Sleep Patterns in Hospitalized Patients in Surgical Clinics: A Point Prevalence Study

Sleep Patterns in Hospitalized Patients in Surgical Clinics

Authors

DOI:

https://doi.org/10.5281/zenodo.17999430

Keywords:

surgery, nursing, point prevalence, sleep, hospitalized patients

Abstract

Sleep, one of the basic necessities of human life, constitutes approximately one-third of our lives. Sleep is crucial for individuals' health and quality of life. It is known that sleep problems have many harmful effects, particularly on wound healing after surgery. In light of all this information, the importance of the relationship between surgical patients and sleep is undeniable. This study aimed to determine the sleep status of patients receiving inpatient treatment in surgical clinics and the factors affecting their sleep. The study was conducted as a 1-day point prevalence study in the surgical clinics of state and university hospitals in the same city. A total of 127 patients were included in the study. The study data were collected using a questionnaire form prepared to evaluate patient information and sleep status. The mean age of the surgical patients included in the study was 55±18. 57,5% of the surgical patients were female (n=73) and 42.5% (n=54) were male; 25.2% of the patients were in the preoperative period and 74.8% were in the postoperative period. The average sleep assessment score for preoperative patients was 5.15±2.64, while the average sleep assessment score for postoperative patients was 4.71±2.79. It was observed that 51.6% of preoperative patients and 56.8% of postoperative patients suffered from insomnia. The causes of insomnia in preoperative patients were determined as pain (34.4%), room conditions (15.6%), follow-up treatment (9.4%); in the postoperative period, pain (35.4%), room conditions (21.9%), anxiety-fear (7.3%). According to the study results, patients in the preoperative period were found to have better sleep than patients in the postoperative period. In addition, it was concluded that patients in both the preoperative and postoperative periods suffered from insomnia mainly due to pain. Considering these results, it is important to plan nursing interventions targeting the factors causing sleep problems in surgical patients, particularly to relieve pain, increase patient comfort, and reduce problems associated with insomnia.

Author Biographies

Tuğçe Çamlıca, Süleyman Demirel University Health Research and Application Center, Isparta, Turkey

Lecturer, Health Research and Application Center, Süleyman Demirel University, Isparta, Türkiye.

Fatma Eti Aslan, Department of Nursing, Faculty of Health Sciences, Bahçeşehir University, Istanbul, Turkey

Professor, Department of Nursing, Faculty of Health Sciences, Bahçeşehir University, Istanbul, Türkiye.

Hayat Yalın, Department of Nursing, Faculty of Health Sciences, Bahçeşehir University, Istanbul, Turkey

Assistant Professor, Department of Nursing, Faculty of Health Sciences, Bahçeşehir University, Istanbul, Türkiye.

References

Akram, M., Umaru, I., Aslam, N., Hasan, M., Abdulghafoor, H., Khan, F., Ozdemir, F., Sołowski, G., Rashid, A., Al-Musawi, J., & Mahmood, A. (2025). The effects of sleep deprivation on mental and physical health. Kwaghe Int J Sci Technol., 2(2).

Allen, R. W., Burney, C. P., Davis, A., Henkin, J., Kelly, J., Judd, B. G., & Ivatury, S. J. (2021). Deep sleep and beeps: sleep quality improvement project in general surgery patients. J Am Coll Surg., 232(6): 882–888.

Alligood, M. R. (2021). Nursing theorists and their work. 10th ed. Elsevier, St. Louis.

Bihari, S., McEvoy, R. D., Kim, S., Woodman, R. J., & Bersten, A.D. (2012). Factors affecting sleep quality of patients in intensive care unit. J Clin Sleep Med, 8(3): 301–307.

Bozdemir, H., Yaban, Z., & Usta, E. (2024). Sleep assessment in patients after surgery: a systematic review. Biological Rhythm Research, 55, 408 - 425.

Butris, N., Tang, E., Pivetta, B., He, D., Saripella, A., Yan, E., Englesakis, M., Boulos, M., Nagappa, M., & Chung, F. (2023). The prevalence and risk factors of sleep disturbances in surgical patients: a systematic review and meta-analysis. Sleep Med Rev. 69: 101786.

Cascais, A. F., & Cunha, M. (2024). Clinical, psychological and environmental factors that affect sleep quality in surgical patients. HSJ, 14(1): e1494.

Chakrabarty, K. (2023). The role of sleep in maintaining mental and physical health. J Community Health Provision., 3(3).

Chu, T. (2023). Investigating sleep quality and related factors of postoperative patients at Tay Nguyen Regional General Hospital. MedPharmRes. 7(2): 52–58.

Çetinkaya, F., & Karabulut, N. (2016). Validity and reliability of the Turkish version of the Visual Analog Sleep Scale. Kontakt. 18(2): 94–99.

Delaney, L., Currie, M., Huang, H., Lopez, V., & Van Haren, F. (2018). They can rest at home: an observational study of patients’ quality of sleep in an Australian hospital. BMC Health Serv Res., 18: 3201.

Haack, M., & Mullington, J. M. (2005). Sustained sleep restriction reduces emotional and physical well-being. Pain, 119(1–3): 56–64.

