Sleep quality among undergraduate students of a medical college in Nepal during COVID-19 pandemic: an online survey [version 1; peer review: 2 approved]

Background Good sleep quality is associated with a diverse range of positive outcomes such as better health, less daytime sleepiness, well-being, and proper psychological functioning. Sleep deprivation or poor sleep quality leads to many metabolic, endocrine, and immune changes. Many studies have sh...

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Main Authors: Dhan Shrestha, Suman Prasad Adhikari, Namrata Rawal, Pravash Budhathoki, Subashchandra Pokharel, Yuvraj Adhikari, Pooja Rokaya, Udit Raut
Format: Article
Language:English
Published: F1000 Research Ltd 2021-06-01
Series:F1000Research
Online Access:https://f1000research.com/articles/10-505/v1
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author Dhan Shrestha
Suman Prasad Adhikari
Namrata Rawal
Pravash Budhathoki
Subashchandra Pokharel
Yuvraj Adhikari
Pooja Rokaya
Udit Raut
author_facet Dhan Shrestha
Suman Prasad Adhikari
Namrata Rawal
Pravash Budhathoki
Subashchandra Pokharel
Yuvraj Adhikari
Pooja Rokaya
Udit Raut
author_sort Dhan Shrestha
collection DOAJ
description Background Good sleep quality is associated with a diverse range of positive outcomes such as better health, less daytime sleepiness, well-being, and proper psychological functioning. Sleep deprivation or poor sleep quality leads to many metabolic, endocrine, and immune changes. Many studies have shown changes in sleep schedule along with worsening of sleep quality during the COVID-19 pandemic. Methods This cross-sectional study was conducted among students of a medical college in Kathmandu, Nepal from January 13, 2021, to February 15, 2021. A stratified random sampling technique was used. Data were collected using the Pittsburgh Sleep Quality Index (PSQI). Questionnaires that were completely filled were included and analyzed using STATA vs. 15. Results 168 medical students filled out the questionnaires with a response rate of 88.42%. 30.36% (n=51) of respondents were having poor quality of sleep (PSQI total score of > 5) with an average PSQI score of 4.24±2.19. Unadjusted logistic regression analysis showed significantly higher odds of poor quality of sleep among females (OR, 2.25; CI, 1.14-4.43) comparing to male and the relation persists even adjusting with age and year in medical school (aOR, 2.81; CI, 1.35-5.86)  Adjusting with age and gender 4th-year MBBS students were 82% less likely to have a poor quality of sleep compared to 2nd-year MBBS students (aOR, 0.18; CI, 0.04-0.76). Poor quality of sleep is common among medical students. Conclusions More than a quarter of medical students have a poor quality of sleep as per our study. So, education and awareness should be aroused among medical students regarding the detrimental effects of poor quality sleep on daily activities, physical and mental well-being, and the overall quality of life.
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spelling doaj.art-7c42a3751ace4d0697ade55c113d0c852022-12-21T21:26:15ZengF1000 Research LtdF1000Research2046-14022021-06-011010.12688/f1000research.53904.157334Sleep quality among undergraduate students of a medical college in Nepal during COVID-19 pandemic: an online survey [version 1; peer review: 2 approved]Dhan Shrestha0Suman Prasad Adhikari1Namrata Rawal2Pravash Budhathoki3Subashchandra Pokharel4Yuvraj Adhikari5Pooja Rokaya6Udit Raut7Department of Emergency Medicine, Mangalbare Hospital, Urlabari, 1, 56600, NepalDepartment of Neuro-psychiatry, Nepalese Army Institute of Health Sciences, Shree Birendra Hospital, Kathmandu, 3, 44600, NepalDepartment of Neuro-psychiatry, Nepalese Army Institute of Health Sciences, Shree Birendra Hospital, Kathmandu, 3, 44600, NepalDepartment of Emergency Medicine, Dr Iwamura Memorial Hospital, Bhaktapur, 3, 44800, NepalMedical student, Nepalese Army Institute of Health Sciences, Kathmandu, 3, 44600, NepalMedical student, Nepalese Army Institute of Health Sciences, Kathmandu, 3, 44600, NepalMedical student, Nepalese Army Institute of Health Sciences, Kathmandu, 3, 44600, NepalMedical student, Nepalese Army Institute of Health Sciences, Kathmandu, 3, 44600, NepalBackground Good sleep quality is associated with a diverse range of positive outcomes such as better health, less daytime sleepiness, well-being, and proper psychological functioning. Sleep deprivation or poor sleep quality leads to many metabolic, endocrine, and immune changes. Many studies have shown changes in sleep schedule along with worsening of sleep quality during the COVID-19 pandemic. Methods This cross-sectional study was conducted among students of a medical college in Kathmandu, Nepal from January 13, 2021, to February 15, 2021. A stratified random sampling technique was used. Data were collected using the Pittsburgh Sleep Quality Index (PSQI). Questionnaires that were completely filled were included and analyzed using STATA vs. 15. Results 168 medical students filled out the questionnaires with a response rate of 88.42%. 30.36% (n=51) of respondents were having poor quality of sleep (PSQI total score of > 5) with an average PSQI score of 4.24±2.19. Unadjusted logistic regression analysis showed significantly higher odds of poor quality of sleep among females (OR, 2.25; CI, 1.14-4.43) comparing to male and the relation persists even adjusting with age and year in medical school (aOR, 2.81; CI, 1.35-5.86)  Adjusting with age and gender 4th-year MBBS students were 82% less likely to have a poor quality of sleep compared to 2nd-year MBBS students (aOR, 0.18; CI, 0.04-0.76). Poor quality of sleep is common among medical students. Conclusions More than a quarter of medical students have a poor quality of sleep as per our study. So, education and awareness should be aroused among medical students regarding the detrimental effects of poor quality sleep on daily activities, physical and mental well-being, and the overall quality of life.https://f1000research.com/articles/10-505/v1
spellingShingle Dhan Shrestha
Suman Prasad Adhikari
Namrata Rawal
Pravash Budhathoki
Subashchandra Pokharel
Yuvraj Adhikari
Pooja Rokaya
Udit Raut
Sleep quality among undergraduate students of a medical college in Nepal during COVID-19 pandemic: an online survey [version 1; peer review: 2 approved]
F1000Research
title Sleep quality among undergraduate students of a medical college in Nepal during COVID-19 pandemic: an online survey [version 1; peer review: 2 approved]
title_full Sleep quality among undergraduate students of a medical college in Nepal during COVID-19 pandemic: an online survey [version 1; peer review: 2 approved]
title_fullStr Sleep quality among undergraduate students of a medical college in Nepal during COVID-19 pandemic: an online survey [version 1; peer review: 2 approved]
title_full_unstemmed Sleep quality among undergraduate students of a medical college in Nepal during COVID-19 pandemic: an online survey [version 1; peer review: 2 approved]
title_short Sleep quality among undergraduate students of a medical college in Nepal during COVID-19 pandemic: an online survey [version 1; peer review: 2 approved]
title_sort sleep quality among undergraduate students of a medical college in nepal during covid 19 pandemic an online survey version 1 peer review 2 approved
url https://f1000research.com/articles/10-505/v1
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