Nursing Practice Today 2014. 1(4):213-220.

The relationship between sleep quality with fatigue severity and academic performance of nursing students
Azam Sajadi, Zahra Farsi, Nahid Rajai

Abstract


Background & Aim: Increasing students’ academic stress especially during taking final exams may result in sleep  disorders, fatigue, poor academic performance and low functional efficiency. The aim of this study was to determine the relationship between sleep quality with fatigue severity and academic performance of nursing students.
Methods & Materials: In a cross-sectional study, the sleep quality and fatigue of nursing students (n=138) of AJA University of Medical Sciences in Tehran, Iran were assessed using Pittsburgh Sleep Quality Index and Fatigue Severity Scale within last week of exams of second semester in 2013. Subjects filled demographic questionnaires and the response rate was 86.8%. The data were analyzed using SPSS software with descriptive and analytic statistics including Chi square, Pearson and Spearman’s rho correlation coefficients.
Results: Sleep quality in 64.4% of students was poor. About 77% of students suffered from fatigue in moderate to severe levels. The mean of total scores of lessens was 16.16. Chi-square test and Pearson correlation coefficient did not indicate significant relationship between sleep quality and age, gender, education semester and educational level, material
status, habitancy location, caffeine consuming, smoking, experience of suffering from chronic and psychological diseases, working and also experience of major stress (p>0.05).Spearman’s rho correlation coefficient indicated significant relationship between sleep quality and fatigue severity (p≤0.0000), whereas Pearson correlation coefficient did not show significant relationship between sleep quality and academic performance and also between fatigue severity and academic performance (p>0.05).
Conclusion: Prevalence of poor sleep quality and fatigue during final exams in nursing students is high. Considering importance of sleep quality and quantity and its effect on academic performances, creating suitable conditions for improving sleep quality is suggested.

Keywords


academic performance; fatigue; nursing; sleep; student

Full Text:

PDF

References


Lai PP, Say YH. Associated Factors of Sleep Quality and Behavior among Students of Two Tertiary Institutions in Northern Malaysia. Med J Malaysia 2013:68(3):196-203.

Archer F, Williams B, Sofianopoulos S, Thompson B. The exploration of physical fatigue, sleep and depression in paramedics: a pilot study. Australasian Journal of Paramedicine 2011; 9(1): 1-33.

Ghoreishi A, Aghajani AH. Sleep quality in Zanjan University Medical students. Tehran Univ Med J. 2008; 66(1): 61-7. [In Persian]

Benjamin JS, Virginia AS. Kaplan and Sadock’s Synopsis of Psychiatry. 10th ed. Philadelphia: Lippincott Williams & Wilkins: 2007.

Ghanei R, Hemmati Maslakpak M, Rezaei K, Baghi V, Maki B. Nursing students quality of sleep in dormitories URMIA University of Medical Sciences. J Nursing and Midwifery URMIA Univ Med Sci. 2011; 9(4): 277-82. [In Persian]

Arasteh M. Insomnia Assessment in medical students of Kurdistan University of Medical Sciences. Scientific J Kurdistan Univ Med Sci. 2008; 12: 58-63. [In Persian]

Eller T, Aluja A, Vasar V, Reldi M. Symptom of anxiety and depression in Estonian medical students with sleep problem. Depress Anxiety. 2006; 23: 250-6.

Aghajanloo A, Haririan H, Ghafourifard M, Bagheri H, Ebrahimi SM. Sleep quality of students during final exams in Zanjan University of Medical Science. Modern Care Sci Q Birjand Nursing and Midwifery Faculty. 2012; 8(4): 230-7. [In Persian]

Eslami Akbar R. The prevalence of sleep disorder and its causes and effects on students residing in Jahrom University of Medical Sciences dormitories. J Jahrom Univ Med Sci. 2012; 9(4): 14-19. [In Persian]

Tayler C, Priscilla LC. Fundamentals of nursing: The art science of nursing care. 6th ed. Philadelphia: Lippincott Williams and Wilkins; 2008.

Potter P, Perry AG. Basic Nursing Essentials. 6th ed. Louis: Mosby; 2007.

Lund HG. Sleep patterns and predictors of disturbed sleep in a large population of college students. J Adolesc Health. 2009; 15: 134-7.

Ng EP, Ng DK, Chan CH. Sleep duration, wake sleep symptoms and academic performance in Hong Kong secondary school children. Sleep Breath .2009; 13: 357-67.

