Evaluation of quality of life, sleep, and sleepiness in dental students during active learning and remote emergency learning

Main Article Content

François Isnaldo Dias Caldeira
https://orcid.org/0000-0002-4688-2059
Isabela Cristina Silva Dias
Jaqueline Tribucci Zamariolli
Kellen Cristina da Silva Gasque
https://orcid.org/0000-0003-2015-2717
Ana Letícia Magalhães Teixeira
Rodrigo Alvitos
Larissa Santana Rodriguez

Abstract

Objective: This study aimed to evaluate the quality of life (QoL), quality of sleep, and sleepiness index in undergraduate dentistry students between their active learning (AL) and emergency remote learning (ERL) due to social distancing imposed during the COVID-19 pandemic. Methods: Information was collected using the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36-BR), Epworth Sleepiness Scale (ESS-BR), and Pittsburgh Sleep Quality Index (PSQI-BR) questionnaires administered before and during the COVID-19 pandemic. A comparison regarding the type of education, demographic factors, academic performance, PSQI-BR, ESS-BR, and SF-36-BR between the groups was performed, considering a significance level of 0.05. Results: A total of 55 students were from AL, while 45 students were from ERL. The sample consisted of 74 women and 26 men aged 21–30 years. The academic coefficient of these students ranged from 7 to 8 points (AL= 38.2% and ERL= 57.8%).  In addition, a large proportion of the students reported having no failures (AL=60% and ERL= 66.7%). Regarding QoL, the students presented a greater impairment in functional capacity (p = 0.01), followed by limitations in social aspects, general health perception, body pain, and vitality. According to the ESS-BR scores (p = 0.04), the students presented a lower quality of sleep. Conclusion: Dentistry students had the worst QoL panoramas and poor relative sleep quality before and during the COVID-19 pandemic. Furthermore, QoL instruments were reliable for quantifying health-related QoL in AL and ERL. 



Article Details

How to Cite
1.
Caldeira FID, Dias ICS, Zamariolli JT, Gasque KC da S, Teixeira ALM, Alvitos R, Rodriguez LS. Evaluation of quality of life, sleep, and sleepiness in dental students during active learning and remote emergency learning. Health Sci J [Internet]. 2023Sep.17 [cited 2024May10];13(3):17-2. Available from: https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1387
Section
ORIGINAL ARTICLE
Author Biographies

François Isnaldo Dias Caldeira, Department of Clinical and Surgical, School of Dentistry Araraquara

MSc in Periodontology, School of Dentistry Araraquara (FOAr/UNESP).

Isabela Cristina Silva Dias, Dentistry school, Federal University of Alfenas (FOA/UNIFAL-MG)

Dental Surgeon, Alfenas School of Dentistry (FOA/UNIFAL-MG).

Jaqueline Tribucci Zamariolli, Dentistry school, Federal University of Alfenas (FOA/UNIFAL-MG)

Dental Surgeon, Alfenas School of Dentistry (FOA/UNIFAL-MG).

Kellen Cristina da Silva Gasque, Regional Board of Brasilia, Oswaldo Cruz Foundation (FIOCRUZ-DF)

PhD in Dentistry from School of Dentistry Bauru/USP.

Ana Letícia Magalhães Teixeira, Dentistry school, Federal University of Alfenas (FOA/UNIFAL-MG)

Dental Surgeon, Alfenas School of Dentistry (FOA/UNIFAL-MG).

Larissa Santana Rodriguez, Dentistry school, Federal University of Alfenas (FOA/UNIFAL-MG)

PhD in Dentistry from School of Dentistry Araraquara (FOAr/UNESP).

