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ISSN: 1734-4948
Advances in Rehabilitation
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4/2021
vol. 35
 
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abstract:

Sleep disturbances and functional independence improvement in a population of individuals hospitalized in intensive rehabilitation units: observational study

Giovanni Galeoto
1, 2
,
Anna Berardi
1
,
Maria Letizia Grassi
3
,
Alessia Scialpi
3
,
Donatella Valente
1
,
Marco Tofani
4
,
Marco Paoloni
5

  1. Department Human Neurosciences, Sapienza University of Rome, Rome, Italy
  2. IRCSS Neuromed, Pozzilli, IS, Molise, Italy
  3. Sapienza University of Rome, Italy
  4. Department of Public Health and Infection disease, Sapienza University of Rome, Italy
  5. Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, Rome, Italy
Advances in Rehabilitation, 2021, 35(4), 17–24
DOI: https://doi.org/10.5114/areh.2021.110001
Online publish date: 2021/10/15
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Introduction
Quality of sleep in hospitals is an important issue, especially for rehabilitation patients. The aim of this study was to evaluate the development of sleep disturbances in a population of individuals hospitalized in intensive rehabilitation units and to investigate relationship with functional independence.

Material and methods
The sample was evaluated with the General Sleep Disturbance Scale (GSDS-IT) and Bartel Index (IcaBI) three times: at admission (t0), seven days after admission (t1), and 25 days after admission (t2). The variation in sleep quality between t0-t1-t2 was calculated by performing a paired samples t-test between the scores’ averages. A comparison of the functional independence level evaluated thorugh IcaBI of subjects with and without sleep disorders according to GSDS-IT cut-off points was performed via an independent samples t-test between the averages of the scores obtained on the IcaBI at times t0 and t2.

Results
138 individuals were included in the study, 77 of whom completed the evaluations at t2. Comparison of the mean scores on the GSDS-IT showed a statistically significant worsening of the quality of sleep between t0-t1-t2. Comparison of the mean scores on the IcaBI showed a statistically significant improvement in functional independence between t0-t1-t2. The results showed no significant difference between those with or without sleep disorders in terms of improvement of IcaBI scores after 25 days of hospitalization.

Conclusions
This study represent a starting point in highlighting the development of sleep disturbances during hospitalization in rehabilitation units, raising awareness about the importance of adequate sleep among vulnerable hospital population.

keywords:

hospitalization, rehabilitation, sleep disorder










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3 days to initial verification (Median)

25 days from submission to first decision (Median)
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