Sleep management protocol to improve screening and management of sleep disorders among HIV population
Sleep management protocol to improve screening and management of sleep disorders among HIV population

Summary/Abstract: Background: Sleep problems among individuals living with HIV is a major challenge that needs to be addressed. Objectives: To implement a quality improvement project and develop an evidence based clinic-specific protocol to improve management of sleep disorders among individuals living with HIV served at a local Community Health center. Methods: Using Pittsburg Sleep Quality Indicator (PSQI) and Insomnia Sleep Index (ISI) questionnaires, individuals living with HIV were assessed for presence of insomnia at baseline and one month after implementation of sleep habit teaching. Results: A total of 13 individuals living with HIV agreed to participate in the project. The participants in this quality improvement project suffered from sleep disorder as indicated by a mean of 16.40 in the initial ISI and a PSQI score of 9.53 which signified poor sleep quality. A paired-samples t test was calculated to compare the mean initial ISI/PSQI scores to the mean final ISI/PSQI scores. A significant decrease from the initial to final PSQI was found (t (12) = 3.454, p = .005), indicating improvement to sleep symptoms. Discussion: One month of clinical interventions among HIV patients indicated that the insomnia was a significant problem as demonstrated by the ISI and PSQI measurements. The results demonstrated unequivocally success. The results are attributable to the patient’s motivation to get better, their increased compliance to care, and the staff dedication in educating the patients on sleeping hygiene.

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