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Validity of the Vietnamese version of the Pittsburgh sleep quality index
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Abstracts/Sleep Medicine 16 (2015) S2–S199
Insomnia prevalence among physicians and nurses in a night shift in a second healthcare level hospital in México D. Ortega Díaz, V. Sánchez González University of Guadalajara, Mexico
Introduction: Insomnia is a sleep disorder characterized by inhability to fall asleep or keep awake, despite being in according time and adequate condition. In hospital scope, staff working in night shift is particularly susceptible to develop this disorder. There are few prevalence data about this disorder among Mexican population. Materials and methods: This is a transactional, observational and descriptive trial. We took into account all medical and nursing staff working in a Mexican regional hospital. The instrument used in this study is known as Athens Insomnia Scale (AIS) an eight-question test that evaluates the criteria proposed by the ICD-10. According to the Mexican population validated version of AIS there is a cutoff of 6 points score to determine if the patient has insomnia (the score obtained ranges from 0 to 24). Prior informed consent, each subject answered the questionnaire personally. Results: Fifty-one patients were obtained. Eighty-eight percent (n = 45) were female and 12% (n = 6) were men. Of the total population, 21.5% (n = 11) were physicians and 78.5% (n = 40) were nurses. 56.8% (n = 29) of respondents subjects obtained a higher score than 6 points, being classified as subjects with insomnia. The prevalence of insomnia among physicians was 45.4% (n = 5) and in nursing was 60% (n = 24). The age group with the highest prevalence of insomnia was the 50 years old and older with 75%, followed by the 20–29 years old group with 60.7%, the 57% 30–39 years old group and 40–49 years group old with the lower prevalence of 20%. The prevalence in men was 66.6% and in women was 55.5%. 48.2% (n = 14) of subjects with insomnia have at least one family member who has trouble sleeping. Twenty-four percent (n = 7) of subjects with insomnia have been working or rotating night shifts for less than 6 months, 45% (n = 13) is between 6 and 24 months and 31% (n = 9) over 2 years. Conclusion: The prevalence of insomnia was similar to that reported in other prevalence studies with Mexican patients. Seventeen percent of subjects with insomnia admitted having suffered some kind of accident during or after working hours. Strategies are needed in hospitals to educate workers about isnomnia and prevent selfperpetuating habits for this disorder. Acknowledgements: We acknowledge the Medical Director Ricardo Ramírez del Río from the Regional Hospital in the city of Tepatitlán. http://dx.doi.org/10.1016/j.sleep.2015.02.127
Validity of the Vietnamese version of the Pittsburgh sleep quality index N. To, N. Nguyen Ho Chi Minh City University of Medical and Pharmacy, Vietnam
Introduction: As a neurological problem, insomnia or any other sleep disorders was always hardly noticed at the beginning and even harder to evaluate its concequences at the end. Materials and methods: It is essential to identify a valid sleep quality measurement that can be widespread in the community in order to assist effectively the clinicians on sleep complaints evaluation. This study aims to examine the Pittsburgh Sleep Quality Index (PSQI) on Vietnamese patients with sleep disorders as a general measure of sleep quality. After the forward–backward translation, 122 subjects who had sleep complains were recruited to answer the PSQI; 36 of them filled in the PSQI again 2 weeks later and 86 of them slept over night at the Clinic for a polysomnography.
