Department of Respiratory and Sleep Medicine, Box Hill Hospital, Box Hill, VIC, Australia.
Eastern Health Clinical School, Monash University, Melbourne, VIC, Australia.
Sleep Breath. 2024 Dec;28(6):2737-2740. doi: 10.1007/s11325-024-03144-8. Epub 2024 Sep 7.
Hospitalised patients are at increased risk of poor sleep quality which can negatively impact on recovery and quality of life. This study aimed to assess sleep quality in hospitalised patients and explore the factors associated with poor sleep.
Prospective data were collected from 84 respiratory ward inpatients at time of discharge using a Likert scale questionnaire on contributing factors to sleep quality. Differences between groups reporting good and poor quality sleep were recorded.
Most participants (77%) described inpatient sleep quality to be worse or much worse compared to their home environment. Noise (39%), checking of vital signs (33%) and light (24%) were most frequently identified as factors disrupting sleep. Binary logistic regression analysis demonstrated that men (OR 2.8, CI 1.1-7.4, p = 0.037) and those in shared rooms (OR 3.9, CI 1.4-10.9, p = 0.009) were more likely to be affected by noise. Younger patients (OR 0.92, CI 0.88-0.96, p < 0.001) and those in shared rooms (OR 8.5 CI 1.9-37.9, p < 0.001) were more likely to be affected by light.
In conclusion, a high proportion of hospitalised respiratory patients on a medical ward reported poorer sleep quality compared to home due to operational interruptions and noise. Age, gender and room type further modified the sleep disruption. Future research should focus on whether strategies to reduce interruptions and noise will improve sleep quality and clinical outcomes.
住院患者睡眠质量较差的风险增加，这可能对康复和生活质量产生负面影响。本研究旨在评估住院患者的睡眠质量，并探讨与睡眠质量差相关的因素。
前瞻性数据收集自 84 名呼吸病房住院患者，在出院时使用利克特量表问卷评估影响睡眠质量的因素。记录报告睡眠质量良好和较差的患者之间的差异。
大多数参与者（77%）表示，与在家中相比，住院期间的睡眠质量更差或差很多。噪音（39%）、生命体征检查（33%）和灯光（24%）是最常被认为会干扰睡眠的因素。二元逻辑回归分析表明，男性（OR 2.8，CI 1.1-7.4，p=0.037）和住在双人间的患者（OR 3.9，CI 1.4-10.9，p=0.009）更容易受到噪音的影响。年轻患者（OR 0.92，CI 0.88-0.96，p<0.001）和住在双人间的患者（OR 8.5 CI 1.9-37.9，p<0.001）更容易受到灯光的影响。
总之，由于操作中断和噪音，与在家中相比，医疗病房住院的呼吸科患者中，相当大比例的患者报告睡眠质量较差。年龄、性别和房间类型进一步改变了睡眠中断情况。未来的研究应集中于是否采取策略减少干扰和噪音，以改善睡眠质量和临床结局。
