An interventional study on sleep hygiene among medical students
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20170254Keywords:
Daytime sleepiness, Medical students, Sleep hygieneAbstract
Background: Sleep deprivation, a common problem among undergraduate students, leads to daytime sleepiness and poor academic performance. The purpose of this study is to describe sleep hygiene among medical students and to measure effect of sleep hygiene educational intervention.
Methods: An interventional cross-sectional study was carried out from September to October, 2015 among II MBBS students, Kurnool Medical College, Kurnool, Andhra Pradesh, India. Excessive daytime sleepiness was assessed by the Epworth sleepiness scale. Predesigned questionnaire was administered as pretest followed by health educational intervention session to 100 subjects selected by simple random sampling, and a post test two weeks later. Data entered in MS Excel 2007, was analyzed using IBM SPSS 20. Difference in means tested by paired t test and Chisquare test was used to test association between variables, with p value <0.05 considered significant.
Results: 100 study subjects, 48 of 7 semester and 52 of 5 semester, had a mean (+SD) age in years, 20.2±0.58 and19.71±0.61 respectively. 57% were females. A statistically significant association between daytime sleepiness prevalence by semester was found. (Pretest X2 = 7.83, post test X2 = 7.19, p value <0.01). Weekend sleep schedules showed 2 hours increase than weekdays, in 40% (5 semester) and 30% (7 semester). 20% of study subjects had Epworth score 10-24, so expert medical advice is needed. A statistically significant difference was observed in sleep hygiene post intervention (t=2.010, p= 0.05).
Conclusions: Daytime sleepiness was the most common problem encountered in this study. Sleep hygiene education promotes healthy sleeping habits.References
Spiegel K, Leproult R, Van Cauter E. Impact of sleep debt on metabolic and endocrine function. Lancet. 1999;354(9188):1435-9.
Palmer ND, Langefeld CD, Campbell JK, Williams AH, Saad M, Norris JM, et al. Genetic mapping of disposition index and acute insulin response loci on chromosome 11q. The Insulin Resistance Atherosclerosis Study (IRAS) Family Study. Diabetes. 2006;55(4):911-8.
Maquet, P. The role of sleep in learning and memory. Science.2001;294(5544):1048-51.
Youngstedt SD, Daniel F, Kripke DF. Long sleep and mortality: rationale for sleep restriction. Sleep Med Rev. 2004;8:159-74.
Ferrara M, De Gennaro L. How much sleep do we need? Sleep Med Rev. 2001;5:155-79.
Home JA. Human sleep, sleep deprivation and behaviour: Implications for the prefrontal cortex and psychiatric disorder. British Journal of Psychiatry. 1993;162:413-9.
Harrison Y, Home JA. Sleep deprivation affects speech. Sleep. 1997;20:871-8.
Walker MP, Stickgold R. Sleep, memory, and plasticity. Annu Rev Psychol. 2006;57:139-66.
De Koninck J, Lorrain D, Christ G, Proulx G, Coulombe D. Intensive language learning and increases in rapid eye movement sleep: evidence of a performance factor. Int J Psychophysiol. 1989;8(1):43-7.
Sateia MJ, Owens J, Dube C, Goldberg R. Advancement in sleep medicine education. Sleep. 2000;23;1021-3.
Rosen R, Zozula R. Education and training in the field of sleep medicine. Current Opinions in Pulmonary Med. 2000;6:512-8.
Buysse DJ, Barzansky B, Dinges D, Hogan E, Hunt C, Owens J, Rosekind M, Rosen R, Simon F, Veasey S, Wiest F. Sleep, fatigue, and medical training: setting an agenda for optimal learning and patient care. A report from the conference “Sleep, Fatigue, and Medical training: Optimizing Learning and the Patient Care Environment”. Sleep. 2003;26(2).
International Classification of Sleep Disorders, Diagnostic and Coding Manual 2nd ed: Westchester, IL: American Academy of Sleep Medicine; 2005.
Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale". Sleep. 1991;14(6):540-5.
Lund HG, Reider BD, Whiting AB, Prichard JR. Sleep patterns and predictors of disturbed sleep in a large population of college students. J Adolesc Health. 2010;46(2):124-32.
Taylor DJ, Bramoweth AD. Patterns and consequences of inadequate sleep in college students: substance use and motor vehicle accidents. J Adolesc Health. 2010;46(6):610-2.
Brown FC, Buboltz WC Jr, Soper B. Relationship of sleep hygiene awareness, sleep hygiene practices, and sleep quality in university students. Behav Med. 2002;28(1):33-8.
Chen PH, Kuo HY, Cheuh KH. Sleep hygiene education: efficacy on sleep quality in working women. J Nurs Res. 2010;18(4):283-9.