Results: Overall the Cronbach’s alpha coefficient was 0.789 which indicated a good internal consistency. Correlation coefficient was 0.77, test–retest reliability coefficient was 0.79. Limit of agreement analysis showed an oscillation range from −4.51 to 5.45 of PSQI score, the within-subject coefficient of variation showed that 95% measurements will have 27.25% difference compared with the mean score. At cut-off 5, the sensitivity and specificity were 87.76% and 75%, respectively; area under the curve was 0.7583. Conclusion: The current findings support the Vietnamese Pittsburgh Sleep Quality Index as a reliable tool and can be used for assessing sleep disorder on Vietnamese patients or community screening. Acknowledgements: This research was supported by the Ho Chi Minh City Department of Science & Technology under grant within the Pleaser Garden Program for young researchers. Many thanks to Ms. Séverine Cuchet, and MAPI Research Trust for help in validation agreement procedure. http://dx.doi.org/10.1016/j.sleep.2015.02.128
The clinical effect of low resistance thought induction sleepregulating technique on insomnia L. Hong 1, G. Li 1, Q. Diao 2, Y. Wang 1, W. Wang 1 1 Guang’anmen Hospital, China Academy of Chinese Medical Sciences, China 2 Beijing Xiaotangshan Hospital, China
Introduction: This study aimed to evaluate the efficacy of a therapeutic approach drawn from traditional Chinese medicine, low resistance thought induction sleep-regulating technique (TIP3-2), for acute treatment of insomnia. Materials and methods: One hundred twenty primary insomnia patients were randomly divided into two groups, and the cases of two groups are TIP3-2 90 and zopiclone 30. The patients in medication group were given 3.75–7.5 mg zopiclone half an hour before going to bed . The patients in TIP3-2 group were given sleepregulating technique treatment twice a week, 30 min a time, and listened to the relaxing music every night before sleep. Changes in Pittsburgh Sleep Quality Index (PSQI) scale, polysomnography (PSG) and self-made sleep confidence scale were observed before and after treatment. The period is 4 weeks. SPSS 17.0 statistical software is utilized for all statistical analysis. Results: TIP3-2 group demonstrated significant improvements in the PSQI indices of sleep quality, sleep latency, sleep duration, sleep efficiency, sleep disturbance, sleep medication, daytime function, total score (p < 0.01). As well as PSG indices of sleep duration, sleep efficiency, awakening times (p < 0.05/0.01) and sleep confidence scale indices of difficulty sleeping, easy to wake up onset of sleep, wake up early, being easily interfered by environment during sleep, many dreams or nightmares, total score (p < 0.05/0.001). There are significant differences between the two groups in sleep quality, awakening times, daytime function and sleep confidence. Conclusion: It has curative effect of Low Resistance Thought Induction Sleep-regulating Technique (TIP3-2) for insomnia, can significantly improve sleep confidence, and is better obviously than zopiclone. Acknowledgements: Research was funded by the National Natural Science Foundation of China (Grant No. 81072854). And thanks to all the members cooperation and the participants who help us accomplish the study. http://dx.doi.org/10.1016/j.sleep.2015.02.129
Abstracts/Sleep Medicine 16 (2015) S2–S199
Insomnia prevalence among physicians and nurses in a night shift in a second healthcare level hospital in México D. Ortega Díaz, V. Sánchez González University of Guadalajara, Mexico
Introduction: Insomnia is a sleep disorder characterized by inhability to fall asleep or keep awake, despite being in according time and adequate condition. In hospital scope, staff working in night shift is particularly susceptible to develop this disorder. There are few prevalence data about this disorder among Mexican population. Materials and methods: This is a transactional, observational and descriptive trial. We took into account all medical and nursing staff working in a Mexican regional hospital. The instrument used in this study is known as Athens Insomnia Scale (AIS) an eight-question test that evaluates the criteria proposed by the ICD-10. According to the Mexican population validated version of AIS there is a cutoff of 6 points score to determine if the patient has insomnia (the score obtained ranges from 0 to 24). Prior informed consent, each subject answered the questionnaire personally. Results: Fifty-one patients were obtained. Eighty-eight percent (n = 45) were female and 12% (n = 6) were men. Of the total population, 21.5% (n = 11) were physicians and 78.5% (n = 40) were nurses. 56.8% (n = 29) of respondents subjects obtained a higher score than 6 points, being classified as subjects with insomnia. The prevalence of insomnia among physicians was 45.4% (n = 5) and in nursing was 60% (n = 24). The age group with the highest prevalence of insomnia was the 50 years old and older with 75%, followed by the 20–29 years old group with 60.7%, the 57% 30–39 years old group and 40–49 years group old with the lower prevalence of 20%. The prevalence in men was 66.6% and in women was 55.5%. 48.2% (n = 14) of subjects with insomnia have at least one family member who has trouble sleeping. Twenty-four percent (n = 7) of subjects with insomnia have been working or rotating night shifts for less than 6 months, 45% (n = 13) is between 6 and 24 months and 31% (n = 9) over 2 years. Conclusion: The prevalence of insomnia was similar to that reported in other prevalence studies with Mexican patients. Seventeen percent of subjects with insomnia admitted having suffered some kind of accident during or after working hours. Strategies are needed in hospitals to educate workers about isnomnia and prevent selfperpetuating habits for this disorder. Acknowledgements: We acknowledge the Medical Director Ricardo Ramírez del Río from the Regional Hospital in the city of Tepatitlán. http://dx.doi.org/10.1016/j.sleep.2015.02.127
Validity of the Vietnamese version of the Pittsburgh sleep quality index N. To, N. Nguyen Ho Chi Minh City University of Medical and Pharmacy, Vietnam
Introduction: As a neurological problem, insomnia or any other sleep disorders was always hardly noticed at the beginning and even harder to evaluate its concequences at the end. Materials and methods: It is essential to identify a valid sleep quality measurement that can be widespread in the community in order to assist effectively the clinicians on sleep complaints evaluation. This study aims to examine the Pittsburgh Sleep Quality Index (PSQI) on Vietnamese patients with sleep disorders as a general measure of sleep quality. After the forward–backward translation, 122 subjects who had sleep complains were recruited to answer the PSQI; 36 of them filled in the PSQI again 2 weeks later and 86 of them slept over night at the Clinic for a polysomnography.
