Sleep quality of patients admitted to the Coloproctology Unit.
Keywords:
Sleep, Nursing Care, Environmental Factors, Pain, HospitalizationAbstract
Background: Sleep plays an important role in the recovery of hospitalized patients. However, its quality is compromised by multiple intrinsic and extrinsic factors.
Objective: To analyze the sleep-rest pattern of hospitalized patients in the coloproctology unit through a joint analysis of the questionnaires.
Methodology: Observational, descriptive study with consecutive sampling of patients admitted to the coloproctology unit of Lucus Augusti University Hospital. Three structured questionnaires were administered, including a modified version of the Richards-Campbell Sleep Questionnaire and two ad hoc questionnaires, at 48 hours postoperatively and at hospital discharge. Clinical, environmental, and sociodemographic variables were collected. Bivariate and multivariable analyses were performed to identify associations between independent variables and sleep quality.
Results: A total of 100 patients were included. The main diagnosis was left hemicolectomy (23%). During the entire hospital stay, the participants experienced sleep disturbances. The main disruptive factors identified were pain and concern. At discharge, 68.7% of the participants reported being unable to fall back asleep after the nursing care.
Conclusions: Hospital sleep is characterized by frequent interruptions and shallow sleep, affecting both sleep latency and effectiveness. Participants described pain, anxiety, and care routines as the most influential factors, but only the use of hypnotics showed a statistically significant association. The results reinforce the need to prioritize patient rest during hospitalization.
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References
(1) Gallego Gómez JI. Calidad del sueño y somnolencia diurna en estudiantes de Enfermería: estudio de prevalencia [Tesis Doctoral]. Murcia: UCAM; 2013. Disponible en: http://hdl.handle.net/10952/829.
(2) Carrillo-Mora Paul, Ramírez-Peris Jimena, Magaña-Vázquez Katia. Neurobiología del sueño y su importancia: antología para el estudiante universitario. Rev. Fac. Med. (Méx.) [revista en la Internet]. 2013 Ago [citado 2025 Sep 24]; 56(4):5-15. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S002617422013000400002&lng=es.
(3) Freedman NS, Kotzer N, Schwab RJ. Patient perception of sleep quality and etiology of sleep disruption in the intensive care unit. Am J Respir Crit Care Med [Internet]. 1999;159(4):1155–62. Disponible en: http://dx.doi.org/10.1164/ajrccm.159.4.9806141.
(4) Elliott R, McKinley S, Cistulli P, Fien M. Characterisation of sleep in intensive care using 24-hour polysomnography: an observational study. Crit Care [Internet]. 2013 [citado el 28 de marzo de 2024];17(2): R46. Disponible en: https://pubmed.ncbinlm.nih.gov/23506782/.
(5) Pujals Mas M, Cruz Pérez R, Bardal Flórez V, Díaz Molina M, Torrens Gelabert C, Rubiño Díaz JA. Intervenciones y cuidados de enfermería en la mejora del sueño/descanso de los pacientes hospitalizados. Evidentia [Internet]. 2020 [citado 2025 Sep 24];17: e12564. Disponible en: http://ciberindex.com/p/ev/e12564.
(6) Beltrami FG, Nguyen X-L, Pichereau C, Maury E., Fleury B, Fagondes S. Sleep in the intensive care unit. J Bras Pneumol [Internet]. 2015 [citado el 28 de marzo de 2024];41(6):539–46. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26785964/.
(7) Kamdar BB, Needham DM, Collop NA. Sleep deprivation in critical illness: Its role in physical and psychological recovery. J Intensive Care Med [Internet]. 2012 [citado el 28 de marzo de 2024];27(2):97–111. Disponible en: https://pubmed.ncbi.nlm.nih.gov/21220271/.
(8) Delaney LJ, Currie MJ, Huang H-CC, Lopez V, Van Haren F. “They can rest at home”: an observational study of patients’ quality of sleep in an Australian hospital. BMC Health Serv Res [Internet]. 2018 [citado el 28 de marzo de 2024];18(1). Disponible en: https://pubmed.ncbi.nlm.nih.gov/29976191/.
