La higiene y calidad del sueño en médicos residentes de dos hospitales públicos de Trujillo
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Date
2025-01-18
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Universidad Nacional de Trujillo
Abstract
Evaluar la asociación entre higiene y calidad del sueño en médicos residentes de dos hospitales públicos de Trujillo.
Métodos: Estudio observacional analítico transversal ejecutado en una población de médicos residentes (MR) de anestesiología, traumatología y cirugía general del Hospital Belén de Trujillo y Hospital Regional Docente de Trujillo. Se les aplicó dos instrumentos: el Índice de Calidad del Sueño de Pittsburgh (PSQI) y el Índice de la Higiene del Sueño (IHS). Se emplearon la prueba de Chi-cuadrado o la prueba exacta de Fisher para comparar las proporciones entre los grupos. El valor-p<0,05 se consideró estadísticamente significativo.
Resultados: Se entrevistó a 50 MR, de los cuales 29 (58%) fueron varones, 24 (48%) pertenecían a la especialidad de Anestesiología, 16 (32%) a Cirugía General y 10 (20%) a Traumatología. De ellos, el 98% reportaron sobrecarga horaria. Se observó que la proporción de MR con higiene de sueño deficiente fue 38%; mientras que se detectó mala calidad del sueño en el 34%. Se determinó que los MR con buena calidad del sueño presentaron una higiene del sueño buena en el 96,77% de los casos (p<0,001), independientemente del sexo, edad, estado civil, hospital y año de residencia y carga horaria. Se identificó que los MR de Anestesiología presentaron significativamente mayor proporción de buena higiene del sueño (p=0,009), pero no hubo asociación al evaluar la calidad de sueño por especialidades (p=0,140).
Conclusión: El nivel higiene del sueño en médicos residentes de anestesiología, traumatología y cirugía general en dos hospitales públicos de Trujillo se asocia significativamente con la calidad de sueño percibido.
Palabras clave: Higiene del sueño, calidad del sueño, médicos residentes
Abstract To evaluate the association between sleep hygiene and quality in medical residents of two public hospitals in Trujillo. Methods: Observational, analytical, cross-sectional study carried out in a population of resident physicians (RP) in anesthesiology, traumatology, and general surgery at Hospital Belen de Trujillo and Hospital Regional Docente de Trujillo. Two instruments were applied: the Pittsburgh Sleep Quality Index (PSQI) and the Sleep Hygiene Index (SHI). The Chi-square test or Fisher's exact test were used to compare the proportions between the groups. A p-value <0.05 was considered statistically significant. Results: Fifty RPs were interviewed, of which 29 (58%) were men, 24 (48%) belonged to the specialty of Anesthesiology, and 49 (98%) reported work overload. It was observed that the proportion of RPs with poor sleep hygiene was 38%; while poor sleep quality was detected in 34%. It was determined that RPs with good sleep quality had good sleep hygiene in 96.77% of cases (p<0.001), regardless of sex, age, marital status, hospital and year of residency, and workload. It was identified that RPs in Anesthesiology had a significantly higher proportion of good sleep hygiene (p=0.009), but there was no association when evaluating sleep quality by specialty (p=0.140). Conclusion: The level of sleep hygiene in anesthesiology, traumatology and general surgery residents in two public hospitals in Trujillo is significantly associated with perceived sleep quality.
Abstract To evaluate the association between sleep hygiene and quality in medical residents of two public hospitals in Trujillo. Methods: Observational, analytical, cross-sectional study carried out in a population of resident physicians (RP) in anesthesiology, traumatology, and general surgery at Hospital Belen de Trujillo and Hospital Regional Docente de Trujillo. Two instruments were applied: the Pittsburgh Sleep Quality Index (PSQI) and the Sleep Hygiene Index (SHI). The Chi-square test or Fisher's exact test were used to compare the proportions between the groups. A p-value <0.05 was considered statistically significant. Results: Fifty RPs were interviewed, of which 29 (58%) were men, 24 (48%) belonged to the specialty of Anesthesiology, and 49 (98%) reported work overload. It was observed that the proportion of RPs with poor sleep hygiene was 38%; while poor sleep quality was detected in 34%. It was determined that RPs with good sleep quality had good sleep hygiene in 96.77% of cases (p<0.001), regardless of sex, age, marital status, hospital and year of residency, and workload. It was identified that RPs in Anesthesiology had a significantly higher proportion of good sleep hygiene (p=0.009), but there was no association when evaluating sleep quality by specialty (p=0.140). Conclusion: The level of sleep hygiene in anesthesiology, traumatology and general surgery residents in two public hospitals in Trujillo is significantly associated with perceived sleep quality.
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Keywords
Higiene del Sueño, Calidad del Sueño, Médicos Residentes