Research Article
Quality of Sleep and Factors Affecting Sleep Quality in Hospitalized Patients in The Orthopedics and Traumatology Clinic
Abstract
Purpose: In this study, our purpose was to determine the sleep quality and the factors affecting sleep quality of the hospitalized patients orthopedics and traumatology clinic.
Methods: This study was conducted as a descriptive study in a hospital between March 30 and June 16, 2022. The sample of the study consisted of 200 patients hospitalized in the orthopedics and traumatology clinic. The data of the study were collected through face-to-face interviews with the patients using the ‘’Sociodemographic and Descriptive Characteristics Questionnaire’’ and the ‘’Richard-Campbell Sleep Questionnaire’’.
Results: The average Richard-Campbell Sleep Questionnaire scores of the patients were determined to be 43.33±28.31. While there was no statistically significant difference (p>0.05) observed between the gender, preoperative or postoperative status, presence of noise, room lighting, room crowding, attached the body medical devices, treatment interventions during sleep hours, and Richard-Campbell Sleep Questionnaire score averages of the patients; a statistically significant difference was found in the Richard-Campbell Sleep Questionnaire score averages based on pain and medical diagnosis (p<0.05). It was found that the variation in Richard-Campbell Sleep Questionnaire scores attributed to patient’s pain and diagnosis variables is 8% (R2=0.082). An increase of one unit in the presence of pain led to a decrease of 8.571 unit in sleep quality and the sleep quality of patients diagnosed with coxartrosis decreased by 12.298 units.
Conclusions: The patients' sleep quality was found to be below the moderate level, and it was observed that sleep quality was significantly affected by pain and diagnosis.
Keywords
References
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Year 2024,
Volume: 15 Issue: 1, 106 - 113, 31.01.2024
Abstract
References
- 1. Doǧan O, Ertekin Ş, Doǧan, S. Sleep quality in hospitalized patients. Journal of Clinical Nursing. 2005;14(1):107-113. DOI: 10.1111/j.1365-2702.2004.01011.x
- 2. Şayık D, Açıkgöz A, Mutlu, F. Sleep quality of medical staff during the coronavirus pandemic: a meta-analysis. Journal of Turkish Sleep Medicine. 2021; 1:1-6. DOI: 10.4274/jtsm.galenos.2021.51523
- 3. Austin L. Editorial commentary: does orthopedic disease lead to sleep disturbance and how can we improve sleep quality following surgery?. Arthroscopy. 2019;35(2):47-55. DOI: 10.1016/j.arthro.2018.11.001
- 4. Örsal Ö, Kök Eren H, Duru P. Examination of the factors affecting sleep quality of psychiatric patients using the structural equation model. Journal of Psychiatric Nursing. 2019;10(1):55-64. DOI: 10.14744/phd.2018.06978
- 5. Şirin A, Denı̇z SY. Hospitalized patients sleep quality and evaluation of the factors affecting sleep state. Interdisciplinary Journal of Innovation Research. 2021;1(2): 148-155.
- 6. Karan İ, Aştı T. Investigation of the effects of hospital physical environment on patients. İstanbul University Florence Nightingale Journal of Nursing. 2003; 13:15-27.
- 7. Drouot X, Cabello B, d’Ortho MP, et al. Sleep in the intensive care unit. Sleep Medicine Reviews. 2008;12(5):391-403. DOI: 10.1016/j.smrv.2007.11.004
- 8. Karagözoğlu Ş, Çabuk S, Tahta Y, et al. Some factors influencing the sleep of hospitalized adult patients. Toraks Journal. 2007;8(4):234-240.
- 9. Stewart NH, Arora VM. Sleep in hospitalized older adults. Sleep Med Clin. 2018;13(1):127-135. DOI: 10.1016/j.jsmc.2017.09.012
- 10. Jensen PS, Specht K, Mainz H. Sleep quality among orthopaedic patients in Denmark-A nationwide cross-sectional study. Int J Orthop Trauma Nurs. 2021; 40:1-10. DOI: 10.1016/j.ijotn.2020.100812
- 11. Institute of Medicine (US) Committee on Sleep Medicine and Research. Sleep disorders and sleep deprivation: an unmet public health problem. Colten HR, Altevogt BM, editors. Washington (DC): National Academies Press (US); 2006. PMID: 20669438.
- 12. Önler E, Yılmaz, A. The sleep quality of the patients in surgical units. Florence Nightingale Journal of Nursing. 2008;16(62):114–121.
