Chất lượng giấc ngủ của người bệnh trong đêm trước phẫu thuật tại Bệnh viện Hữu nghị Việt Đức và một số yếu tố liên quan

The importance of adequate sleep for overall health and recovery is widely recognized. However, hospitalized patients, particularly those awaiting surgery, often face significant challenges in achieving restful sleep due to a combination of anxiety, discomfort, and the inherent disruptions of the hospital environment. Poor sleep quality among pre-operative inpatients can have detrimental effects on patient well-being, post-operative recovery, and even clinical outcomes. Despite global recognition of this issue, specific studies addressing sleep disturbance and its related factors in the Vietnamese healthcare context, especially within specialized surgical departments like neurosurgery, remain limited. This study aims to address this gap by investigating the pre-operative sleep quality of patients at Vietduc University Hospital and identifying the factors contributing to these disturbances.

Healthcare professionals, hospital administrators, nursing staff, neurosurgeons, and researchers in sleep medicine and patient care quality.

This cross-sectional study aimed to assess the sleep quality and identify associated factors among pre-operative inpatients at Vietduc University Hospital, specifically in the Neurosurgery Department I. Conducted from August 2021 to February 2022, the research involved 247 patients, utilizing a structured questionnaire that included the St. Mary Hospital Sleep Questionnaire to gather data on sleep patterns and environmental factors. The findings revealed a concerning prevalence of poor sleep, with an average sleep quality score of 24.2 ± 5.7. A substantial majority of patients experienced sleep disturbance, categorized as mild (34.8%), moderate (57.9%), or severe (7.3%) insomnia. Notably, patients with chronic diseases reported significantly shorter average sleep durations. The study identified several critical factors significantly influencing sleep quality in hospitalized patients, including environmental elements such as room temperature and hospital odor, as well as the nature of health caring activities performed by health workers during the night. These results underscore the urgent need for targeted interventions to improve the hospital environment and refine care protocols to mitigate sleep disturbance among pre-operative patients. Enhancing comfort, managing environmental stressors, and optimizing nocturnal care practices could significantly contribute to better patient recovery and overall well-being, offering valuable insights for healthcare providers and hospital administrators.