Nojomi M, GhaleBandi MF, Kaffashi S. Sleep pattern in medical students. Arch Iran Med. 2009; 12: 542-9. [In Persian]

Rezaei Ardani A, Talaei A, Borhani M, et al. Assesment the rules of demographic variables and body mass index in sleep quality among medical students. J Fundamentals Mental Health. 2012; 14: 132-9. [In Persian]

Lima PF, Medeiros ALD, Araujo JF. Sleep- wake pattern of medical students: early versus late class starting time. Brazilian J Med Biol Res. 2002; 35: 1373-77.

Bonner A. Levels of fatigue in people with ESRD living in far north Queensland. J Clin Nurs. 2007; 17(1): 90-8.

Zakeri Moghaddam M, Shaban M, Kazemnezhad A, Tavassoli K. Effect of exercise utilizing the rate of respiratory on fatigue in patient with chronic obstructive pulmonary disease. Hayat. 2006; 3(30): 17-25. [In Persian]

Pallos H, Yamada N, Doie Y, et al. Sleep habits, prevalence and burden of sleep disturbance among Japanese graduate students. Sleep Biol Rhythms. 2004; 2(1): 37-42.

Veldi M, Aluija A, Vasar V. Sleep quality and more common sleep- related problems in medical students. Sleep Med. 2005; 6(3): 269- 75.

Habibi E, Parvari R, khodarahmi B, et al. Assessment of the relationship between work schedule and fatigue among the emergency personnel of Isfahan, Iran using the check list individual strength standard method. J Health System Res. 2012; 7: 1288-97. [In Persian]

Lowry M, Dean K, Manders K. The link between sleep quantity and academic performance for the college student. Univ Minnesota Undergraduate J Psych. 2010; 3: 16-19.

Pagal JF, Kwaitkowski CF. Sleep complaints affecting school performance at different educational levels. Front Neurol. 2010; 16: 125.

Bashardoost N. Sampling and Sample Size. In: Malek Afzali H, Majdzadeh SR, Fotouhi A, Tavakoli S. Methodology of Applicable Researches in Medical Sciences. Tehran: Tehran University of Medical Sciences; 2005. 295-316. [In Persian]

Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. J Psychiatric Res. 1989; 28(2): 193-213.

Rambod M, Pourali-Mohammadi N, Pasyar N, et al. The effect of Benson’s relaxation technique on the quality of sleep of Iranian hemodialysis patients: A randomized trial. Complementary Therapies in Medicine (2013). (In press)

Salehi K, Alhani F, Sadegh Niat KH, Mahmoudi far Y, Ruhi N. Quality of sleep and related factors among Imam Khomeini Hospital staff nurses. Iran J Nurs. 2010; 23(63): 18-25. [In Persian]

Farhadi Nasab A, Azimi H. Study of patterns and subjective quality of sleep and their correlation with personality traits among medical students of Hamadan University of Medical Sciences. Scientific J Hamadan Univ Med Sci. 2008; 15(1): 11-15. [In Persian]

Schneider R. Fatigue among caregivers of chronic renal failure patients: A principal components analysis. Nephrol Nurs J. 2003; 30: 629-44.

World Medical Association. Principles for medical research involving human subjects. [October 2013]. Available from: http://www.wma.net/en/30publications/10polic ies/b3/index.html.pdf?print-media-type&footer -right=[page]/[toPage]. Accessed Dec 03, 2013.

James Bawo O, Omoaregba Joyce O, Igberase Osayi O. Prevalence and correlates of poor sleep quality among medical students at a Nigerian university. Annals of Nigerian Medicine 2011; 5(1):1-5.

Kang JH, Chen SC. Effects of an irregular bedtime schedule on sleep quality, daytime sleepiness, and fatigue among university students in Taiwan. BMC Public Health 2009; 9:248: 1-6.

Amaducci CdM, Mota DDFdC, Pimenta CAdM. Fatigue among nursing undergraduate students. Rev Esc Enferm USP 2010; 44(4):1047-53. Available at: www.ee.usp.br/ reeusp/

Farsi Z, Dehghan Nayeri N, Negarandeh R. Nursing profession in Iran: An overview of opportunities and challenges. JJNS. 2010; 7(1): 9-18.


Refbacks

  • There are currently no refbacks.


Creative Commons Attribution-NonCommercial 3.0

This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.