Sleep Quality and Related Factors in Medical Residents

Year 2017, Volume: 11 Issue: 4, 271 - 277, 20.12.2017

Ayşe Didem Esen Gözde Nizamoğlu Mercan Ezgi Kaçar Dilek Toprak

https://doi.org/10.21763/tjfmpc.359842

Cited By: 3

Abstract

Introduction: The aim of this study was to assess the sleep quality
and daytime sleepiness of resident doctors, to compare the sleep quality
between surgical and medical branch residents and to examine effects of working
hours, number of duties, clinical branches and some other daily habits on the
sleep quality of resident doctors in a hospital in Turkey. Methods: A survey was conducted to gather data on (i) demographics,
lifestyle and daily habits as well as to determine (ii) Epworth sleepiness
scale (ESS) score and (iii) Pittsburgh sleep quality index (PSQI) scores of the
participants. Data collection was based on the use of a self-administered
questionnaire. Results: Of 138
resident doctors, 45.7% were classified as having good sleep quality based on a
cut-off score of 5 in PSQI. The mean ESS and PSQI scores were 6.59 ±3.92 and
6.30 ±3.22, respectively. Significantly positive correlations were found
between Epworth score and the number of night duties (p=0.010), working hours
per week (p=0.006), total cigarettes per day (p=0.033), and daily tea
consumption (p=0.013). Also, there were statistically significant positive
correlations between PSQI scores and the number of night duties (p<0.001),
working hours per week (p=0.007), total cigarettes per day (p=0.013) and daily coffee
consumption (p=0.002). Surgical residents had significantly poor sleep quality
(p=0.015). ESS score was higher in female residents and surgical residents,
with a significant difference in these two sub-groups (p=0.018, p=0.008
respectively). Conclusions: Sleep
quality and daytime sleepiness of the resident doctors were closely related to
lifestyle factors including working hours, number of night duties and branch of
residency as well as to certain demographic factors and daily habits.

 

Giriş: Bu çalışmanın amacı bir hastanede
çalışan asistanların uyku kalitesini ve gün içi uykululuk durumunu
değerlendirmek, cerrahi ve medikal branşlar arasında uyku kalitesini
karşılaştırmak ve haftalık çalışma saatleri, nöbet sayıları , bazı günlük
alışkanlıklar ve yaşam tarzının uyku kalitesi üzerine etkisini araştırmaktır. Yöntem: Çalışma üç bölümden oluşan
veriler ile yapılmıştır; (i) demografik özellikler, günlük yaşam tarzı ve
alışkanlıklarla ilgili bilgiler, (ii) Epworth uykululuk ölçeği (ESS) skoru,
(iii) Pittsburgh uyku kalitesi ölçeği (PSQI) .Veriler katılımcılardan anket
yoluyla ve etik kurallara uygun olarak alınmıştır. Bulgular: 138 asistan doktorun % 45.7’sinin uyku kalitesi PSQI   kesme puanı olan 5’e göre uyku kalitesi iyi
olarak değerlendirildi. Ortalama ESS ve PSIQ puanları sırasıyla 6.59 ±3.92 ve
6.30 ±3.22 olarak bulundu. Epworth skoru ile gece nöbet sayısı (p=0.010),
haftalık çalışma saatleri (p=0.006), günlük içilen sigara sayısı (p=0.033), günlük
çay tüketimi (p=0.013) arasında anlamlı pozitif korelasyon bulundu. PSQI
skorları ile, gece nöbeti sayıları (p<0.001), haftalık çalışma saatleri
(p=0.007), günde içilen sigara sayısı (p=0.013), günlük kahve tüketimi
(p=0.002) arasında anlamlı pozitif korelasyon saptandı. Cerrahi bölüm
asistanlarının uyku kalitesi daha düşük rapor edildi (p=0.015). ESS skorları
kadın asistanlarda ve cerrahi bölüm asistanlarında daha yüksek gözlendi ve bu
farklar istatistiksel olarak anlamlı bulundu (sırasıyla p=0.018, p=0.008). Sonuç: Asistan doktorların uyku
kalitesi ve gün içi uykululuk durumu, demografik faktörler ve günlük
alışkanlıklarla ilgili olduğu kadar, haftalık çalışma saatlerinin uzunluğu,
nöbet sayıları ve asistanlık yapılan bölüm gibi yaşam tarzı faktörleriyle de
yakından ilişkilidir.

 

Keywords

Sleepiness, sleep deprivation, lifestyle

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