(9) Rubiño J Ángel, Mas MO, Pérez RC, Flórez VB. Repercusión de la luz y el ruido sobre el sueño/descanso en los pacientes hospitalizados. Rev Evidentia [Internet]. 2019 [citado el 24 de agosto 2025];16. Disponible en: https://www.fisterra.com/bibliografia/evidentia.asp.
(10) Aguilera L., Díaz M., Sánchez H. Trastornos del sueño en el paciente adulto hospitalizado. Rev Hospital Clínico Universitario de Chile. 2012; 23: 13-20.
(11) Rollo E, Della Marca G, Scala I, Buccarella C, Rozera T, Vollono C, Frisullo G, Broccolini A, Brunetti V. Validation Study of the Richards-Campbell Sleep Questionnaire in Patients with Acute Stroke. J Pers Med. 2022 Sep 8;12(9):1473. doi: 10.3390/jpm12091473. PMID: 36143258; PMCID: PMC9505129.
(12) OSI Bilbao-Basurto. Enfermería y el manejo del dolor agudo postoperatorio [Internet]. Bilbao; 2023 [citado 31 agosto 2025]. Disponible en: https://www.euskadi.eus/contenidos/informacion/osk_bilbas_hospi_infoutil/es_def/adjuntos/Gui-a-Enfermeri-a-y-manejo-del-dolor-postoper_ES.pdf
(13) Alzahrani N. The effect of hospitalization on patients' emotional and psychological well-being among adult patients: an integrative review. Appl Nurs Res. 2021; 61:151488. doi: 10.1016/j.apnr.2021.151488.
(14) Ford DM, Budworth L, Lawton R, Teale EA, O'Connor DB. In-hospital stress and patient outcomes: a systematic review and meta-analysis. PLoS One. 2023;18(3): e0282789. doi: 10.1371/journal.pone.0282789.
(15) Gil-Moncayo FL, Costa-Requena G, Pérez FJ, Salamero M, Sánchez N, Sirgo A. Adaptación psicológica y prevalencia de trastornos mentales en pacientes con cáncer. Psicol Salud. 2008;18(3):90–92. doi:10.1157/13115354.
(16) Etkind SN, Lovell N, Nicholson CJ, Higginson IJ, Murtagh FE. Finding a 'new normal' following acute illness: a qualitative study of influences on frail older people's care preferences. Palliat Med. 2019;33(3):301–311. doi:10.1177/0269216318817706.
(17) Molina-Mula J, Gallo-Estrada J. Impact of nurse-patient relationship on quality of care and patient autonomy in decision-making. Int J Environ Res Public Health. 2020;17(3):835. doi:10.3390/ijerph17030835.
(18) Jovell-Fernández AJ, Navarro-Rubio MD. El paciente existe, luego no lo ignores. FMC - Form Méd Contin Aten Primaria. 2006;13(2):73–77. doi:10.1016/S1134-2072(06)71270-1
(19) Relación enfermero-paciente en la calidad del cuidado de un enfermo. Conocimiento Enfermero. 2025;8(27):3–7. doi:10.60108/ce.300.
(20) Acharya R, Blackwell S, Simoes J, Harris B, Booth L, Bhangu A, Glasbey J. Non-pharmacological interventions to improve sleep quality and quantity for hospitalized adult patients—co-produced study with surgical patient partners: systematic review. BJS Open. 2024;8(2): zrae018. doi:10.1093/bjsopen/zrae018.
(21) Rios P, Cardoso R, Morra D, et al. Eficacia comparativa y seguridad de intervenciones farmacológicas y no farmacológicas para el insomnio: una visión general de las revisiones. Syst Rev. 2019; 8:281. doi:10.1186/s13643-019-1163-9.
(22) Riemann D, Baglioni C, Bassetti C, et al. European guideline for the diagnosis and treatment of insomnia. J Sleep Res. 2017;26(6):675 700. doi:10.1111/jsr.12594.
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