Military service is a demanding profession that requires high physical preparedness and mental endurance. At the same time, the demands of military duties often require early rising and shortened sleep duration. Such a reduction in sleep can reduce physical and mental performance, and these changes can be reflected in life satisfaction. For this reason, soldiers' life satisfaction is a crucial variable for their success and long-term service. This study examined the relationship between sleep quality, sleep duration, and life satisfaction in military medical students. The results on 35 military students showed that greater sleep quality corresponded to greater life satisfaction; this relationship was moderate and significant (r = -460, p = .005). Notably, participants (n = 17) who began to wake up without the use of an alarm clock reported an average of 11% higher life satisfaction than the participants who woke to an alarm clock; this difference between participants was statistically significant (p = .011, Cohen's d = .911). Pre- and post-intervention showed that sleep hygiene education could be a suitable solution to prevent sleep deprivation and positively impact life satisfaction. Our findings emphasize the importance of increased sleep hygiene education, especially in preparing future military officers and during military exercises. Prioritizing sleep hygiene in these ways can significantly increase soldiers' life satisfaction.
- MeSH
- dospělí MeSH
- kvalita spánku * MeSH
- lidé MeSH
- mladý dospělý MeSH
- osobní uspokojení * MeSH
- ozbrojené síly * psychologie MeSH
- průzkumy a dotazníky MeSH
- spánek fyziologie MeSH
- spánková hygiena fyziologie MeSH
- studenti lékařství * psychologie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
BACKGROUND: Alarms are crucial in informing Healthcare Workers (HCWs) about critical patient needs, but unmanaged frequency and noise of alarms can de-sensitize medical staff and compromise patient safety. Alarm fatigue is identified as the major cause of the clinical alarm management problem. It occurs when the medical staff is overwhelmed by the number of clinical alarms. METHODS: The survey was conducted online using Google's form-making tools from June to July 2023. There were three parts to the survey used in the study: a socio-demographic metric, the Alarm Fatigue Assessment Questionnaire (AFAQ), and The Pittsburgh Sleep Quality Index (PSQI). A significance level of 0.05 was used in the analysis. RESULTS: The survey included 756 medical professionals from three European countries (Slovakia, the Czech Republic and Poland). The participants in the study were 42 years old on average, and they had 12 years of work experience. 603 out of 756 survey participants had poor sleep quality, 147 had good sleep quality, and 6 did not provide an answer. This study analyzed the alarm fatigue levels of respondents in every country. In the Czech Republic, Poland and Slovakia, a statistically significant association (p = 0.039, p = 0.001, p < 0.001) was found between alarm fatigue and sleep quality in medical staff. CONCLUSION: Based on our study, alarm fatigue and sleep quality of HCWs are correlated. Therefore, alarm fatigue and sleep hygiene should be monitored.
- MeSH
- dospělí MeSH
- ergonomie * MeSH
- klinické alarmy statistika a číselné údaje MeSH
- kvalita spánku * MeSH
- lékařský personál statistika a číselné údaje MeSH
- lidé středního věku MeSH
- lidé MeSH
- pracoviště MeSH
- průzkumy a dotazníky MeSH
- únava * MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
- Polsko MeSH
Nocturnal hypertension is a significant risk factor for cardiovascular mortality and morbidity. Its determination requires the use of 24-hour blood pressure monitoring (ABPM). However, the examination results can be less reliable in patients with insomnia, habitual short sleep or other sleep disorders. In these patients, it is possible to detect falsely high values of blood pressure in the night interval. At the same time, the treatment of sleep disorders itself could adjust the nighttime values of blood pressure and thus prevent unreasonably intensive treatment of high blood pressure. The article summarizes current knowledge about the effect of sleep quality on the accuracy of diagnosis using ABMP. At the same time, we present the study "How to diagnose true nocturnal hypertension?", which will analyze this clinical problem.
