Majid Shafiq, Farah F Salahuddin, Maham Siddiqi, Zaman Shah, Rehmat Ali, Rizwan A Siwani, Ayesha Saleem, Kashif Shakoor Shaikh, Ali Khan Khuwaja.
Sleep deprivation and its associated factors among general ward patients at a Tertiary Care Hospital in Pakistan.
J Pak Med Assoc Jan ;56(12):614-7.

Objective: To estimate the occurrence rate of sleep deprivation and to identify the environmental, staff-related and patient-related factors associated with SD among general ward patients of a tertiary care hospital in Pakistan. Methods: In a cross-sectional study, a pre-tested questionnaire was administered to 108 patients admitted into the general medical and general surgical wards of Aga Khan University Hospital, Karachi. Results: In all, 50 (46.3%) respondents felt deprived of adequate sleep in the hospital. Worry about illness disturbed the night-time sleep of 47 (43.5%) patients; most of these had SD (70%) (p<0.001). Other patients` noise disturbed 31.5% of study subjects and a significant majority (68%) of these had SD (p=0.003). Over 17% of study subjects reported cell phone`s ringing as a disturbing factor; more by those with SD (68%) compared to those with no SD (32%); again the difference was significant (p=0.003). Physical discomfort and presence of cannula were reported as disturbing factors by 41.7% and 28.7% of the study subjects respectively but these were not significantly associated with SD. Conclusion: Our study revealed that sleep deprivation occurs commonly among general ward patients in tertiary care setting. Factors found to be associated with SD were amenable to modification to a greater extent (JPMA 56:614;2006).

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