Psychiatry

Abstract

Distress associated with physical illness is a well-known risk factor for adverse illness course in general hospitals. Understanding the factors contributing to it should be a priority and among them dysfunctional illness perception and poor sleep quality may contribute to it. As poor sleep quality is recognised as a major risk factor for health problems, we aimed to study its association with illness perception and levels of distress during hospitalisation. This cross-sectional study included a consecutive series of 409 individuals who were hospitalised in medical and surgical units of different hospitals located throughout the Italian national territory and required an assessment for psychopathological conditions. Sleep quality was assessed with the Pittsburgh (Sleep Quality Index), emotional and physical distress with the Edmonton Symptom Assessment System (ESAS), and illness perception with the Brief Illness Perception Questionnaire (BIPQ). Differences between groups, correlations and mediations analyses were computed. Patients with poor sleep quality were more frequently females, with psychiatric comorbidity, with higher scores in the ESAS and BIPQ. Poor sleep

The effect of refined psychological pain nursing combined with IMB nursing on the pain, sleep and quality of life of patients after cervical cancer surgery

“…It is mainly manifested in sleep difficulties, early awakening and insomnia, which may affect the prognosis, increase the patient’s pain and economic burden, and should cause medical care the attention of personnel. [27] The main nursing measures for this are to actively communicate with patients to find out the factors that affect patients’ sleep, and to conduct psychological adjustments and behavioral guidance. Encourage patients to treat them with an optimistic and confident attitude, guide patients to use psychological knowledge to adjust their psychology, control unpleasant emotions, respect and protect patients’ privacy and self-esteem, and establish a harmonious nurse-patient relationship.…”

Assessment of Sleep Quality and Level of Fatigue in Surgically Treated Patients

“…Similar results were obtained by Özlü et al [29], who studied the ability to cope with preoperative stress in cardiological patients. Also, studies by Palagini et al [30] emphasized the impact of anxiety/ stress on the quality and character of sleep of hospitalized patients. Contrary data were obtained by Atay et al [31] and Lockefeera et al [32], where a high level of preoperative anxiety did not affect the quality of sleep of patients.…”