The Effect of Pain and Anxiety on Sleep Quality in Hospitalized Patients in Surgical Clinics

Abstract

Objective:A descriptive and correlational study was conducted to determine the effect of pain and anxiety on sleep quality in patients hospitalized in surgical clinics.Materials and Methods:The population of the study consisted of patients who were hospitalized in the surgical clinics of a university hospital in April-June 2019 and accepted to participate in the study. Two hundred-four patients who met the inclusion criteria of the study during these dates were included in the sample of the study. Ethics committee approval and permission from the institution where the study was conducted were obtained before starting the study. Data were collected using the patient identification form, the numerical pain rating scale (NPS), state anxiety scale (SAS) and Richard-Campbell sleep scale (RCSS). Number, percentage, mean, standard deviation, correlation and regression analysis were used in the evaluation of the data.Results:It was determined that 32.8% of the patients participating in the study were hospitalized in the general surgery service and 51.0% had surgery. It was found that 48.0% of the patients had sleep problems during their stay in the hospital and 54.1% of the patients having sleep problems had sleep problems due to pain. It was determined that the mean scores of NPS, SAS, and RCSS (3.77±2.52; 42.15±9.99; 49.61±25.34, respectively) were at a moderate level. A statistically significant negative correlation was found between the patients’ mean NPS and SAS scores and the mean RCSS scores (p<0.05).Conclusion:It was determined that the pain and anxiety states of patients hospitalized in surgical clinics negatively affected sleep quality.

Keywords

• pain
• anxiety
• surgical clinic
• sleep quality