Status of fatigue and sleep quality in clinical medical students

Abstract

Objective: To determine the relationship between fatigue and sleep quality in medical students. Materials and Methods:We applied a sociodemographic characteristics questionnaire, Pittsburgh Sleep Quality Index (PSQI) and Piper Fatigue Scale (PFS) to 4 th , 5 th and 6 th year medical students.Results: Thirty seven percent (n=290) of 4 th , 5 th and 6 th year medical students were included in the study. Mean age was 23.47±1.33 years, 53.8% were male. Alcohol use was determined at a level of 40.3% (n=117), nutrition-drug usage at 40.7% (n=118), and smoking at 19% (n=55). Additionally, 86.2% of the participants (n=250) preferred to sleep in the dark, 37.9% (n=110) thought that drinks they used before going to bed partially affected their sleep quality. PSQI score was 10.56±2.54 (min:5-max:19), 98.6% of the participants had poor sleep quality. There was no significant relationship between the students' academic years and sleep quality. PFS was 2.85±0.83(min:1-max:5), and 79%(n=229) had mild fatigue. A statistically significant relationship was determined between PSQI and PFS scores (p<0.05). Conclusion:Although a large proportion of participants had bad sleep quality, level of fatigue was mild. We determined a significant relationship between levels of fatigue and sleep quality. Arrangements should be made to improve poor sleep quality which affects students' quality of life. Fatigue levels that affect sleep quality should also be reduced. Bulgular: Dönem 4,5 ve 6. sınıf tıp öğrencilerinin %37'si (n=290) çalışmaya dahil edilmiştir. Katılımcıların yaş ortalaması 23,47±1,33 olup %53,8'i erkekti. Sigara kullanımı %19 (n=55), alkol kullanımı %40,3 (n=117), uyanık kalmak için ilaç-besin takviye kullanımı %40,7 (n=118) bulundu. Katılımcıların %86,2'si(n=250) karanlıkta uyumayı tercih ederken %37,9'u (n=110) yatmadan önce tüketilen içeceklerin uyku kalitesini kısmen etkilediğini düşünüyordu. Çalışmamızda toplam PUKİ ortalaması 10,56±2,54 (min:5-maks:19) bulundu. Tüm katılımcılar içerisinde uyku kalitesi kötü olanlar %98,6 idi. Öğrencilerin bulunduğu sınıflar arasında uyku kalitesi yönünden istatistiksel olarak anlamlı fark yoktur (p>0,05). Araştırmamızda PYÖ puan ortalaması 2,85±0,83(min:1-maks:5) olup katılımcıların %79'unda (n=229) hafif düzeyde yorgunluk bulunmuştur. Katılımcıların yorgunluk ölçeği puanı ortalamalarıyla, PUKİ puanı arasında istatistiksel olarak anlamlı fark bulunmuştur (p<0,05). KeywordsSonuç: Katılımcıların büyük bir oranı kötü uyku kalitesine sahip olmakla birlikte yorgunluk seviyeleri hafif düzeyde bulunmuştur. Çalışmamızda yorgunluk düzeyi ve uyku kalitesi arasındaki ilişki anlamlıdır. Öğrencilerin yaşam kalitesini etkileyen kötü uyku kalitesini düzeltmeye yönelik düzenlemeler yapılmalı, uyku kalitesine yüksek oranda katkısı bulunan yorgunluk düzeyleri azaltılmaya çalışılmalıdır.

Musculoskeletal Pain in Undergraduate Students Is Significantly Associated with Psychological Distress and Poor Sleep Quality

“…The current study did not find an association between sleep quality and academic performance. Similarly, Yuar et al, in their study that included 290 medical students and also used PSOI, found that 98% of the respondents had poor sleep quality but this did not affect their academic performance [ 37 ].…”

Hubungan Antara Kualitas Tidur Dengan Kesehatan Mental Pada Mahasiswa Kedokteran : Tinjauan Umum

“…Situasi pembelajaran mandiri juga dapat menimbulkan komplikasi terhadap kualitas tidur karena masalah psikiatris seperti stres dan depresi ini dapat dicetuskan oleh insomnia. 8 Terdapat peningkatan studi mengenai kualitas tidur pada mahasiswa kedokteran dalam 5 tahun terakhir ini. Begitu juga dengan masalah kesehatan mental karena adanya hubungan yang signifikan.…”

“…3 Studi di Indonesia menunjukkan 11,4% mahasiswa menggunakan obat tidur dan hasil ini lebih tinggi dibanding di Iran (5,7%) dan Malaysia (3%). 13,16,17 Penyebab kualitas tidur buruk yang ditemukan pada hasil studi adalah waktu tidur tidak regular, 9,14 konsumsi kafein, 8,9,13,14,21 penggunaan alat eletronik sebelum waktu tidur, 13,21,22 tempat tinggal tidak nyaman, 5,9 tidak beraktivitas, 13,14 makan lewat malam, 21 tidur pada waktu siang, 9 masalah kesehatan seperti nyeri, 13 sakit punggung, jantung berdebar, sesak sewaktu tidur, dan mendengkur. Faktor yang dapat memengaruhi masalah kesehatan mental pada mahasiswa antara lain beban akademis, ujian, 13 masalah keuangan, 13 masalah keluarga, 12,13 menghadapi kematian orang terdekat, 13 kompetitas dalam studi, 12 dan aktivitas luar.…”

The prevalence of chronic fatigue syndrome and depression in Guilan medical students in 2020

“…Fatigue is also a common problem in medical students, and it may affect not only their academic performance but severe fatigue is also associated with more stress. 28 Several factors can contribute to this problem, such as academic pressure, workload, family expectations, 27 and lifestyle factors like sleep quality 29 and smoking. 30 Based on a study by Pourmovahed et al, it seems that there may be a correlation between CFS and depression in medical students.…”