Sleep Quality and Related Factors in Medical Residents

Esen, Ayşe Didem; Mercan, Gözde Nizamoğlu; Kaçar, Ezgi; Toprak, Dilek

doi:10.21763/tjfmpc.359842

Cited by 6 publications

(7 citation statements)

References 13 publications

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“… 32 In addition, a high frequency of on-call shifts per month (more than six) was significantly associated with a 10-times greater risk of poor sleep quality.Similarly, several previous studies have shown an inverse relationship between sleep quality and the number of monthly on-calls, illustrating the impact of night shifts on residents’ sleep. 30 , 33 Residents in dermatology and psychiatry departments reported the highest prevalence of adequate sleep quality compared with other, mostly surgical specialties, consistent with previous findings. 12 This could be related to the stressful lifestyle inherent to surgical training, where emergencies are abundant, work hours are longer, and caffeine intake is higher.…”

Section: Discussionsupporting

confidence: 88%

“… 12 This could be related to the stressful lifestyle inherent to surgical training, where emergencies are abundant, work hours are longer, and caffeine intake is higher. 33 In our institution, dermatology residents have no on-calls except in the first year, and psychiatry residents tend to have more quiet and less busy on-calls than other departments.…”

Section: Discussionmentioning

confidence: 94%

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The Impact of Duty Hour Limits on Sleep Quality of Resident: A Cross-sectional Study

Jaradat¹,

Lahlouh²,

Aldabbour³

et al. 2022

Oman Med J

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Objectives: Resident physicians are particularly prone to sleep disturbance due to long shift hours and excessive workload. Despite the numerous measures undertaken to improve their wellbeing, it is still unknown if limiting the work shift duration would improve sleep quality. We sought to compare sleep quality, anxiety, and depression before and after implementing duty hour limits. We also aim to evaluate how satisfaction with life is related to sleep quality, anxiety, and depression. Methods: We used a self-reported questionnaire to obtain data about sleep quality, anxiety, and depression using the Pittsburgh Sleep Quality Index and Patient Health Questionnaire-4 (PHQ-4) scales, respectively. Using data from a previous study, we compared those parameters before and after implementing duty hour reduction across several specialties at King Abdullah University Hospital, Jordan. Furthermore, we investigated residents’ life satisfaction using the Satisfaction with Life Scale. Results: One hundred and eighty residents filled the questionnaire (median age = 26.5 years). Males reported higher rates of poor sleep quality while females had higher rates of anxiety and depression. Decreasing the duration of on-call shifts from 32 to 24 hours decreased the prevalence of poor sleep quality from 91.5% to 83.2% (p =0.038), and smoking rates decreased from 30.4% to 12.5% (p < 0.001). More than six on-calls per month were associated with poorer quality of sleep. Night float shifts significantly decreased rates of moderate and severe PHQ-4 scores (p < 0.001). In addition, 63.3% of residents were satisfied with life. Life satisfaction was associated with enhanced sleep quality and lower PHQ-4 scores (p =0.007 and p < 0.001, respectively). Conclusions: Optimizing shift scheduling and duration can positively influence rates of sleep quality, anxiety, depression, and smoking. More interventions should be tackled along with duty hour limits to optimize residents’ life satisfaction.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 94%

The Impact of Duty Hour Limits on Sleep Quality of Resident: A Cross-sectional Study

Jaradat¹,

Lahlouh²,

Aldabbour³

et al. 2022

Oman Med J

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“…The analyzes were conducted with the Statistical Package for Social Sciences (SPSS Inc., Chicago, IL) v. 22…”

Section: Discussionmentioning

confidence: 99%

“…19,20 It was found that the mean PSQI score was higher in night shift workers or college students who attended non-formal education. [21][22][23] It could be suggested that the differences determined in the present study was due to the fact that certain students attended non-formal education. In the present study, the rate of poor sleep quality of those who attended non-formal education was significantly higher than those who received formal education.…”

Section: Discussionmentioning

confidence: 99%

The analysis of sleep quality of social studies vocational associate degree students and the factors that affect sleep quality

Kurt

DURNA

YILMAZ

2021

Adıyaman Üniversitesi Sağlık Bilimleri Dergisi

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This study aimed to analyze sleep quality of Social Sciences Vocational School students and the factors that affect sleep quality. Materials and Methods: This is a cross-sectional study. The first section included questions on sociodemographic attributes and sleep quality. In the second section, "Pittsburgh sleep quality index" was applied. Results: 44.3% of the students had good sleep quality. Poor sleep quality was 1.5 times higher among formal education students when compared to non-formal education students, 3.4 times higher among those without a regular diet when compared to those who did have, and 1.4 times higher among those who did not regularly exercise when compared to those who did. Conclusion: It was determined that non-formal education, irregular diet, and non-regular exercise were risk factors for poor sleep quality.

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“…Recognition and management of fatigue are very important. [15][16][17][18][19] This research shows that there is a positive relationship between anxiety and sleep quality. This is similar to previous research on the relationship between anxiety levels and sleep quality in 278 medical students at the undergraduate, graduate, and doctoral levels.…”

Section: Journal Of Clinical and Cultural Psychiatry 07mentioning

confidence: 99%

Association between anxiety and sleep quality in the General Surgery residents of Udayana University

et al. 2020

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Background: Sleep quality not only affects physical health but also on individual performance. Anxiety is thought to associate with poor sleep quality. This study aims to determine the association between anxiety and sleep quality in surgery residents of Faculty of Medicine, Udayana University. Methods: The subjects of the study were 48 surgery residents of Faculty of Medicine of Udayana University. The study used a cross sectional analytical method. Measurement of anxiety using the Beck Anxiety Inventory (BAI) and sleep quality questionnaire using the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed descriptively and used the chi square test with significance level p <0.05. Results: The results showed that 33.3% of surgery residents of Faculty of Medicine of Udayana University had anxiety and most had poor sleep quality (87.5%). There is an association between anxiety and sleep quality in surgery residents of Faculty of Medicine of Udayana University with PR 3.0 (95% CI 0,9-9,1; p <0.005). Conclusion: This study shows that there is a significant relationship between anxiety and sleep quality where surgery residents of Faculty of Medicine of Udayana University with anxiety 3 times at risk of developing poor sleep quality than those without anxiety. Therefore it is necessary to manage anxiety as well as the arrangement of night shift to improve sleep quality.

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Sleep Quality and Related Factors in Medical Residents

Cited by 6 publications

References 13 publications

The Impact of Duty Hour Limits on Sleep Quality of Resident: A Cross-sectional Study

The Impact of Duty Hour Limits on Sleep Quality of Resident: A Cross-sectional Study

The analysis of sleep quality of social studies vocational associate degree students and the factors that affect sleep quality

Association between anxiety and sleep quality in the General Surgery residents of Udayana University

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