Evaluation of sleep disturbance factors in hospitalized patients in Jahrom hospitals


1 Assistant Professor of Anesthesiology, Shiraz University of Medical Sciences, Shiraz, Iran.

2 Department of Nursing, Department of Clinical Research Development of Peymanieh Hospital, Jahrom, Iran.

3 Department of Emergency Medicine, Mashhad University of medical sciences, Mashhad, Iran.

4 Research center for social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran.

5 Medical Ethic Research Center, Jahrom University of Medical Sciences, Jahrom, Iran.


Introduction: Sleep is one of our most important physical needs and also necessary for maintaining health. Sleeping is considered a healing mechanism that aids in rebuilding a person's physical and mental well-being. Thus this study was conducted to determine the factors impairing the quality of sleep in the patients hospitalized in Jahrom in 2018.
Materials and Methods:  This cross-sectional descriptive study was conducted among 131 patients hospitalized in designated wards at the time of gathering the information using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The data gathered were then put into SPSS software version 21 and analyzed using descriptive and inferential statistics.
Results: Results showed 74.8% of patients in the study had poor sleep and men’s quality of sleep on average had a lower and better score than women. Among the demographical variables that determine the quality of sleep, gender and employment status had a direct relation with the quality of sleep in the patients (p<0.05).
Conclusion: The general quality of sleep in most of the patients was low with women having it worse than men. Thus, nurses and the rest of the medical team in hospitals must pay more attention to patients’ wellbeing during sleep and the factors impairing patients’ quality of sleep must be dealt with by proper intervention.


1- Dogan O, Ertekin S, Dogan S. Sleep quality in hospitalized patients. Journal of  Clinical Nursing. 2005; 14(1):107-113.
2- Gholamhoseininejad N, Sabzevari S, Abbaszade A, Hosseinnakhaiee F. A Study of the Effective Factors on Sleep Health in Hospitalized Patients. Journal of Health Care. 2012; 12(1,2): 44-54.[Persian].
3- Fuller J, Schaller Ayers S. Health assessment: A nursing approach, 4th ed. Philadelphia: Lippincott, 2004: 439.
4- Lee CY, Low LP, Twinn S. Older men's experiences of sleep in the hospital. Journal of Clinical Nursing. 2007; 16(2): 336-43.
5- Azwan Azri M, Dahlan A, Ghazali Masuri M, Anuar K. Sleep Quality among Older Persons in Institutions. Procedia - Social and Behavioral Sciences. 2016; 234: 74 – 82.
6- 18- Khastoo A, Sabzevari S, Mohammadalizade S. Comparison of nurses and patients` views to Effective factors on sleep disturbance in medical surgical wards. Msc Dissertation. Razi Nursing and Midwifery School, Kerman, Iran 1998.[Persian].
7- ­Aliabadi­ S,­Moodi M, Miri MR, Tahergorabi Z, Mohammadi R. Sleep Quality and Its Contributing Factors Among Elderly People: A Descriptive-AnalyticalStudy. ModCareJ. 2017; 14(1):e64493.
8- Neikrug AB, Ancoli-Israel S. Sleep disorders in the older adult - a mini-review. Gerontology. 2010; 56(2):181–9. doi: 10.1159/000236900. [PubMed: 19738366].
9- Fontana CJ, Pittiglio LI. Sleep deprivation among critical care patients. Crit Care Nurs Q. 2010; 33(1): 75-81.
10- Kaneita Y, Ohida T, Osaki Y, Tanihata T, Minowa M, Suzuki K, et al. Insomnia among japanese adolescents: a nationwide  representative survey. Sleep 2006; 29(12): 1543-50.
11- Léger D, Poursain B, Neubauer D, Uchiyama M. An international survey of sleeping problems in the general population. Curr Med Res Opin. 2008; 24(1): 307-317.
 12- Lewis, Wolf Fundamental skills in patient care. Philadelphia. J.B. Lippincott, Co. 1983. P: 90.
13- ZakeriMoghadam M, Shaban M, Kazemnejad A, Ghadiani L. Comparison of Patients and nurses, view about effective factors on sleep. Tehran Nursing and Midwifery Journal (Hayat). 2006; 2 (12):   5-12 [Persian].
14- Thase ME. Correlates and consequences of chronic insomnia. Gen Hosp Psychiatry. 2005;27:100-112.
15- Reymond I, Nielsen TA, Lavigne G, Manzini C, Choiniere M. Quality of sleep and its daily relationship to pain intensity in hospitalized adult burn patients. Pain. 2001;92:381-388.
16- Hu RF, Jiang XY, Zeng YM, Chen XY, Zhang YH. Effects of earplugs and eye masks on nocturnal Sleep, melatonin and cortisol in a simulated intensive care unit environment. Crit Care. 2010; 14(2): 66.
17- Castro R, Angus DC, Rosengart MR. The effect of light on critical illness. Crit Care. 2011; 15(2): 218.
18- Buysse, DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ: The Pittsburgh Sleep Quality Index (PSQI): A new instrument for psychiatric research and practice. Psychiatry Research. 1998; 28(2):193.
19- Chen HM, Clark AP, Tsai LM, Chao YC. Self- reported sleep disturbance of patients with heart failure in Taiwan. Nurs Res. 2009;58:63-71.
20- Kumar B, Tilea A, Gillespie BW, Zhang X, Kiser M, Elisele G, et al. Significance of self- reported sleep quality (SQ) in chronic kidney disease(CKD): The renal research Institute(RRI)-CKD.Study. Clin Nephrol. 2010;73:104-114.
21- Jafarian Amiri  SR, Zabihi A, Babaie Asl F,­Sefidchian A,­Bijanee A. Sleep quality and associated factors in hospitalized patients in Babol, Iran. Hormozgan Medical Journal. 2010; 15(2): 144-51. [Persian].
22- Kor A, Mosavi S, Reza Masoleh SH,  Behnampor N. Assessment of the correlation between lifestyle and quality of sleep in elderly who referred to retirement center in Rasht‏. J Holist Nurs Midwifery. 2007; 17 (2) :15-22
23- Kiejna A, Rymaszewska J, Wojtyniak B, Stokwiszewski J. Characteristics of sleep disturbances in Poland– results of the National Health Interview Survey. Acta Neuropsychiatrica 2004; 16(3): 124-9.
24- Lei Z, Qiongjing Y, Qiuli W, Sabrina K, Xiaojing L, Changli W . Sleep quality and sleep disturbing factors of inpatients in a Chinese general hospital. J Clin Nur 2009; 18(17): 2521-9.
25- Izadi Avanji FS, Adib Hajbaghery M, Afazel MR. Feyz.2009; 12(4):52-60. [Persian].
26- Adams J. Socioeconomic position and sleep quantity in UK adults. J Epidemiol Community Health. 2006; 60(3):267–9.
27- Friedman EM, Love GD, Rosenkranz MA, Urry HL, Davidson RJ, Singer BH, et al. Cioeconomic  Status Predicts Objective and Subjective Sleep Quality in Aging Women. Psychosom Med. 2007; 69(7):682-91. 
28- Rejeh N, Heravi karimovi M, Foroughan M. An exploration into the lived experiences of the hospitalized older women of sleep phenomenon and its disturbance: A qualitative study. Daneshvar Medicine. 2010; 17 (86):19-26. [Persian].