Abstract
Purpose
This research was conducted to determine the effects of sleep hygiene training given to pregnant women with restless leg syndrome on their sleep quality.
Methods
This study was conducted using a quasi-experimental design with pre-test and post-test, and a control group. When the power analysis was made, a sample size with 5% two-sided significance, 95% confidence interval, and 95% ability to represent the population was calculated to have a total of 128 pregnant women. The sleeping hygiene training was given to two sessions of the experiment group. A personal identification form and the Pittsburgh Sleep Quality Index were used for the collection of data. Percentage distribution, arithmetic mean, standard deviation, and chi-square were used for statistical evaluation in addition to dependent and independent groups t tests.
Results
PSQI pre-test mean values revealed that sleep quality in both groups was similarly poor (p = 0.353). It was determined that the mean post-test score after sleep hygiene training was 7.23 ± 2.17 in the experiment group and 10.54 ± 2.20 in the control group, while the difference between the groups was statistically significant (p = 0.000). Accordingly, it was determined that the sleepers in the experimental group had better sleep quality than those in the control group.
Conclusions
Sleep hygiene training given to pregnant women with restless leg syndrome increased sleep quality.
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References
Liu G, Li L, Zhang J, Xue R, Zhao X, Zhu K, Wang Y, Xiao L, Shangguan J (2016) Restless legs syndrome and pregnancy or delivery complications in China: a representative survey. Sleep Med 17:158–162. https://doi.org/10.1016/j.sleep.2015.02.541
Kaynak DK (2007) Sleep disturbances behind insomnia complaints; restless leg syndrome and periodic motion disorder in sleep. Noropsychiatry Arch 44:95–100
Şahin FK, Köken G, Coşar E, Solak Ö, Saylan F, Fidan F, Ünlü Ö (2007) Prevalence of restless rest syndrome in pregnancy. Turk Gynecol Obstet Assoc J 4:246–249
Sevim S, Doğu O, Çamdeviren H, Buğdaycı R, Şaşmaz T, Kaleağası H et al (2003) Unexpectedly low prevalence and unusual characteristics of RLS in Mersin, Turkey. Neurology 61(11):1562–1569. https://doi.org/10.1212/01.WNL.0000096173.91554.B7
Cotter PE, O’Keeffe ST (2006) Restless leg syndrome: is it a real problem? Ther Clin Risk Manag 2(4):465–475. https://doi.org/10.2147/tcrm.2006.2.4.465
Nomura T, Inoue Y, Kusumi M, Uemura Y, Nakashima K (2008) Prevalence of restless legs syndrome in a rural community in Japan. Mov Disord 23(16):2363–2369. https://doi.org/10.1002/mds.22274
O’Keeffe ST (1996) Restless legs syndrome. Arch Intern Med 156(3):243–248
Chen PH, Liou CH, Chen CP, Cheng SJ (2012) Risk factors and prevalence rate of restless legs syndrome among pregnant women in Taiwan. Sleep Med 13(9):1153–1157. https://doi.org/10.1016/j.sleep.2012.06.008
Çakmak B, Metin ZF, Karataş M, Özsoy Z, Demirtürk F (2014) Restless leg syndrome in pregnancy. Perinatol J 22:1–5
Sikandar R, Khealani BA, Wasay M (2009) Predictors of restless legs syndrome in pregnancy: a hospital based cross sectional survey from Pakistan. Sleep Med 10(6):676–678. https://doi.org/10.1016/j.sleep.2008.06.011
İslamoğulları S, Öztürk A, Mazicioğlu MM, Serin S, Gültekin M, Aksu M (2010) Restless legs syndrome and pregnancy in Kayseri, Turkey: a hospital based survey. Sleep Biol Rhythms 8(2):137–143. https://doi.org/10.1111/j.1479-8425.2010.00437.x
Dunietz GL, Lisabeth LD, Shedden K, Shamim-Uzzaman QA, Bullough AS, Chames MC et al (2017) Restless legs syndrome and sleep-wake disturbances in pregnancy. J Clin Sleep Med 13(07):863–870. https://doi.org/10.5664/jcsm.6654
Abetz L, Allen R, Follet A, Washburn T, Earley C, Kirsch J et al (2004) Evaluating the quality of life of patients with restless legs syndrome. Clin Ther 26(6):925–935. https://doi.org/10.1016/S0149-2918(04)90136-1
Balendran J, Champıon D, Jaanıste T, Welsh A (2011) A common sleep disorder in pregnancy: restless legs syndrome and its predictors. Aust N Z J Obstet Gynaecol 51(3):262–264. https://doi.org/10.1111/j.1479-828X.2011.01294.x
Köybaşı EŞ (2013) The effect of pregnancy on sleep quality. Institute of Health Sciences, Nursing of Obstetrics and Gynecology Department, Master Thesis, İstanbul: Istanbul University
Tunç T, Karadağ YS, Doğulu F, İnan L (2007) Predisposing factors of restless legs syndrome in pregnancy. Mov Disord 22(5):627–631. https://doi.org/10.1002/mds.21291
Taşkıran N (2011) Pregnancy and sleep quality. Turk Gynecol Obstet Assoc J 8:239–245
