Khalid Abdul, Rafique Rubina, Arshad Muhammad, Hamdani Muzhar
Medicine, Azad Jammu and Kashmir Medical College, Muzaffarabad, PAK.
Integrative Medicine, Abbas Institute of Medical Sciences, Muzaffarabad, PAK.
Cureus. 2022 Jun 15;14(6):e25947. doi: 10.7759/cureus.25947. eCollection 2022 Jun.
Objectives To evaluate the different personal, environmental, and social factors associated with the impaired sleep of patients who were admitted for treatment in the department of internal medicine in a tertiary care hospital in Azad Kashmir. Material and methods A single-center, exploratory, prospective study was conducted at Abbas Institute of Medical Sciences (AIMS), a public sector teaching hospital of Azad Jammu and Kashmir Medical College, Muzaffarabad, between November 2021 and January 2022. A standard Performa was used to collect and document the demographic information, the duration and quality of sleep at home and after admission to the hospital. The patients were asked to identify and report the most important factors contributing to disturbed sleep in the hospital. Statistical analysis was performed using SPSS version 23.0 (SPSS Inc., Chicago, IL, USA), continuous parametric variables were reported as mean ± standard deviation; nonparametric continuous variables were reported as median; and categorical variables were expressed as percentages. Exploratory factor analysis was performed and principal components were extracted. Results As reported by the patients, the main factors contributing to disturbed sleep were underlying medical conditions, noise, overcrowding and gathering of people, pain, fever, lighting, weather conditions, and medical interventions. Exploratory component factor analysis showed significant loading of overcrowding and lighting in the ward on components 1 and 2. Component 3 was loaded with underlying illness, noise, pain and fever, uncomfortable mattress, and treatment interventions by the medical staff. Conclusions There were many personal and environmental factors, which contributed towards impaired sleep in hospitalized patients. The underlying medical conditions, noise, overcrowding, lighting, pain and fever, are the most commonly reported factors by hospitalized patients.
目的 评估在阿扎德克什米尔一家三级护理医院内科接受治疗的患者睡眠障碍相关的不同个人、环境和社会因素。材料与方法 于2021年11月至2022年1月在阿扎德查谟和克什米尔医学院穆扎法拉巴德的公立部门教学医院阿巴斯医学科学研究所（AIMS）进行了一项单中心、探索性、前瞻性研究。使用标准表格收集并记录人口统计学信息、在家及入院后的睡眠时长和质量。要求患者识别并报告导致住院期间睡眠干扰的最重要因素。使用SPSS 23.0版（美国伊利诺伊州芝加哥市SPSS公司）进行统计分析，连续参数变量以均值±标准差报告；非参数连续变量以中位数报告；分类变量以百分比表示。进行探索性因素分析并提取主成分。结果 据患者报告，导致睡眠干扰的主要因素包括基础疾病、噪音、人员拥挤聚集、疼痛、发热、照明、天气状况和医疗干预。探索性成分因素分析显示，病房内的人员拥挤和照明在成分1和成分2上有显著载荷。成分3载荷有基础疾病、噪音、疼痛和发热、床垫不舒服以及医务人员的治疗干预。结论 存在许多个人和环境因素导致住院患者睡眠受损。基础疾病、噪音、人员拥挤、照明、疼痛和发热是住院患者最常报告的因素。