Noční hypertenze je významným rizikovým faktorem pro mortalitu i morbiditu z kardiovaskulárních příčin. K její diagnostice je potřeba použít 24hodinové měření krevního tlaku (AMTK). Výsledky vyšetření však mohou být zkresleny u pacientů s nespavostí, habituálním krátkým spánkem či jinými poruchami spánku. U těchto pacientů je možné zachytit falešně vysoké hodnoty krevního tlaku v nočním intervalu. Přitom léčba samotných poruch spánku by mohla hodnoty nočního tlaku upravit, a tím zabránit nepřiměřeně intenzivní léčbě vysokého krevního tlaku. Článek shrnuje aktuální poznatky o vlivu kvality spánku na přesnost diagnostiky pomocí AMTK. Současně prezentujeme studii „Jak diagnostikovat pravou noční hypertenzi?“, která bude tento klinický problém analyzovat.
Introduction: Sleep disorders are common among shift workers and those who work under stressful and unpredictable conditions. Sleep quality and its promotion in paramedics are understudied. Objective: The study aimed to investigate the quality of sleep in emergency medical service workers, to compare certain relationships between variables (gender, age, length of experience), and to assess whether a cut-off score of 10 is appropriate for the discriminatory ability of the selected instrument in the Czech clinical setting. Design: A cross-sectional study. Methods: Data were obtained using the Pittsburgh Sleep Quality Index (PSQI). The sample comprised 191 paramedics. Data were analyzed using selected statistical methods. Results: The mean PSQI total score was 7.45 (SD 3.60). The lowest scoring component was sleep duration (1.45; SD 1.01). There was no relationship between sleep quality and gender. With respect to age, two components, sleep disturbances and daytime dysfunction, were found to be significant (p < 0.05). Regarding the length of experience, daytime dysfunction was identified as a significant component. The PSQI total parameter with a cut-off of 10 (PSQI total ≤10 good sleep; PSQI total >10 poor sleep) was confirmed to be suitable for discriminating the subjectively perceived sleep quality in paramedics. Conclusion: The study demonstrates that sleep quality is compromised in paramedics. Impaired sleep quality has the greatest impact on daytime dysfunction in paramedics. The PSQI, with a cut-off score of 10, is an appropriate instrument for assessing their sleep disturbances.
- MeSH
- kvalita spánku MeSH
- lidé MeSH
- poruchy cirkadiánního rytmu (spánek) * MeSH
- práce na směny MeSH
- průzkumy a dotazníky MeSH
- zdravotničtí záchranáři MeSH
- Check Tag
- lidé MeSH
- Geografické názvy
- Česká republika MeSH
Assessing parent-child relationship in sleep behaviours is important for facilitating changes in the sleep guideline compliance in preschool age children. The aim of this study was to examine accelerometer-measured sleep quantity and quality in families with children aged 3-8 years and investigate the parents' influence on the child's sleep. The data were obtained from the Czech cross-sectional FAMIly Physical Activity, Sedentary behaviour and Sleep (FAMIPASS) study, with a final sample of 374 families. Families were recruited through the enrolment of their children in kindergartens/primary schools between March 2022 and May 2023. The sleep time window and total sleep time were assessed using a wrist-worn ActiGraph accelerometer. Participants wore this device continuously for 24 h/day over a period of 7 consecutive days. Demographic data and potential correlates were obtained via questionnaires completed by parents. Statistical analyses were completed using logistic regression and independent-samples Mann-Whitney U test. In all, 65.5% of children (60% boys, 70.9% girls) and 58.3% of parents (52.4% fathers, 64.3% mothers) achieved the recommended sleep duration. Greater sleep quantity and duration in good-quality sleep were significantly higher in girls/mothers, compared to boys/fathers. Preschoolers were more likely to comply with sleep guidelines if their mother (but not father) met the sleep recommendation and their mothers did not have a higher education level. Adhering to sleep guidelines in children was also associated with children's female gender, absence of screen device in the bedroom, and being more active. Given the high concurrence in mother-child sleep quantity, it is important to promote healthy sleep behaviours in the whole family.
