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  4. Sleep Quality Should Be Assessed in Inpatient Rehabilitation Settings: A Preliminary Study

Sleep Quality Should Be Assessed in Inpatient Rehabilitation Settings: A Preliminary Study

Brain Sci., 2023 · DOI: 10.3390/brainsci13050718 · Published: April 25, 2023

Sleep MedicineRehabilitation

Simple Explanation

This study assessed sleep quality changes during an inpatient rehabilitation stay and related these changes to patient characteristics. The study found that most patients had poor sleep at both admission and discharge. Interestingly, patients with diagnosed sleep disorders showed improved sleep quality during their stay, possibly due to the care they received for these disorders. The sleep of patients without such disorders did not improve. The study also measured nighttime sound levels and sleep disturbances in the rehabilitation setting, finding high noise levels that may contribute to poor sleep quality.

Study Duration
6 Months
Participants
35 patients (age = 61 ± 16 years old, 50% < 65; BMI = 30 ± 7 kg/m2; 51% female; 51% Caucasian)
Evidence Level
Not specified

Key Findings

  • 1
    Most patients had poor sleep quality at admission (86%) and discharge (80%) as measured by the Pittsburgh Sleep Quality Index (PSQI).
  • 2
    A significant interaction was observed between changes in total PSQI scores and diagnosed sleep disorders, indicating that patients with diagnosed sleep disorders experienced an improvement in sleep quality during their hospital stay.
  • 3
    Nighttime sound levels in the inpatient rehabilitation setting were high, with mean averages and peaks of 62.3 ± 5.1 dB and 86.1 ± 4.9 dB, respectively, potentially contributing to sleep disturbances.

Research Summary

This preliminary study aimed to assess sleep quality changes during inpatient rehabilitation and relate them to patient characteristics. The study involved 35 patients and used the Pittsburgh Sleep Quality Index (PSQI) to measure sleep quality at admission and discharge. The results indicated that most patients had poor sleep quality at both admission and discharge. However, patients with diagnosed sleep disorders showed improvement in sleep quality during their stay, possibly due to treatment. The study highlights the importance of assessing and managing sleep quality in inpatient rehabilitation settings and suggests the need for quiet times to reduce noise levels and improve sleep.

Practical Implications

Enhanced Sleep Assessment

Systematic assessment of sleep quality should be implemented for all inpatients in rehabilitation settings to identify and address sleep disturbances.

Targeted Sleep Management

Develop and implement tailored sleep management strategies for patients with and without diagnosed sleep disorders, including interventions such as CPAP therapy and behavioral modifications.

Environmental Modifications

Implement quiet times and noise reduction strategies in inpatient rehabilitation units to minimize sleep disturbances and improve overall sleep quality.

Study Limitations

  • 1
    Small sample size
  • 2
    Unicentric study limiting generalizability
  • 3
    Short time window between assessments (2 weeks)

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