1.CORRECTED] SLEEP QUALITY, SLEEP HYGIENE PRACTICES AND THEIR INFLUENCING FACTORS AMONG MALAYSIAN UNIVERSITY STUDENTS: A CROSS-SECTIONAL STU
Lakshme Shree Vijayan ; Sharranesh Raja ; Yeoh Yong Khang ; Arvinder-Singh Harbaksh Singh
Malaysian Family Physician 2025;20(1):1-11
[CORRECTED] SLEEP QUALITY, SLEEP HYGIENE PRACTICES AND THEIR INFLUENCING FACTORS AMONG MALAYSIAN UNIVERSITY STUDENTS: A CROSS-SECTIONAL STUDY
Introduction: Sleep quality refers to the subjective experience of sleep, encompassing aspects such as duration, depth and continuity. In contrast, sleep hygiene practices involve behaviours and habits conducive to healthy sleep patterns. This study aimed to explore the prevalence of good sleep quality and hygiene and the factors that affect good sleep hygiene and quality.
Methods: A cross-sectional study was conducted among 384 Malaysian university students sampled from October to December 2023 using a validated self-administered questionnaire that included the Pittsburgh Sleep Quality Index (PSQI) and Sleep Hygiene Index (SHI). The PSQI and SHI were used to measure sleep quality and hygiene, respectively. Data was analysed using SPSS v26.
Results: Approximately 94.0% (95% Confidence Interval (CI)=91.0–96.1) of the participants had good/normal sleep hygiene, while 60.2% (95% CI=55.1–65.1) had poor sleep quality. The multivariate binary logistic regression analysis showed that the participants who had good sleep hygiene had a 4.36-fold (95% CI=1.26–15.17, P=0.02) higher odds of having good sleep quality. Conversely, ethnicity (high odds ratio, P<0.001) and sleep hygiene were associated with a 4.22-fold (95% CI=1.19–14.95, P=0.03) higher odds of good sleep quality.
Conclusion: Malaysian university students have a high prevalence of good sleep hygiene, but many have poor sleep quality. Although sleep hygiene may be directly affected by sleep quality, sleep quality can be affected by sleep hygiene and ethnicity.
2.Knowledge and attitude of nurses towards diabetic foot care in a secondary health care centre in Malaysia
Ng Bing Wu ; Muhammad Hanif bin Azman ; Muhammad Shazreen bin Sukr ; Arvinder Singh A/L Harbaksh Singh ; Abdul Muttalib bin Abdul Wahid
The Medical Journal of Malaysia 2020;75(4):391-395
Introduction: Nurses play a vital role in the care and
prevention of ulcers in patients with diabetic foot. Patient
education, prevention of ulcers and rehabilitation are some of
the vital aspects that nurses provide on a daily basis. Thus,
good knowledge and attitude of nurses towards diabetic foot
ulcers and its care will ensure better patient care.
Objectives: The aim is to study the level of knowledge and
attitude of nurses towards diabetic foot ulcers and its care in
Hospital Segamat, Malaysia.
Methods: A validated questionnaire was used between
February 2019 to May 2019 covering area such as demography,
predisposing factors of ulcer formation, characteristics of
ulcers, complications of ulcers, and attitude towards diabetic
foot care.
Results: A total of 101 nurses took part and 57% of the
participants scored poorly in the knowledge section of the
questionnaire. In all 72% had scored poorly when asked
regarding complications of diabetic foot ulcers; 49.5% of the
nurses had positive attitude towards diabetic foot care; and
79.3% thought that care for diabetic foot ulcer is timeconsuming. Majority of them think that their colleagues are the
main source of information. All demographic variables were
deemed to be confounders with the knowledge and attitude of
nurses towards diabetic foot ulcers and its care. Conclusions:
Nurses in this centre had poor knowledge towards diabetic foot
ulcers and its care. None of the variable studied were
correlated with the level know knowledge. Good or poor
knowledge of nurses does not correspond equally to good or
poor attitude towards diabetic foot ulcers care. More frequent
formal training of diabetic foot care would be needed to ensure
better knowledge.

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