Sleep Quality and its related Factors in Burn Patients Hospitalized in Sina Medical Research and Training Hospital in 2020

Abstract

Abstract: Background and Purpose: Burns are destructive injuries that require long-term hospitalization and may have significant physical and psychological consequences. Sleep is a physical need for all human beings that affects the quality of life and well-being and is known as an important variable of health. Numerous factors affect the sleep health of hospitalized patients; therefore, this study was performed to evaluate the quality of sleep and its related factors in hospitalized burn patients. Method: This is a cross-sectional descriptive-correlational study in which 157 patients admitted to the burn wards of Sina Hospital were selected by convenience sampling method and participated in a four-month period from May to September 2020. Information on sleep quality and factors affecting it through demographic characteristics questionnaire, visual-linear scale of pain and itching intensity, burn pain-related anxiety scale, post-event effect scale (RIES), depression-anxiety-stress scale (DASS21) And St. Petersburg Sleep Quality (PSQI) were collected. The collected data were analyzed using SPSS software version 20 and the required tables and indicators were prepared and ANOVA tests, correlation coefficient and multiple regression analysis were used for statistical comparisons. Results: In the studied samples, most of the subjects were male (70.7%) and married (83.44%) and in the age range of 18-40 years (60.50%), the level of education of most of them was below diploma (61.78%). Most people were self-employed (57.32%) and the most common cause of burns was men with gas (26.12%) and women with boiling water (47.82%). 88.53% of patients received analgesic, 81.52% received antipruritic drug and 59.87% received hypnotic drug. Noise, heating and cooling and patients 'beds were the most important environmental factors affecting patients' sleep health, respectively. The mean sleep quality score of burn patients was 8.66 ± 3.823 from the achievable score range of 0-21. The mean scores of pain and itching in burn patients were 6.41 ± 2.378 and 2.39 ± 2.650, respectively. 63 patients (40.12%) had high anxiety due to burn pain and in 50.94% of patients there was a possibility of obvious or severe effect of trauma. Most patients (43.94%) had mild to moderate depression; 18.46% also experienced severe depression. In 38.84% of patients, anxiety was mild to moderate, and 31.84% experienced severe anxiety, and 22.28% of patients experienced mild to moderate stress, and 12.73% experienced severe stress. The results showed that there was a positive and significant relationship between sleep quality and pain intensity, severity of pruritus, environmental factors, anxiety associated with burn pain, post-traumatic stress, stress, anxiety and depression. In the field of environmental factors "noise", "heating and cooling" and "bed" in the field of individual (physical) factors "pain" and in the field of individual (psychological) factors "post-traumatic effect" the most effective factors on sleep health of hospitalized patients Was. Conclusion: Burn patients hospitalized do not have adequate sleep quality and several factors affect their sleep health.