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

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

Open Access
|Oct 2021

Figures & Tables

Fig. 1.

Flowchart of recruitment and inclusion of participants

Demographic characteristics of the 138 participants at admission to the intensive rehabilitation unit

All sample N = 138Without sleep disturbance* N = 74With sleep disturbance* N = 64p
Mean age ± SD70.4 ± 12.4170.1 ± 14.1270.7 ± 10.180.80
Females number (%)47 (34.1)46 (62.2)46 (71.9)0.93
Occupation number (%)
Employee26 (18.8)16 (21.6)10 (15.6)
Private job12 (8.7)6 (8.1)6 (9.4)
Retired100 (72.5)52 (70.3)48 (75)
Family number (%)
Married76 (55.1)35 (47.3)41 (64.1)
Single33 (23.9)23 (31.1)10 (15.6)
Widow29 (21)16 (21.6)13 (20.3)
Barthel Index mean ± SD40.2 ± 5.940.19 ± 5.840.22 ± 60.97

Difference of Barthel index score between t0 (admission to the intensive rehabilitation unit) and t2 (25 days after admission) assessed through t-test for paired samples_ Differences at t2 between subsamples of people with or without sleep disturbance assessed through t-test for independent samples

All sample (77) T0 mean ± SDAll sample (77) T2PWithout sleep disturbance* (14) T2With sleep disturbance* (63) T2P
Feeding9.65 ± 0.8910 ± 0<0.00110 ± 010 ± 0
Bathing0.78 ± 1.204.35 ± 1.13<0.0014.56 ± 0.164.30 ± 0.160.404
Grooming1.47 ± 1.104.88 ± 0.56<0.0014.88 ± 0.134.89 ± 0.070.949
Dressing3.16 ± 1.698.82 ± 2.00<0.0019.44 ± 0.348.66 ± 0.270.167
Bowel9.60 ± 1.219.95 ± 0.32<0.0110 ± 09.93 ± 0.050.470
Bladder8.81 ± 2.369.74 ± 1.04<0.00110 ± 09.670.266
Toilet use1.84 ± 2.019.49 ± 1.92<0.0019.38 ± 0.639.520.784
Transfer3.12 ± 1.7014.36 ± 2.50<0.00114.25 ± 0.7514.390.838
Mobility0.35 ± 0.9713.47 ± 3.93<0.00113.63 ± 0.8513.430.858
Stairs0.04 ± 0.344.97 ± 4.30<0.0014.38 ± 1.045.130.535
Wheelchair use1.12 ± 1.362.70 ± 2.49<0.0011.56 ± 0.602.950.046

Total39.87 ± 5.8192.70 ± 13.50<0.00192.06 ± 3.1492.870.833

Comparison between the averages of scores on the GSDS-IT in the total score as well as in the scores of all sub-scales between times t0 and t2

GSDSAll sample (77) T0 mean ± SDAll sample (77) T1 mean ± SDAll sample (77) T2p t0-t2
Initial insomnia1.78 ± 2.753.83 ± 3.243.65 ± 3.26<0.001
Maintenance insomnia3.06 ± 2.514.65 ± 2.225.13 ± 2.14<0.001
Quality of sleep0.46 ± 1.762.05 ± 2.071.81 ± 2.06<0.001
Quantity of sleep1.12 ± 1.541.97 ± 1.701.82 ± 1.69<0.01
Daytime functionality2.50 ± 1.022.75 ± 1.352.62 ± 1.170.488
Use of substances that help induce sleep0.30 ± 0.600.87 ± 0.800.73 ± 0.76<0.001

Total39.07 ± 12.0953.48 ± 15.7149.86 ± 13.30<0.001

Difference of Barthel index score between t0 (admission to the intensive rehabilitation unit) and t1 (7 days after admission) assessed through t-test for paired samples_ Differences at t2 between subsamples of people with or without sleep disturbance assessed through t-test for independent samples

All sample (138) T0 mean ± SDAll sample (138) T1 mean ± SDPWithout sleep disturbance* (28) T1 mean ± SDWith sleep disturbance* T1 (110) mean ± SDp
Feeding9.43 ± 1.559.78 ± 0.85<0.0110 ± 09.72 ±0.950.12
Bathing0.82 ± 1.093.57 ± 1.59<0.0013.82 ± 1.633.50 ± 1.580.34
Grooming1.55 ± 1.084.68 ± 1.01<0.0014.64 ± 1.104.69 ± 0.990.82
Dressing3.38 ± 1.767.62 ± 2.57<0.0017.54 ± 2.507.65 ± 2.590.84
Bowel9.53 ± 1.259.64 ± 1.410.529.50 ± 1.939.67 ± 1.250.56
Bladder8.61 ± 2.589.33 ± 1.95<0.018.86 ± 3.159.45 ± 1.500.15
Toilet use1.98 ± 1.908 ± 3.56<0.0017.86 ± 3.558.04 ± 3.580.81
Transfer3.25 ± 1.7812.38 ± 4.50<0.00112.57 ± 4.1112.33 ± 4.600.80
Mobility0.60 ± 1.349.36 ± 6.39<0.0018.46 ± 6.839.59 ± 6.280.41
Stairs0.04 ± 0.301.51 ± 3.19<0.0010.71 ± 1.961.71 ± 3.410.14
Wheelchair use1.14 ± 1.470.80 ± 1.800.100.89 ± 1.950.77 ± 1.770.75

Total40.31 ± 5.8876.66 ± 19.15<0.00174.86 ± 18.1777.12 ± 19.450.58
Language: English
Page range: 17 - 24
Submitted on: Jun 22, 2021
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Accepted on: Oct 13, 2021
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Published on: Oct 15, 2021
In partnership with: Paradigm Publishing Services

© 2021 Giovanni Galeoto, Anna Berardi, Maria Letizia Grassi, Alessia Scialpi, Donatella Valente, Marco Tofani, Marco Paoloni, published by University of Physical Education in Warsaw
This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License.