- MeSH
- akcelerometrie * přístrojové vybavení MeSH
- cvičení * MeSH
- dítě MeSH
- dodržování směrnic * statistika a číselné údaje MeSH
- dospělí MeSH
- kvalita spánku MeSH
- lidé MeSH
- předškolní dítě MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- rodiče MeSH
- sedavý životní styl * MeSH
- spánek * fyziologie MeSH
- vztahy mezi rodiči a dětmi * MeSH
- Check Tag
- dítě MeSH
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- předškolní dítě MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
Sleep and light education (SLE) combined with relaxation is a potential method of addressing sleep and affective problems in older people. 47 participants took part in a four-week sleep education program. SLE was conducted once a week for 60-90 minutes. Participants were instructed on sleep and light hygiene, sleep processes, and practiced relaxation techniques. Participants were wearing actigraphs for 6 weeks, completed daily sleep diaries, and wore blue light-blocking glasses 120 minutes before bedtime. Measures included scores of the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), Insomnia Severity Index (ISS), Beck Depression Inventory-II (BDI-II), State-Trait Anxiety Inventory (STAI) and actigraphy measurements of sleep latency, sleep efficiency, and sleep fragmentation. Sleep quality increased after SLE based on the subjective assessment and in the objective measurement with actigraphy. PSQI scores were statistically reduced indicating better sleep. Scores after the intervention significantly decreased in ESS and ISS. Sleep latency significantly decreased, whereas sleep efficiency and fragmentation index (%), did not improve. Mood significantly improved after SLE, with lower scores on the BDI-II and STAI. SLE combined with relaxation proved to be an effective method to reduce sleep problems and the incidence of depressive and anxiety symptoms.
- MeSH
- afekt * fyziologie MeSH
- aktigrafie MeSH
- cirkadiánní rytmus fyziologie MeSH
- deprese MeSH
- kvalita spánku MeSH
- lidé středního věku MeSH
- lidé MeSH
- relaxace fyziologie MeSH
- relaxační terapie metody MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- spánek * fyziologie MeSH
- světlo MeSH
- úzkost MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
Insomnia is a prevalent and disabling condition whose treatment is not always effective. This pilot study explores the feasibility and effects of closed-loop auditory stimulation (CLAS) as a potential non-invasive intervention to improve sleep, its subjective quality, and memory consolidation in patients with insomnia. A total of 27 patients with chronic insomnia underwent a crossover, sham-controlled study with 2 nights of either CLAS or sham stimulation. Polysomnography was used to record sleep parameters, while questionnaires and a word-pair memory task were administered to assess subjective sleep quality and memory consolidation. The initial analyses included 17 patients who completed the study, met the inclusion criteria, and received CLAS. From those, 10 (58%) received only a small number of stimuli. In the remaining seven (41%) patients with sufficient CLAS, we evaluated the acute and whole-night effect on sleep. CLAS led to a significant immediate increase in slow oscillation (0.5-1 Hz) amplitude and activity, and reduced delta (1-4 Hz) and sigma/sleep spindle (12-15 Hz) activity during slow-wave sleep across the whole night. All these fundamental sleep rhythms are implicated in sleep-dependent memory consolidation. Yet, CLAS did not change sleep-dependent memory consolidation or sleep macrostructure characteristics, number of arousals, or subjective perception of sleep quality. Results showed CLAS to be feasible in patients with insomnia. However, a high variance in the efficacy of our automated stimulation approach suggests that further research is needed to optimise stimulation protocols to better unlock potential CLAS benefits for sleep structure and subjective sleep quality in such clinical settings.
- MeSH
- akustická stimulace * metody MeSH
- dospělí MeSH
- elektroencefalografie MeSH
- klinické křížové studie * MeSH
- konsolidace paměti fyziologie MeSH
- kvalita spánku MeSH
- lidé středního věku MeSH
- lidé MeSH
- pilotní projekty MeSH
- polysomnografie * MeSH
- poruchy iniciace a udržování spánku * terapie patofyziologie MeSH
- průzkumy a dotazníky MeSH
- spánek pomalých vln * fyziologie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
This study aimed to investigate the effects of shift work on sleep quality, cardiovascular function, and physical activity (PA) levels in Taiwanese police officers. Twenty-one male police officers aged 26.9 ± 4.1 years old located in Taipei voluntarily participated in this study. The participants completed the resting heart rate (HR) and hemodynamic variables (e.g. blood pressure, BP) before and after day-time (DTW) and night-time (NTW) shift work phases (5 working days and 2 resting days for each phase). Additionally, an actigraphy was administered to measure PA and sleep patterns in the last 3 working days. The average total sleep time and sleep efficiency were 278.5 ± 79. 6 min and 72.9 ± 10%, respectively, in the NTW phases, which were significantly lower than that in the DTW phases. A comparison of the PA characteristics between the two phases revealed that a lower proportion of moderate-vigorous PA (1.2 ± 0.8%) and a greater proportion of sedentary behaviour PA (74.8 ± 6.4%) was found in the NTW phases. The results of hemodynamic measures demonstrated that the police officers have significantly elevated systolic BP by 3.3% and diastolic BP by 3.9% after the NTW phases. Furthermore, the NTW phases exhibited a significantly higher percentage change ratio of systolic BP and diastolic BP compared to the DTW phases. Compared with the DTW phases, the NTW phase was significantly more likely to report higher decreasing parasympathetic-related HR variability with a range of -5.9% to -7.8%. In conclusion, night-time shift work resulted in negative physiological changes leading to adverse effects on the health and well-being of Taiwanese police officers.
