Exploring Sleep Hygiene Practices and Their Relation to Sleep Quality among Medical Students at Nishtar Medical University Multan
DOI:
https://doi.org/10.21649/akemu.v30i2.5474Keywords:
Sleep hygiene practices, Sleep quality, Medical studentsAbstract
Abstract:
Background: Sleep quality is particularly important for medical students who often face demanding schedules, high stress levels and an atypical sleep pattern.
Objective: To evaluate subjective sleep quality among medical students and its association with sleep hygiene practices.
Methods: This descriptive cross-sectional study design was carried out on 385 undergraduate medical students enrolled through simple random sampling. The questionnaire had three sections. The first part covered demographic information; the second part evaluated subjective sleep quality by using the Pittsburgh Sleep Quality Index; and the third part was related to a 13-item sleep hygiene questionnaire. Data was entered and analyzed using SPSS version 26. Pearson chi-square test was employed to identify the factors linked to deprived sleep quality. A p-value of ≤ 0.05 was considered statistically significant.
Results: This study revealed that 55.3% of medical students experienced poor sleep quality with a mean PSQI score of 5.17+3.71, which was mostly influenced by subjective sleep quality. 45.19% of the study participants reported poor sleep hygiene practices. The analysis revealed that students with habits of watching television, a lack of exercise and taking daytime naps slept worse. A significant association was observed between poor sleep quality and deficient sleep hygiene practices (p<0.01).
Conclusion: Insufficient sleep hygiene practices are prevalent among students with poor sleep quality. Sleep hygiene education programs must be given due consideration because these will ultimately improve future doctors’ health and enhance their performance in the long term
References
Jalali R, Khazaei H, Paveh BK, Hayrani Z, Menati L. The effect of sleep quality on students’ academic achievement. Adv Med Sci. 2020; 17(1): 497-502.
Girardeau G, Lopes-Dos-Santos V. Brain neural patterns and the memory function of sleep. Science. 2021; 374(6567):560-4.
Wang Z, Hu J. How does sleep affect creative problem-solving: An interpretation based on memory reorganization .Adv Psychol Sci. 2021; 29(7):1251-1263.
Nelson KL, Davis JE, Corbett CF. Sleep quality: An evolutionary concept analysis. Nurs Forum. 2021; 57(1):144–151. doi:10.1111/nuf.12659
Bjørnnes AK, Torbjørnsen A, Valeberg BT, Sparboe-Nilsen BB, Sandbekken IH, Almendingen K, et al. What is known about students and sleep: Systematic review and Evidence Map. SAGE Open. 2021;11(3):1-11. 21582440211032162.
Ali RM, Zolezzi M, Awaisu A, Eltorki Y. Sleep quality and sleep hygiene behaviours among university students in Qatar. Int J Gen Med.2023;16(1):2427–2439.
doi:10.2147/ijgm.s402399
Gómez-Chiappe N, Lara-Monsalve PA, Gómez AM, Gómez DC, González JC, González L, et al. Poor sleep quality and associated factors in university students in Bogotá DC, Colombia. Sleep Science. 2020 ;13(2):125.
Wondie T, Molla A, Mulat H, Damene W, Bekele M, Madoro D, et al. Magnitude and correlates of sleep quality among undergraduate medical students in Ethiopia: cross–sectional study. Sleep sci pract. 2021;5(1):1-8.
Yazdi Z, Loukzadeh Z, Moghaddam P, Jalilolghadr S. Sleep hygiene practices and their relation to sleep quality in medical students of Qazvin University of Medical Sciences. J Caring Sci. 2016;5(2):153–160.
Ramos AR, Wheaton AG, Johnson DA. Peer Reviewed: Sleep Deprivation, Sleep Disorders, and Chronic Disease. Prev. Chronic Dis. 2023;20.
Morey BN. The Mediating Role of Sleep Disturbance on the Association Between Stress and Self-Rated Health Among Chinese and Korean Immigrant Americans. Prev Chronic Dis. 2023;20(1):220241.
Lloyd-Jones DM, Allen NB, Anderson CA, Black T, Brewer LC, Foraker RE et al. Life’s essential 8: updating and enhancing the American Heart Association’s construct of cardiovascular health: a presidential advisory from the American Heart Association. Circulation. 2022;146(5):8-43.
Reis C, Dias S, Rodrigues AM, Sousa RD, Gregório MJ, Branco J et al. Sleep duration, lifestyles and chronic diseases: a cross-sectional population-based study. Sleep Sci. 2018;11(4):217.
Alanazi EM, Alanazi AM, Albuhairy AH, Alanazi AA, Alanazi E, Alanazi AA. Sleep Hygiene Practices and Its Impact on Mental Health and Functional Performance Among Adults in Tabuk City: A Cross-Sectional Study. Cureus. 2023;15(3):e36221
Chow CM. Sleep Hygiene Practices: Where to Now?. Hygiene. 2022;2(3):146-51.
Yi H, Shin K, Shin C. Development of the sleep quality scale. J. Sleep Res. 2006;15(3):309-16.
Mastin DF, Bryson J, Corwyn R. Assessment of sleep hygiene using the Sleep Hygiene Index. J Behav Med. 2006;29(1):223-7.
Rao WW, Li W, Qi H, Hong L, Chen C, Li CY, et al. Sleep quality in medical students: a comprehensive meta-analysis of observational studies. Sleep Breath.2020;24(1):1151-65.
Sundas N, Ghimire S, Bhusal S, Pandey R, Rana K, Dixit H. Sleep quality among medical students of a tertiary care hospital: A descriptive cross-sectional study. J Nepal Med. 2020;58(222):76.
Javaid R, Momina AU, Sarwar MZ, Naqi SA. Quality of Sleep and Academic Performance among Medical University Students. Medical Education. J Coll Physicians Surg Pak. 2020;30(8):844-48.
Azad MC, Fraser K, Rumana N, Abdullah AF, Shahana N, Hanly PJ, et al. Sleep disturbances among medical students: a global perspective. J Clin Sleep Med. 2015; 11(1):69-74.
Begum M, Puchakayala DS. Study to determine prevalence of poor sleep quality and its correlation with sleep hygiene practices among medical students. Asian J. Med. Sci.2022; 13(9):151-5.
Pournik O, Daneshvar M, Pakzadian S, Ghalichi L. Sleep hygiene in medical students in Tehran; do they learn to attend to their own health?. Shiraz. E-Med. J.2020;21(4):1-6.
Khawaja U, Wasim MA, Abid Ali F. Association between poor sleep hygiene practices, sleep deprivation, and their effects on medical students of Karachi: A cross-sectional study. J contemp stud epidemiol public health.2023;4(1):ep23004.
Shafique Z, Syed F, Naz S, Urooj S, Khan S, Javed S. Assessment of factors affecting the sleep hygiene of medical students in Bahawalpur, Pakistan: a cross-sectional study. Sleep Sci.2021;14(3):273.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Annals of King Edward Medical University
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments publications@kemu.edu.pk