Background: Disturbed sleep is frequently reported by patients with cirrhosis attending outpatient clinics, but its prevalence, determinants, and consequences are not well understood.
Aim:: To prospectively assess the prevalence of disturbed sleepin patients with cirrhosis.
Materials and Methods: Consecutive patients with cirrhosis attending the liver clinics between June 2021 and December 2021 were invited to participate. They completed the questionnaire to assess sleep quality using the Pittsburgh Sleep Quality Index (PSQI) and daytime sleepiness using the Epworth sleepiness scale (ESS). Poor sleep according to the PSQI instrument is defined as PSQI>5. Daytime sleepiness is said to be present for the ESS score>8. The characteristics of sleep in cirrhotic patients were assessed using a sleep questionnaire. The results were compared with those of healthy subjects. The presence of subclinical hepatic encephalopathy and individual's affective state were also analyzed.
Results: The questionnaire indicated an elevated number of cirrhotic patients (80%) who complained of unsatisfactory sleep compared with healthy subjects (10%, P value < 0.01). The sleep disturbance in cirrhosis was not associated with clinical parameters nor with cognitive impairment.
Conclusion: Disturbed sleep is highly prevalent in ambulatory cirrhotic patients, and it is independently associated with poor quality of life. Further studies are needed for better understanding of the pathogenesis of poor sleep and its management strategies in this population.
Suganthi V (2019) “Introduction and Implementation of OSPE as a Tool for Assessment & Teaching/Learning in Physiology” National Journal of Basic Medical Sciences | Volume 9 | Issue 3 | 2019 p 138-142.
Seyed Ali, Mard Samireh Ghafouri” Objective Structured Practical Examination in Experimental Physiology Increased Satisfaction of Medical Students” Advances in Medical Education and Practice 2020:11651-659.
Revathi M. “Student's perception of objective structured practical examination versus traditional practical examinations for hematology physiology practice Is” National Journal of Physiology, Pharmacy and Pharmacology 2019 | Vol 9 | Issue 9 p912-916.
Farkhanda Jabeen et. al., “Objective Structured Practical Examination (OSPE), As A Tool For The Assessment Of Practical Skills Of Undergraduate M.B.B.S Students” JUMDC Vol. 7, Issue 2, April-June 2016 pl-6.
Hasan S, “Conventional/Traditional Practical Examination (Cpe/Tdpe) Versus Objective Structured Practical Evaluation (OSPE)/Semi Objective Structured Practical Evaluation (SOSPE)” Pak J Physiol 2009;5(l) p58-64.
Radhika Gujjala, “Perceptions of the introduction of objective structured practical examination (OSPE)/objective Structured clinical examination (OSCE)”: A pilot study carried out in Government Medical College, Ananthapuramu, Andhra Pradesh, India Journal of Dr. NTR University of Health Sciences 2015;4(3)pl45-149.
Prerana P, Bhinganiya et.al., “Hematology OSPE In the First Year MBBS Curriculum-A Feasibility and Acceptability Study” NJIRM 2015; Vol. 6(5) Sept-Oct, p71-75.
Mamatha SD et.al., - “First Year MBBS Student's Perception of Objective Structured Clinical Examination and Objective Structured Practical Examination” Indian J Physiol Pharmacol 2017; 61(4): 440-444.
Pinaki Wani, Vrinda Dalvi “Objective structured practical examination vs. Traditional clinical examination in human Physiology: student's perception” International Journal of Medical Science and Public Health | 2013 | Vol 2(3):543-547.
Fasna KA, Neenu V “Objective structured practical examination as an assessment tool in physiology”. J. Evid. Basic medi: Health c2017;4(43):2630-2632.