Haspel, J., Anafi, R., Brown, M., Cermakian, N., Depner, C., Desplats, P., Gelman, A., Haack, M., Jelic, S., Kim, B., Laposky, A., Lee, Y., Mongodin, E., Prather, A., Prendergast, B., Reardon, C., Shaw, A., Sengupta, S., Szentirmai, É., Thakkar, M., Walker, W., & Solt, L. (2020). Perfect timing: circadian rhythms, sleep, and immunity – an NIH workshop summary. JCI Insight., 5(1): e131487.

Koshy, K., Gibney, M., O’Driscoll, D., Ogeil, R., & Young, A. 2024. Factors affecting sleep quality in hospitalised patients. Sleep Breath., 28: 2737–2740.

Krenk, L., Jennum, P., & Kehlet, H. (2012). Sleep disturbances after fast-track hip and knee arthroplasty. Br J Anaesth. 109(5): 769–775.

Le Guen, M., Nicolas-Robin, A., Lebard, C., Arnulf, I., & Langeron, O. (2014). Earplugs and eye masks vs routine care prevent sleep impairment in post-anaesthesia care unit: a randomized study. Br J Anaesth, 112(1): 89–95.

Lkoul, A., Oumbarek, K., Bouchriti, Y., Jniene, A., & Dendane, T. (2025). Environmental factors affecting sleep quality in intensive care unit patients in southern Morocco: an assessment study. Adv Respir Med., 93(3).

Medic, G., Wille, M., & Hemels, M. E. (2017). Short- and long-term health consequences of sleep disruption. Nat Sci Sleep., 9: 151–161. doi: 10.2147/NSS.S134864.

Sohrabi, M., Gholami, M., Foroughi, S., Younesi, E., & Mokhayeri, Y. (2025). The effect of a nurse-led multicomponent intervention on sleep quality and delirium in orthopedic surgery patients: a randomized clinical trial. Int J Orthop Trauma Nurs, 59: 101222.

Şara, Y., Örsal, Ö., Duru, P., & Köşgeroğlu, N. (2022). Evaluation of preoperative sleep quality and factors affecting pain intensity of patients hospitalized in surgical services. J Perianesth Nurs. 37(2).

Tegegne, S., & Alemnew, E. (2022). Postoperative poor sleep quality and its associated factors among adult patients: a multicenter cross-sectional study. Ann Med Surg. 74: 103273.

Tyagi, M., Shah, U., Patel, G., Toshniwal, V., Bhongade, R., & Sharma, P. (2023). The impact of sleep on physical and mental health: importance of healthy sleep habits. Georgian Med News., 339: 89–94.

Verran, J. A., & Snyder-Halpern, R. (1988). Measuring sleep characteristics in patients with disturbed sleep. Nurs Res. 37(1): 42–45.

Williams, B. C. (2015). The Roper-Logan-Tierney model of nursing: a framework to complement the nursing process. Nurs. 45(3): 24–26.

Yılmaz, M., Sayın, Y., & Gürler, H. (2012). Sleep quality of hospitalized patients in surgical units. Nursing forum, 47 3, 183-92.

Downloads

Published

2025-12-24

How to Cite

UYAR, S., Çamlıca, T., Eti Aslan, F., & Yalın, H. (2025). Sleep Patterns in Hospitalized Patients in Surgical Clinics: A Point Prevalence Study : Sleep Patterns in Hospitalized Patients in Surgical Clinics. Kafkasya Journal of Health Sciences, 2(2), 58–64. https://doi.org/10.5281/zenodo.17999430

Issue

Vol. 2 No. 2 (2025): Kafkasya Journal of Health Sciences

Section

Articles

License

Copyright (c) 2025 SERPİL UYAR, Tuğçe Çamlıca, Fatma Eti Aslan, Hayat Yalın

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

File:CC BY-NC-ND.svg - Wikimedia Commons

The journal is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)

You are free to:

  1. Share — copy and redistribute the material in any medium or format
  2. The licensor cannot revoke these freedoms as long as you follow the license terms.

Under the following terms:

  1. Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  2. NonCommercial — You may not use the material for commercial purposes .
  3. NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.
  4. No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Notices:

You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .

No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.

 Notice

This deed highlights only some of the key features and terms of the actual license. It is not a license and has no legal value. You should carefully review all of the terms and conditions of the actual license before using the licensed material.

Creative Commons is not a law firm and does not provide legal services. Distributing, displaying, or linking to this deed or the license that it summarizes does not create a lawyer-client or any other relationship.

Creative Commons is the nonprofit behind the open licenses and other legal tools that allow creators to share their work. Our legal tools are free to use.

Footnotes

  •  return to reference appropriate credit — If supplied, you must provide the name of the creator and attribution parties, a copyright notice, a license notice, a disclaimer notice, and a link to the material. CC licenses prior to Version 4.0 also require you to provide the title of the material if supplied, and may have other slight differences.
  •  return to reference indicate if changes were made — In 4.0, you must indicate if you modified the material and retain an indication of previous modifications. In 3.0 and earlier license versions, the indication of changes is only required if you create a derivative.
  •  return to reference technological measures — The license prohibits application of effective technological measures, defined with reference to Article 11 of the WIPO Copyright Treaty.
  •  return to reference exception or limitation — The rights of users under exceptions and limitations, such as fair use and fair dealing, are not affected by the CC licenses.
  •