Ana-Maria Gallo1, Kathryn A Lee. 1. Research and Professional Development Department of Nursing Administration, Sharp Grossmont Hospital, La Mesa, CA 91942, USA. ana-maria.gallo@sharp.com
Abstract
OBJECTIVE: To describe sleep characteristics in high-risk antepartum inpatients. DESIGN: Prospective descriptive design. SETTING: Tertiary hospital in southern California. PARTICIPANTS: A convenience sample of 39 antepartum women. METHODS: Data were collected from participants' medical records, questionnaires (General Sleep Disturbance Scale), actigraphy on days 3 to 4 after admission, and a sleep diary that included reasons for awakening and morning and evening fatigue ratings. RESULTS: Week gestation ranged from 24 to 35 weeks. Sleep time varied from 310 to 492 minutes and averaged 6.7 hours/night. The women were awakened 9 to 32 times/night and averaged 18 awakenings. They napped an average of 124 minutes throughout the day. Women averaged 3.9 on the General Sleep Disturbance Scale when retrospectively considering 7 days before hospitalization and scored 4.1 when considering the current 3 days of hospitalization. In the diary, most rated their sleep quality as Fairly Good or Very Good (62%-71%), but 29% said Very Bad on night 2, and 38% said Very Bad on night 3. CONCLUSION: Frequent interruptions during the night do not allow for mothers to receive the restorative sleep they need.
OBJECTIVE: To describe sleep characteristics in high-risk antepartum inpatients. DESIGN: Prospective descriptive design. SETTING: Tertiary hospital in southern California. PARTICIPANTS: A convenience sample of 39 antepartum women. METHODS: Data were collected from participants' medical records, questionnaires (General Sleep Disturbance Scale), actigraphy on days 3 to 4 after admission, and a sleep diary that included reasons for awakening and morning and evening fatigue ratings. RESULTS: Week gestation ranged from 24 to 35 weeks. Sleep time varied from 310 to 492 minutes and averaged 6.7 hours/night. The women were awakened 9 to 32 times/night and averaged 18 awakenings. They napped an average of 124 minutes throughout the day. Women averaged 3.9 on the General Sleep Disturbance Scale when retrospectively considering 7 days before hospitalization and scored 4.1 when considering the current 3 days of hospitalization. In the diary, most rated their sleep quality as Fairly Good or Very Good (62%-71%), but 29% said Very Bad on night 2, and 38% said Very Bad on night 3. CONCLUSION: Frequent interruptions during the night do not allow for mothers to receive the restorative sleep they need.
Authors: Michael Littner; Clete A Kushida; W McDowell Anderson; Dennis Bailey; Richard B Berry; David G Davila; Max Hirshkowitz; Sheldon Kapen; Milton Kramer; Daniel Loube; Merrill Wise; Stephen F Johnson Journal: Sleep Date: 2003-05-01 Impact factor: 5.849