Evaluation of sleep pattern in medicine students in Caicó-RN: PBL curriculum and rural habits
Sleep patter; Students; Chronotype; Sleep quality; Excessive daytime somnolence; Problem based learnin
The biological rhythmicity is of fundamental importance for a species survival, for it promotes and assists the adequacy of its physiological processes. The biological rhythm has endogeneity being, normally, different from the environmental cycle period in which it can be synchronized. Therefore, the term circadian arouse, in latin circa e diem, (around) to characterize rhythms with endogenous periods around 24 hours. The most evident circadian rhythm in human species and also the most researched, liable of synchronization to the light-dark geophysics cycle and the social cycles, is the sleep-wake cycle (CSV). Regular work, school and feeding shifts, as well as other social activities, are examples of CSV synchronizers. The sleep has an important role in restoration of physiological and biochemical processes, in memory consolidation and energetic balance maintenance. In adolescence, it is observed a shorter duration of sleep compared to childhood, and occurrence of delay in sleeping and waking hours. Besides, the hours of sleep can be modified by the influence of exogenous factors, as example, the increase of hours at school and extracurricular activities, which may depend on the methodology used on the academic formation, yet existing the influence of the headquarters’ cultural and social habits. Knowing that among the graduation courses, the PBL medicine course has a course curriculum with a high demand and responsibility differential for the student, the presented study aimed to evaluate the sleep pattern, sleep quality and presence of excessive daytime somnolence in medicine students with PBL curriculum in a city with rural habits (Caicó-RN). For this evaluation 3 self-applicable questionnaires were used, (1) Munich, to evaluate the sleep pattern; (2) Pittsburgh Questionnaire (PSQI), to evaluate the sleep quality (QS); and (3) Epworth Questionnaire, to quantify daytime excessive somnolence (SED). This study was approved by the Ethics Committee/FACISA/UFRN (Nº 2.017.993). Participated on this study 117 (♂:55.0%:♀ 45.0%) EMCM-RN medicine graduation students, of 3 academic terms (2º, 4º and 6º) voluntarily and through TCLE signature. The preliminary results pointed out that most of the students presented a morning chronotype (morning: 43.2%; intermediate 32.4%; afternoon 22.5%). During week days, the students presented a shorter sleep duration (< 4h: 9%; 4h to 6h: 35.1%; 6h to 8h: 55.0%), whereas on weekends the pattern changes (< 4h: 2.7%; 4h to 6h: 1.8%; 6h to 8h: 61.3%; > 8h: 33.2%). The sleep quality was shown as bad in 88.1% of the samples (global score: 8.8 + 2.9 points), and the SED is manifested in nearly 54.7% of the students (global score: 10.89 + 3.7 points). It was possible to observe that QS is lower, while the SED is higher on initial academic terms (ANOVA; p < 0,05). From this study, unseen with this sample, it was possible to observe that the EMCM students of medicine, mostly, teens or newly-graduates, do not show the afternoon or intermediate chronotype, more common in this age, which may be an influence of rural habits observed in the city where EMCM is inserted, and still, the great impact of medical formation with the PBL methodology, when it comes to the sleep-wake cycle expression, with bad sleep quality and excessive daytime somnolence high indexes, manifested in most of the students, notably in initial terms of the course.