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Sleep quality and associated factors among undergraduate medical students during Covid-19 confinement
Jayanti Mishra1, Ansuman Panigrahi2, Priyadarsini Samanta1
1Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, 751024, Odisha, India.
Insights
Nearly half of medical students experienced poor sleep quality during COVID-19 home confinement. Factors like less exercise, more screen time, and anxiety significantly increased the risk of poor sleep.
Area of Science:
- Medical Education
- Sleep Science
- Public Health
Background:
- Medical students face unique stressors impacting sleep quality.
- Poor sleep quality can negatively affect neurocognitive function and academic performance.
- The COVID-19 pandemic created unprecedented challenges for student well-being and sleep patterns.
Purpose of the Study:
- To determine the prevalence of poor sleep quality among undergraduate medical students during COVID-19 home confinement.
- To identify socio-demographic and psychological factors associated with poor sleep quality in this population.
Main Methods:
- A cross-sectional study involving 284 undergraduate medical students.
- Data collected via semi-structured questionnaires.
- Sleep quality assessed using the Pittsburgh Sleep Quality Index (PSQI).
- Mental health evaluated using the Depression, Anxiety, and Stress Scale - 21 (DASS-21).
Main Results:
- 45% of medical students reported poor sleep quality.
- Key risk factors included exercising less than 3 days/week, ≥8 hours of daily screen time, anxiety symptoms, and self-dissatisfaction.
- Students with anxiety symptoms were over 3 times more likely to have poor sleep.
Conclusions:
- Poor sleep quality is a significant issue for medical students during pandemic-related home confinement.
- Interventions focusing on sleep education, anxiety management, and lifestyle modification are recommended.
- Addressing these factors can improve sleep quality and overall well-being in medical students.
Problem Considered:
Medical students are vulnerable to poor sleep quality which may lead to attention difficulties and poor academic performance. Good quality sleep is needed for optimal neurocognitive and psychomotor functions as well as physical and mental health. This study aimed to assess the prevalence of poor sleep quality among undergraduate medical students during home confinement at the time of Covid-19 pandemic and analyze the relationship between sleep quality and relevant socio-demographic and psychological variables.
Methods:
A cross-sectional study was conducted among 284 undergraduate medical students of a teaching hospital of Bhubaneswar from October-November 2020. Using a semi-structured questionnaire, relevant information was collected. Sleep quality of the students was assessed using the Pittsburgh Sleep Quality Index (PSQI) questionnaire and mental health status of the students using Depression, Anxiety, and Stress Scale - 21 (DASS-21).
Results:
The prevalence of poor sleep quality among undergraduate medical students was 45%. Multivariate logistic regression revealed that students doing exercise for <3 days/week (AOR: 1.81, 95% CI: 1.01-3.23), spending ≥8 h screen time/day (AOR: 2.02, 95%: 1.12-3.66), having anxiety symptoms (AOR: 3.61, 95% CI: 1.72-7.57), and those who were not satisfied with own self (AOR: 2.69, 95% CI: 1.35-5.38) were more likely to report poor sleep quality.
Conclusion:
Poor sleep quality was prevalent among undergraduate medical students during their home confinement at the time of Covid-19 pandemic. Sleep educational programs, anxiety management, and lifestyle modifications can be recommended to improve sleep quality among medical students.
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