- MeSH
- aktigrafie MeSH
- cirkadiánní rytmus * fyziologie MeSH
- cvičení fyziologie MeSH
- dospělí MeSH
- krevní tlak * fyziologie MeSH
- kvalita spánku MeSH
- lidé MeSH
- mladý dospělý MeSH
- policie * MeSH
- práce na směny MeSH
- spánek fyziologie MeSH
- srdeční frekvence * fyziologie MeSH
- vliv směnného provozu na zdraví * fyziologie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Taiwan MeSH
Špatná kvalita spánku a rozvoj deliria jsou časté komplikace v intenzivní péči. Incidence obou komplikací je vysoká a pohledem medicíny založené na důkazech jsou v obou případech signifikantně prokázané závažné konsekvence. Stran deliria je k dispozici více dat, zatímco u zhoršené kvality spánku je i vzhledem k technickým limitacím monitorace a diagnostiky významný prostor k dalšímu výzkumu. Tento článek shrnuje data, která jsou k dispozici stran epidemiologie a rizikových faktorů snížené kvality spánku i deliria v prostředí intenzivní péče.
Poor quality of sleep and delirium are frequent complications of intensive care. The incidence of both complications is high, and evidence-based medicine has significantly demonstrated serious consequences in both cases. More data are available on delirium. While there is significant room for further research on sleep quality impairment, there are also technical limitations of monitoring and diagnosis. This article summarises known data on the epidemiology and risk factors of decreased quality of sleep and delirium in the intensive care setting.
Monitorace kvality spánku a deliria jsou naprosto zásadní pro poskytování moderní intenzivní péče. Představují však přístrojovou a personální výzvu. Nejen proto, že určité metody monitorace, např. polysomnografie, monitorovaný spánek samy ovlivňují. Ačkoliv existují nové alternativy, polysomnografie zůstává zlatým standardem v diagnostice a výzkumu poruch spánku pro nejlepší validitu získaných dat. Bez monitorace a screeningových metod nelze spolehlivě diagnostikovat delirium a poruchy spánku v intenzivní péči a bez jasně stanovené diagnózy nelze zkoumat dopady deliria a snížené kvality spánku. Tento článek shrnuje jednotlivé možnosti monitorace spánku i deliria, jejich výhody a limitace v prostředí intenzivní péče.
Monitoring sleep quality and delirium are essential in providing modern intensive care. They present both equipment and personnel challenges. Not only because certain monitoring methods, such as polysomnography, affect monitored sleep themselves. Although new alternatives exist, polysomnography remains the gold standard in diagnosing and researching sleep disorders for the validity of the data obtained. Without monitoring and screening methods, delirium and sleep disorders cannot be reliably diagnosed in intensive care. Without a clearly established diagnosis, the outcomes of delirium and reduced sleep quality cannot be investigated. This article summarizes various options for monitoring both sleep and delirium, their advantages and limitations in the critical care setting.
- MeSH
- delirium * diagnóza prevence a kontrola MeSH
- kvalita spánku MeSH
- lidé MeSH
- monitorování fyziologických funkcí klasifikace metody MeSH
- monitory vědomí MeSH
- péče o pacienty v kritickém stavu MeSH
- polysomnografie metody MeSH
- sběr dat metody MeSH
- spánek * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- práce podpořená grantem MeSH
- přehledy MeSH
