Volume 4, Issue 2 (Spring 2018 -- 2018)                   JCCNC 2018, 4(2): 112-121 | Back to browse issues page

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Samimi R, Shoghi M. Sleep Quality in Burn Patients After Hospital Discharge. JCCNC 2018; 4 (2) :112-121
URL: http://jccnc.iums.ac.ir/article-1-164-en.html
Sleep Quality in Burn Patients After Hospital Discharge
Roghaye Samimi1 , Mahnaz Shoghi * 2
1- Shahid Motahari Burn Hospital, Iran University of Medical Sciences, Tehran, Iran.
2- Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. , shoghi.m@iums.ac.ir
Abstract:   (2583 Views)
Background: Sleep, as a reversible phenomenon, is vital for maintaining energy and enhancing the quality of life. Sleep disorders after burn accidents may have biopsychological effects on burn patients, years after the initial injury. This study evaluated the quality of sleep in patients with chronic burns. 
Methods: A descriptive cross-sectional study was conducted on 100 patients referred to the Subspecialty Hospital for Burns in Tehran, Iran 6 months after their discharge for reconstructive surgery. Pittsburgh Sleep Quality Index was used to collect the study data. The participants were recruited by convenience sampling method. The obtained data were analyzed by Chi-square test using SPSS. 
Results: According to the results, 38% of the participants had experienced good sleep quality (Mean±SD: 3.3±0.9), but 62% reported poor sleep quality (Mean±SD: 9.96±3.2). There were statistically significant associations between sleep quality and gender (P=0.039), material status (P=0.003), occupational status (P=0.000), educational level (P=0.04), burn surface (P=0.02), and duration after burn (P=0.028). No statistically significant association was found between sleep quality and patients’ age, burn surface, and monthly income.
Conclusion: Evaluation of sleep adequacy should be a routine component of outpatient assessment in patients with burn, with the consideration of referral to a sleep specialist, as needed. 
Keywords: Chronic burn, Burn injury, Sleep disorder, Sleep quality
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● Majority of burn patients had sleep disorders after discharge.
● Frequent nighttime awakenings, sleep latency, and sleepiness during the day were the most common sleep disorders.
● Sleep quality is associated with gender, educational level, marital status, and burn area.
Plain Language Summary
Sleep problems are common after burn injury and during the healing and recovery periods. Insomnia can come and go over the years and may require different solutions at different times. It is important to get treatment for poor sleep because it can be harmful in a number of ways. For some, it can even be extremely distressing and debilitating, and actually interfere with patient's recovery from the burn injury.

Type of Study: Research | Subject: General
Received: 2018/10/23 | Accepted: 2018/02/10 | Published: 2018/05/1
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