| Abstract | Cilj istraživanja: Cilj ovog istraživanja je ispitati kvalitetu spavanja bolesnika hospitaliziranih na Klinici za neurologiju Kliničkog bolničkog centra Split te utvrditi utjecaj demografskih i osobnih podataka te bolničkog okruženja na kvalitetu spavanja.
Materijali i metode: U ovo presječno istraživanje je bilo uključeno 69 ispitanika (u dobi od 19 do 85 godina). Svi su bili hospitalizirani na Klinici za neurologiju KBC-a Split. Prikupljanje podataka o ispitanicima obavljeno je u razdoblju od travnja do lipnja 2022. godine. Za prikupljanje podataka koristio se anonimni upitnik sastavljen od dvaju dijelova: obrasca osobnih podataka te Pittsburškog indeksa kvalitete spavanja. Obrazac osobnih podataka uključivao je sljedeće podatke: dob, spol, stupanj obrazovanja, radni status, bračni status, trajanje hospitalizacije, broj prethodnih hospitalizacija, kronične bolesti te trenutni razlog hospitalizacije. Podaci su analizirani koristeći deskriptivnu statistiku te su izračunati medijan, interkvartilni raspon, minimum i maksimum. Za usporedbu i procjenu značajnosti kategorijskih varijabli korišten je hi-kvadrat test.
Rezultati: 67% pacijenata hospitaliziranih na Klinici za neurologiju je imalo lošu kvalitetu spavanja. Najviše ispitanika žalilo se na buku i bol kao faktore koji ometaju spavanje te su ta dva čimbenika statistički značajno povezana s kvalitetom spavanja kao i uzimanje lijekova za spavanje. Nadalje, svjetlost, medicinske intervencije i zabrinutost ispitanika nisu bili statistički značajno povezani s kvalitetom spavanja. Također, nije pronađena razlika između skupine dobrih i loših spavača s obzirom na dob, spol, bračni status, zaposlenje, kronične bolesti i broja prethodnih hospitalizacija ispitanika.
Zaključak: Čak dvije trećine pacijenata hospitaliziranih na Klinici za neurologiju imaju lošu kvalitetu spavanja. Pronađena je povezanost između boli i buke te uzimanja lijekova i narušenog spavanja, dok statistički značajna razlika nije pronađena u kvaliteti sna u odnosu na demografske i osobne podatke pacijenata. Potrebne su dodatne eksperimentalne studije koje bi proučile uzročno-posljedičnu vezu između hospitalizacije i narušene kvalitete spavanja. Navedene studije bi mogle poboljšati kvalitetu rezultata i njihovu interpretaciju tako da uključe veći broj ispitanika i kontrolnu skupinu, odrede kvalitetu spavanja van bolnice i tijekom hospitalizacije radi usporedbe te da naprave polisomnografiju u svrhu određivanja objektivnih znakova narušene kvalitete spavanja. |
| Abstract (english) | Objectives: This research aims to examine the sleep quality of patients hospitalized at the Neurology Department of the University Hospital of Split and to determine the influence of demographic and personal data, as well as hospital environment factors, on sleep quality.
Materials and methods: In this cross-sectional study, 69 patients (aged 19 to 85 years) were included. All of them were hospitalized at the Neurology Department of the University Hospital of Split. Data collection was carried out in the period from April to June 2022, for data collection participants were asked to fill out an anonymous questionnaire consisting of two parts: a personal data form and the Pittsburgh Sleep Quality Index. The personal data form included the following information: age, gender, level of education, work status, marital status, number of previous hospitalizations and illnesses, and current reason for hospitalization. The data was analyzed using descriptive statistics, and the median, interquartile range, minimum and maximum were calculated. In addition, the chi-square test was used to compare and assess the significance of categorical variables.
Results: 67% of patients hospitalized at the Neurology Department of University Hospital of Split had poor sleep quality. Most patients complained about noise and pain as factors that interfere with sleep, and these two factors are statistically significantly related to the quality of sleep and the use of sleep medications. Light exposure, medical interventions, and subjects' concerns were not statistically significantly associated with sleep quality. Also, no difference was found between the group of good and bad sleepers concerning age, gender, marital status, employment, chronic diseases and the number of previous hospitalizations.
Conclusion: Two-thirds of patients hospitalized in the neurology department had poor sleep quality. A connection was found between pain and noise, as well as taking medication and disturbed sleep. In contrast, no statistically significant difference was found in the quality of sleep concerning individual patients' demographic and personal data. Additional experimental studies are needed to examine the causal relationship between hospitalization and impaired sleep quality. Future studies could improve the quality of the results and their interpretation by including a more significant number of subjects and a control group, determining the quality of sleep outside the hospital and during hospitalization for comparison, and performing polysomnography to decide objective signs of impaired sleep quality. |