Results: Overall the Cronbach’s alpha coefficient was 0.789 which indicated a good internal consistency. Correlation coefficient was 0.77, test–retest reliability coefficient was 0.79. Limit of agreement analysis showed an oscillation range from −4.51 to 5.45 of PSQI score, the within-subject coefficient of variation showed that 95% measurements will have 27.25% difference compared with the mean score. At cut-off 5, the sensitivity and specificity were 87.76% and 75%, respectively; area under the curve was 0.7583. Conclusion: The current findings support the Vietnamese Pittsburgh Sleep Quality Index as a reliable tool and can be used for assessing sleep disorder on Vietnamese patients or community screening. Acknowledgements: This research was supported by the Ho Chi Minh City Department of Science & Technology under grant within the Pleaser Garden Program for young researchers. Many thanks to Ms. Séverine Cuchet, and MAPI Research Trust for help in validation agreement procedure. http://dx.doi.org/10.1016/j.sleep.2015.02.128
The clinical effect of low resistance thought induction sleepregulating technique on insomnia L. Hong 1, G. Li 1, Q. Diao 2, Y. Wang 1, W. Wang 1 1 Guang’anmen Hospital, China Academy of Chinese Medical Sciences, China 2 Beijing Xiaotangshan Hospital, China
Introduction: This study aimed to evaluate the efficacy of a therapeutic approach drawn from traditional Chinese medicine, low resistance thought induction sleep-regulating technique (TIP3-2), for acute treatment of insomnia. Materials and methods: One hundred twenty primary insomnia patients were randomly divided into two groups, and the cases of two groups are TIP3-2 90 and zopiclone 30. The patients in medication group were given 3.75–7.5 mg zopiclone half an hour before going to bed . The patients in TIP3-2 group were given sleepregulating technique treatment twice a week, 30 min a time, and listened to the relaxing music every night before sleep. Changes in Pittsburgh Sleep Quality Index (PSQI) scale, polysomnography (PSG) and self-made sleep confidence scale were observed before and after treatment. The period is 4 weeks. SPSS 17.0 statistical software is utilized for all statistical analysis. Results: TIP3-2 group demonstrated significant improvements in the PSQI indices of sleep quality, sleep latency, sleep duration, sleep efficiency, sleep disturbance, sleep medication, daytime function, total score (p < 0.01). As well as PSG indices of sleep duration, sleep efficiency, awakening times (p < 0.05/0.01) and sleep confidence scale indices of difficulty sleeping, easy to wake up onset of sleep, wake up early, being easily interfered by environment during sleep, many dreams or nightmares, total score (p < 0.05/0.001). There are significant differences between the two groups in sleep quality, awakening times, daytime function and sleep confidence. Conclusion: It has curative effect of Low Resistance Thought Induction Sleep-regulating Technique (TIP3-2) for insomnia, can significantly improve sleep confidence, and is better obviously than zopiclone. Acknowledgements: Research was funded by the National Natural Science Foundation of China (Grant No. 81072854). And thanks to all the members cooperation and the participants who help us accomplish the study. http://dx.doi.org/10.1016/j.sleep.2015.02.129