Pınar ŞE, Arslan Ş, Polat K, Çiftçi D, Cesur B, Dağlar G (2014) Investigation of the relationship between sleep quality and perceived stress in pregnancies. Dokuz Eylül Univ Sch Nurs Electron J 7:171–177
Hauri PJ (1991) Sleep hygiene, relaxation therapy, and cognitive intervention in case studies in ınsomnia. Plenum, New York, pp 65–84 https://link.springer.com/book/10.1007/978-1-4757-9586-8. Access date 01.06.2017
Stephanski EJ, Wyatt JK (2003) Use of sleep hygiene in the treatment on insomnia. Sleep Med Rev 7(3):215–223. https://doi.org/10.1053/smrv.2001.0246
Burman D (2017) Sleep disorders: restless legs syndrome. FP Essentials 460:29–32
Chokroverty S (2003) Editor’s corner: restless legs syndrome, a common disease uncommonly diagnosed. Sleep Med 4(2):91–93. https://doi.org/10.1016/S1389-9457(03)00008-X
Allen RP, Picchietti D, Hening WA, Trenkwalder C, Walters AS, Montplaisi J, Restless Legs Syndrome Diagnosis and Epidemiology workshop at the National Institutes of Health, International Restless Legs Syndrome Study Group (2003) Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology: a report from the restless legs syndrome diagnosis and epidemiology workshop at the National Institutes of Health. Sleep Med 4(2):101–119. https://doi.org/10.1016/S1389-9457(03)00010-8
Gorman ML, Sultan FD, Raines LM (1996) The patient with sleep disturbances in Davis’s manual of psychosocial in general patient care. F.A. Davis Company, Philadelphia, pp 498–511
Taşkıran N (2009) Evaluation of sleep quality in pregnancies. Institute of Health Sciences, Nursing of Obstetrics and Gynecology Department, Master Thesis Afyonkarahisar: Afyonkarahisar Kocatepe University
Dişsiz M (2015) Pregnancy and nursing approach. In: Beji NK (ed) Women’s health and diseases, 1. Press. İstanbul. Nobel Tıp Kitabevi 250-299
Ağargün MY, Kara H, Anlar O (1996) Reliability and validity of pittsburgh sleep quality ındex. Turk Psychiatry J 7:107–111
Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ (1991) The Pittsburgh Sleep Quality Index: a new instrument for psychiatric research. Psychiatry Res 28:193–213
Çoban A, Yanıkkerem E (2010) Sleep quality and fatigue level in pregnancies. Ege J Med 49:87–94
Ko SH, Chang SC, Chen CH (2010) A comparative study of sleep quality between pregnant and nonpregnant Taiwanese women. Image J Nurs Sch 42(1):23–30. https://doi.org/10.1111/j.1547-5069.2009.01326.x
Özkan Z (2012) The effect of sleep quality in pregnancy on birth pain, Health Sciences Institute, Department of Midwifery, Master thesis, İstanbul: İstanbul University
Gupta R, Dhyani M, Kendzerska T, Pandi-Perumal SR, BaHammam AS, Srivanitchapoom P, Pandey S, Hallett M (2016) Restless legs syndrome and pregnancy: prevalence, possible pathophysiological mechanisms and treatment. Acta Neurol Scand 133(5):320–329. https://doi.org/10.1111/ane.12520
Bilgilisoy Filiz M, Çakır T (2015) Restless leg syndrome with current diagnosis criteria. Türk Osteoporoz Derg 21(2):87–95. https://doi.org/10.4274/tod.71601
Yıldız FT (2012) The effect of sleep hygiene training on sleep quality of the patients before and after coronary intensive care. Health Sciences Institute, Department of Nursing, Master thesis, Sivas: Cumhuriyet University
Duman M (2016) Effect of sleep hygiene training and relaxation exercise given to postmenopausal women on sleep quality. Health Sciences Institute, Department of Nursing. Doctorate thesis Malatya: İnönü University
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The authors declare that they have no conflict of interest.
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Institutional review board approval was obtained from the research ethics committee of İnönü University. Research complies with the Declaration of Helsinki.
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Informed consent was obtained from all the women who participated in the study.
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The research was accepted as a Master Thesis by the institute of health sciences at Inönü University in June 2017 with the name of “Effects of sleep hygiene training given to pregnant women with restless leg syndrome on their sleep quality.”
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Sönmez, A., Aksoy Derya, Y. Effects of sleep hygiene training given to pregnant women with restless leg syndrome on their sleep quality. Sleep Breath 22, 527–535 (2018). https://doi.org/10.1007/s11325-018-1619-5
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DOI: https://doi.org/10.1007/s11325-018-1619-5