- 13. Kaya G, Yılmaz, M. Determination of sleep and depression in elderly individuals with total knee replacement. Mersin Univ Journal of Health Sciences.2021;14(1): 1–13. DOI: 10.26559/mersinsbd.733376
- 14. Manning BT, Kearns SM, Bohl DD, et al. Prospective assessment of sleep quality before and after primary total joint replacement. Orthopedics. 2017;40(4): 636-640. DOI: 10.3928/01477447-20170411-01
- 15. Vitale JA, Banfi G, Viganò M. et al. How do patients sleep after orthopaedic surgery? Changes in objective sleep parameters and pain in hospitalized patients undergoing hip and knee arthroplasty. International Orthopaedics. 2023; 47:1929–1938. DOI: 10.1007/s00264-023-05862-2
- 16. Yang H, Liu YJ, Ye JL, et al. Evaluation of sleep disorder in orthopedic trauma patients: a retrospective analysis of 1129 cases. Journal of Orthopaedic Surgery and Research. 2021;16(1):1-6. DOI: 10.1186/s13018-021-02487-2
- 17. Austin L, Pepe M, Tucker B, et al. Sleep disturbance associated with rotator cuff tear: 436 correction with arthroscopic rotator cuff repair. Am J Sports Med. 2015;43: 1455-1459. DOI: 10.1177/0363546515572769
- 18. Chen AF, Orozco FR, Austin LS, et al. Prospective evaluation 473 of sleep disturbances after total knee arthroplasty. J Arthroplasty. 2016;31: 330-332. DOI: 10.1016/j.arth.2015.07.044
- 19. Kunze K, Movasagghi K, Rossi DM, et al. Systematic review of sleep quality before and after arthroscopic rotator cuff repair are ımprovements experienced and maintained? The Orthopaedic Journal of Sports Medicine. 2020;8(12):1-10. DOI: 10.1177/2325967120969224
- 20. Richards K. Techniques for measurement of sleep in critical care. Focus Crit Care. 1987; 14 (4):34-40.
- 21. Karaman ÖZ, Özer N. Richard-Campbell sleep questionnaire validity and reliability study. Turkish Sleep Medical Journal. 2015; 2:29-32. DOI:10.4274/jtsm.02.008
- 22. Esen Büyükyılmaz F, Şendir M, Acaroğlu R. Evaluation on night-time pain characteristics and quality of sleep in postoperative Turkish orthopedic patients. Clinical Nursing Research. 2011; 3: 326-42. DOI: 10.1177/1054773811406110
- 23. Yılmaz M, Gürler H, Bekmez F. The relationship between pain-anger levels and sleep quality of patients hospitalized in the orthopedics and traumatology clinic because of musculoskeletal injury. Journal of Anatolian Nursing and Health Sciences, 2019;22(2), 79-86.
- 24. Oral SE, Kıranşal N, Deniz M. The effect of pain and anxiety on sleep quality in hospitalized patients in surgical clinics. Journal of Turkish Sleep Medicine, 2022; 9(3),288-293. DOI:10.4274/jtsm.galenos.2022.38247
- 25. Ödül Özkaya B, Yüce Z, Gönenç M, et al. Factors affecting the sleep patterns of hospitalized patients during the early post-operational period. Medical Journal of Bakırköy, 2013; 9(3), 121-125. DOI: 10.5350/BTDMJB201309305
- 26. Lin D, Huang X, Sun Y, et al. Perioperative sleep disorder: a review. Frontiers in Medicine, 2021; 8, 640416. DOI: 10.3389/fmed.2021.640416
- 27. Er MS, Altınel EC, Altınel L, et al. Evaluation of preoperative and postoperative sleep quality in patients undergoing total knee arthroplasty. Acta Orthop Traumatol Turc, 2014; 48(1), 50-54. DOI: 10.3944/AOTT.2014.3163
- 28. Martinez R, Reddy N, Mulligan EP, et al. Sleep quality and nocturnal pain in patients with hip osteoarthritis. Medicine, 2019; 98(41). DOI: 10.1097/MD.0000000000017464
- 29. Wang Y, Liu Y, Li X, et al. Prospective assessment and risk factors of sleep disturbances in total hip and knee arthroplasty based on an Enhanced Recovery After Surgery concept. Sleep and Breathing, 2021; 25, 1231-1237. DOI: 10.1007/s11325-020-02213-y
There are 29 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Services and Systems (Other) |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | January 31, 2024 |
| Submission Date | August 24, 2023 |
| Published in Issue | Year 2024Volume: 15 Issue: 1 |