References

1. Gusso HL, Archer AB, Luiz FB, Sahão FT, Luca GGd, Henklain MHO, et al. Higher Education in Pandemic Times: Guidelines for University Management. Educ Soc. 2020;41:e238957. https://doi.org/10.1590/es.238957
2. Landa N, Zhou S, Marongwe N. Education in emergencies: Lessons from COVID-19 in South Africa. Int Rev Educ. 2021;67(1-2):167-83. https://doi.org/10.1007/s11159-021-09903-z
3. Birks Y, McKendree J, Watt I. Emotional intelligence and perceived stress in healthcare students: a multi-institutional, multi-professional survey. BMC Med Educ. 2009;9:61. https://doi.org/10.1186/1472-6920-9-61
4. Divaris K, Mafla AC, Villa-Torres L, Sánchez-Molina M, Gallego-Gómez CL, Vélez-Jaramillo LF, et al. Psychological distress and its correlates among dental students: a survey of 17 Colombian dental schools. BMC Med Educ. 2013;13:91. https://doi.org/10.1186/1472-6920-13-91
5. Elani HW, Bedos C, Allison PJ. Sources of stress in Canadian dental students: a prospective mixed methods study. J Dent Educ. 2013;77(11):1488-97. https://doi.org/10.1002/j.0022-0337.2013.77.11.tb05625.x
6. Alzahem AM, van der Molen HT, Alaujan AH, Schmidt HG, Zamakhshary MH. Stress amongst dental students: a systematic review. Eur J Dent Educ. 2011;15(1):8-18. https://doi.org/10.1111/j.1600-0579.2010.00640.x
7. Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL Group. Psychol Med. 1998;28(3):551-8: https://doi.org/10.1017/S0033291798006667
8. Lin LC, Yao G. Validation of the factor structure of the WHOQOL-BREF using meta-analysis of exploration factor analysis and social network analysis. Psychol Ass. 2022;34(7):660-70. https://doi.org/10.1037/pas0001122
9. Araújo MFM. Sleep quality in college students and its interface with metabolic syndrome and health indicators. Text Context Nursing. 2015;24(2):505-12. https://doi.org/10.1590/0104-07072015002652014
10. Araújo M, Lima S, Alencar PG, de Araújo M, Fragoaso LC, Damasceno C. Sleep quality assessment in colledge students from Fortaleza-CE. Text Context Nursing. 2013, 22(2):352-60. https://doi.org/10.1590/S0104-07072013000200011
11. Paudel K, Adhikari TB, Khanal P, Bhatta R, Paudel R, Bhusal S, et al. Sleep quality and its correlates among undergraduate medical students in Nepal: A cross-sectional study. PLOS Glob Public Health. 2022;2(2):e0000012. https://doi.org/10.1371/journal.pgph.0000012
12. Caldeira FID, Cardoso B, Carvalho LS, Batista Ferreira E, Pigossi SC, Rodriguez LS. Perception of health-related quality of life, sleep quality and sleepiness index in an educational environment at a dental school in Southeast Brazil. Eur J Dent Educ. 2022;26(4):794-800. https://doi.org/10.1111/eje.12762
13. Cuschieri S. The STROBE guidelines. Saudi. J Anaesth. 2019;13(Suppl 1):S31-4. https://doi.org/10.4103/sja.SJA_543_18
14. Chmura Kraemer H, Periyakoil VS, Noda A. Kappa coefficients in medical research. Stat Med. 2002;21(14):2109-29. https://doi.org/10.1002/sim.1180
15. Stewart M. The Medical Outcomes Study 36-item short-form health survey (SF-36). Aust J Physiother. 2007;53(3):208. https://doi.org/10.1016/S0004-9514(07)70033-8
16. Campolina AG, Bortoluzzo AB, Ferraz MB, Ciconelli RM. Validation of the Brazilian version of the generic six-dimensional short form quality of life questionnaire (SF-6D Brazil). Cien Saude Colet. 2007;53(3):208. https://doi.org/10.1016/S0004-9514(07)70033-8
17. Buysse DJ, Reynolds CF, 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213. https://doi.org/10.1016/0165-1781(89)90047-4
18. Bertolazi AN, Fagondes SC, Hoff LS, Dartora EG, Miozzo IC, de Barba ME, et al. Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index. Sleep Med. 2011;12(1):70-75. https://doi.org/10.1016/j.sleep.2010.04.020
19. Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991;14(6):540-5. https://doi.org/10.1093/sleep/14.6.540
20. Bertolazi AN, Fagondes SC, Hoff LS, Pedro VD, Menna Barreto SS, Johns MW. Validation of the Epworth Sleepiness Scale in Portuguese for use in Brazil. J Bras. Pneumol. 2009;35(9):877-83. https://doi.org/10.1590/S1806-37132009000900009
21. Paro CA, Bittencourt ZZLC. Quality of life of health graduates. Rev Bras Educ Med. 2013;37:365-75. https://doi.org/10.1590/S0100-55022013000300009
22. Viana AG, Sampaio L. Quality of Life of University Students in Course Completion Period. ID on line Rev Mult Psicl. 2019;13(47):1085-96. https://doi.org/10.14295/idonline.v13i47.2106
23. Lins L, Carvalho FM, Menezes MS, Porto-Silva L, Damasceno H. Health-related quality of life of medical students in a Brazilian student loan programme. Perspect Med Educ. 2016;5(4):197-204. https://doi.org/10.1007/S40037-016-0283-3
24. Elsalem L, Al-Azzam N, Jum'ah AA, Obeidat N, Sindiani AM, Kheirallah KA. Stress and behavioral changes with remote E-exams during the Covid-19 pandemic: A cross-sectional study among undergraduates of medical sciences. Ann Med Surg. 2020;60:271-9. https://doi.org/10.1016/j.amsu.2020.10.058
25. Machado RA, Bonan PRF, Perez D, Martelli JÚnior H. COVID-19 pandemic and the impact on dental education: discussing current and future perspectives. Braz Oral Res. 2020;34:e083. https://doi.org/10.1590/1807-3107bor-2020.vol34.0083
26. Alves EJ, de Jesus Castro F, Vizolli I, Neto MSA, da Costa Nunes SG. Impacts of the covid 19 pandemic on the academic life of distance learning students at the federal university of tocantins. Aturá - Rev Pan-Amaz Comun. 2020;4(2):19-37. https://doi.org/10.20873/uft.2526-8031.2020v4n2p19
27. Silva PGB, de Oliveira CAL, Borges MMF, Moreira DM, Alencar PNB, Avelar RL, et al. Distance learning during social seclusion by COVID-19: Improving the quality of life of undergraduate dentistry students. Eur J Dent Educ. 2021;25(1):124-34. https://doi.org/10.1111/eje.12583