Mother's Perception of Sleep Quality and Related Factors in Toddlers Admitted to a Pediatric Medical Ward: A Cross-Sectional Analytical Study.

Introduction: Hospitalization can cause severe disruption in sleep. This study aimed to assess mother's perception of sleep quality and related factors in hospitalized toddlers. . Methods: A cross-sectional analytical study was carried out among 384 mothers of toddlers in pediatric medical ward. Convenience sampling technique was used to enrol the mothers of toddlers who met the inclusion criteria. Socio-demographic and clinical characteristics of the toddlers were collected from the mothers by interviewing them and also from medical record. Mother's perception of sleep quality and related factors were assessed through Karolinska sleepiness scale (KSS) and Potential hospital sleep disruption and noises questionnaire (PHSDNQ) respectively. Data were analysed using frequency, percentage, chi-square test, spearman's rank correlation and multiple regression with SPSS software version 20. Results: Mother's perception of sleep quality in toddlers showed that 98.2% had poor sleep. Related factors were: 96.1% by nurse physician interruption, 93.0% by cleaning staff interruption, 89.1% by administration of medications, 86.7% by checking vital signs, 85.2% by noises, 79.7% by pain, 75.8% by feeling anxious, 75.0% by disturbance created by neighbouring child, 70.1% by alarms on equipment, 59.9% by staffs conversation, 52.6% by lighting in a hallway (or) room, 25.5% by drawing blood (or) other test, 20.3% by room temperature (warm/cold), 11.7% by continuous pulse oximetry, and 8.6% by poor ventilation. Age of the mother, type of respiratory support and duration of intravenous line days had relationship with sleep quality significantly. Conclusion: Mother's perception of sleep quality of toddlers revealed that 98.2% had poor sleep.