A Cross-Sectional Study Examining the Correlation between Nocturnal Melatonin Level and Sleep Quality in Patients Admitted To the Cardiac Care Unit

Open Access Macedonian Journal of Medical Sciences

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Title A Cross-Sectional Study Examining the Correlation between Nocturnal Melatonin Level and Sleep Quality in Patients Admitted To the Cardiac Care Unit
Creator Kamkar, Mohammad Zaman
Rezvani Khorshidi, Sommayeh
Alinaghi Maddah, Seideh Mahrokh
Emami Zeydi, Amir
Modanloo, Mahnaz
Subject Sleep Quality
Cardiac Care Unit
Description BACKGROUND: Quality of sleep, as a basic need, is an important factor for surviving patients in hospitals. Many factors may contribute to disturbing patients sleep, such as continuous ambient light, is required for healthcare providers to monitor patients. Ambient light can influence patients' quality of sleep due to melatonin secretion.
AIM: Study aimed to determine the correlation between nocturnal melatonin levels and sleep quality in patients admitted to the Cardiac Care Units (CCU).
MATERIAL AND METHODS: This cross-sectional study was done on inpatients of CCUs at Amir-Almomenin Hospital in Kordkoy city, a cardiac referral hospital in the northeastern of Iran in 2015. Sixty-eight inpatients were selected through convenience sampling. Before data gathering light level of CCUs was measured every one hour in 2 days, the quality of nocturnal sleep was investigated through Verran and Snyder-Halpern (VSH) Sleep Scale at the second night of admission urinary melatonin level was measured at the same night in all urine excreted between 22:00 pm and 07:00 am.
RESULTS: The mean and standard deviation (SD) score of sleep quality in three dimensions of sleep disturbance, sleep effectiveness and sleep supplementation were 336.6 ± 149.9, 269.0 ± 82.2, and 175.2 ± 30.7, respectively. Also, the mean and SD of nocturnal urinary melatonin levels was 323.02 ± 136.21 pg/ml. There was not a significant correlation between level of nocturnal melatonin and three domains of sleep quality; sleep disturbance (r = 0.005, P = 0.968), sleep effectiveness (r = 0.090, P = 0.464), and sleep supplementation (r = -0.037, P = 0.763).
CONCLUSION: According to the result, most CCUs patients suffer from sleep disturbance. However, there was no correlation between the level of melatonin and sleep quality. There is a need for recognising the reasons for sleep disturbances in Cardiac Care Units. It is imperative for care providers to be able to recognise the causes of sleep disturbances and to modify environmental factors such as ambient light to improve sleep quality in hospitalised patients.
Publisher Scientific Foundation SPIROSKI, Skopje, Republic of Macedonia
Date 2018-12-16
Type info:eu-repo/semantics/article
Format application/pdf
Identifier https://www.id-press.eu/mjms/article/view/oamjms.2018.451
Source Open Access Macedonian Journal of Medical Sciences; Vol. 6 No. 12 (2018): Dec 20 (OAMJMS); 2342-2347
Language eng
Relation https://www.id-press.eu/mjms/article/view/oamjms.2018.451/2717
Rights Copyright (c) 2018 Mohammad Zaman Kamkar, Sommayeh Rezvani Khorshidi, Seideh Mahrokh Alinaghi Maddah, Amir Emami Zeydi, Mahnaz Modanloo

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