Evidence map›Paper›PMID 42669835›Full record

Observational studyWorldviews on evidence-based nursing2026

The Influence of Hospitalization and Nursing Interventions on Inpatients' Sleep Quality: A Multicenter Observational Study.

Filip Bellon, Adriano Targa, Isabel Perez-Loza, Eva Abad-Corpa, Esther Rubinat-Arnaldo, María Isabel Orts-Cortés, Montserrat Gea-Sánchez

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Worldviews on evidence-based nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Filip BellonGESEC Group, Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Lleida, Lleida, Spain.ORCID https://orcid.org/0000-0003-4880-9207
Adriano TargaTranslational Research in Respiratory Medicine, Biomedical Research Institute of Lleida (IRBLleida), Hospital Universitari Arnau de Vilanova-Santa Maria, Lleida, Spain.
Isabel Perez-LozaCritical Care Cardiology Unit, IDIVAL Nursing Research Group, Venia Docendi UC, Marqués de Valdecilla University Hospital, Santander, Spain.
Eva Abad-CorpaUniversity of Murcia-Murcia Health Service (IMIB-Arrixaca), Murcia, Spain.
Esther Rubinat-ArnaldoGESEC Group, Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Lleida, Lleida, Spain.
María Isabel Orts-CortésInstitute of Health Carlos III, Nursing and Healthcare Research Unit (Investén-isciii), Madrid, Spain.ORCID https://orcid.org/0000-0002-1504-575X
Montserrat Gea-SánchezGESEC Group, Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Lleida, Lleida, Spain.ORCID https://orcid.org/0000-0001-5143-3314

Funding

European Union ERDFFondo Social Europeo Plus (FSE+)Instituto de Salud Carlos III CP23/00095Instituto de Salud Carlos III PI18/00732Instituto de Salud Carlos III PI18/00743Instituto de Salud Carlos III PI18CIII/0012Jade PlusLa Caixa Bank FoundationUniversity of Lleida
6 · The paper itself

Abstract

backgroundSleep quality is a critical component of health and recovery, yet it remains a significant challenge during hospitalization. Poor sleep among inpatients is common and worsens throughout hospital stays, adversely affecting health outcomes and patient wellbeing. Despite its importance, sleep often receives limited attention within hospital policies and nursing practices.

aimTo evaluate the impact of hospitalization and night-time nursing interventions on the sleep quality of noncritical patients in Spanish public hospitals.

methodsAn observational, multicenter study was conducted across 12 public hospitals. Data were collected from patients admitted to surgical and medical units between January 2020 and February 2022. Sleep quality was assessed using the Pittsburgh Sleep Quality Index at hospital admission and discharge. Night-time nursing interventions (including medication administration, vital signs monitoring, blood sample collection, and anxiety management interventions), sociodemographic, anthropometric, clinical variables, and self-reported disturbances were also recorded. Statistical analyses included descriptive statistics and linear regression models adjusted for potential confounding factors.

resultsThe study included 383 patients. Most patients (71%) presented poor sleep quality upon admission, which worsened during hospitalization (85.9%). A significant association was found between the number of intervention days and poorer sleep quality. Collection of blood samples was significantly associated with worsened sleep quality in female patients, while anxiety management was associated with lower sleep quality in males. Discomfort with roommates and night-time nursing interventions were also related to worse sleep quality. LINKING EVIDENCE TO ACTION: Hospitalization exacerbates poor sleep quality in noncritical patients. Night-time nursing interventions, discomfort with the hospital environment, and anxiety management are key factors. Interventions addressing these modifiable factors could improve patients' sleep quality and recovery. Hospital policies should incorporate sleep as a key quality indicator, promoting strategies to reduce unnecessary night-time interventions and environmental disturbances. Nursing education must emphasize sleep-friendly care practices and appropriate planning of night-time activities.

Indexed as

HospitalizationInpatientsSleep QualityAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedSpainhospitalizationnursingsleepsleep deprivation

Identifiers

PMID42669835
PMCPMC13526904

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.