Intervention of Dream Quality in the Appearance of Concomitant Symptoms in Hospitalized Patients

When trying to define the dream it is inevitable to differentiate the physiological characteristics in the good quality of sleep depending on the species, where it is a little simpler to enumerate the behavioral characteristics that are associated with the aspect of the dream and try to define it properly, where it can be associated with immobility and muscle relaxation, it is a reversible event (which differentiates it from other pathological states such as stupor and coma), decreased consciousness and reactivity to external stimuli and finally during sleep individuals acquire a stereotyped posture [1]. The absence of sleep induces different behavioral and physiological alterations in addition to generating a cumulative sleep debt that eventually must be recovered. A tool that has been of vital importance for the study of sleep physiology is the electroencephalogram (EEG), which is the graphic and digital representation of the oscillations that show the electrical activity of the brain, to be recorded by electrodes placed in different regions of the head. During alert states while keeping the eyes closed on the EEG, oscillations of electrical activity are observed that are usually between 8-13 cycles per second, mainly in occipital regions (alpha rhythm) [2]. Within the dream, characteristic changes of brain activity occur. which is the basis for dividing the dream into several phases, where it is usually divided into two phases: without rapid eye movements, and with rapid eye movements


Introduction
When trying to define the dream it is inevitable to differentiate the physiological characteristics in the good quality of sleep depending on the species, where it is a little simpler to enumerate the behavioral characteristics that are associated with the aspect of the dream and try to define it properly, where it can be associated with immobility and muscle relaxation, it is a reversible event (which differentiates it from other pathological states such as stupor and coma), decreased consciousness and reactivity to external stimuli and finally during sleep individuals acquire a stereotyped posture [1]. The absence of sleep induces different behavioral and physiological alterations in addition to generating a cumulative sleep debt that eventually must be recovered. A tool that has been of vital importance for the study of sleep physiology is the electroencephalogram (EEG), which is the graphic and digital representation of the oscillations that show the electrical activity of the brain, to be recorded by electrodes placed in different regions of the head. During alert states while keeping the eyes closed on the EEG, oscillations of electrical activity are observed that are usually between 8-13 cycles per second, mainly in occipital regions (alpha rhythm) [2]. Within the dream, characteristic changes of brain activity occur. which is the basis for dividing the dream into several phases, where it is usually divided into two phases: without rapid eye movements, and with rapid eye movements

Sleep NOT MOR
Phase N1 corresponds to drowsiness or the onset of light sleep, light muscular jerks are usually observed (acute vertex waves), phase N2 appear specific patterns of brain activity, called sleep spindle and complex k, heart rate and respiratory begins to decrease gradually, phase N3 or slow wave sleep is the deepest phase observed in the EEG very slow frequency activity (<2 Hz).

MOR Sleep
Now it is called the R phase and is characterized by the presence of rapid eye movements, physically all muscle tone decreases [3][4][5]. A young adult spends approximately 70-100 min in non-MOR sleep, which can last between 5-30 min and this cycle is repeated every hour and a half throughout the night, therefore throughout the night they can be presented normally between 4 and 6 MOR sleep cycles.
The present work allows us to observe the quality of sleep and the respect of circadian cycles as very important factors in the development of multiple diseases and in various specialties, which affects therapeutic methods, both in outpatients and in hospitalized patients and the variety of symptoms that can be observed, through a method of surveys in a practical way, with the main objective of contributing in the awareness to treating physicians about the importance of sleep hygiene measures and their improvement in the quality of life of the patients. This document aims to fulfill the quality of sleep and the circadian respect cycles as important factors in the development of multiple diseases in various specialties, which affects both methods and in hospitalized ones, and the variety of symptoms, that can be observed, through a practical survey method, with the main objective of contributing to the awareness of treating physicians on the importance of sleep hygiene measures, and improving patients quality life.

Sleep Hygiene
Sleep hygiene measures are a series of recommendations about desirable behaviors and habits, as well as modifications of environmental conditions and other related factors, aimed at improving the sleep quality of people who already suffer from a sleep disorder such as insomnia, or that can be used as measures to prevent a sleep disturbance [6,7].

Epidemiology
It is estimated that, in our country, around 45% of the adult population has poor sleep quality. The above is reflected in the difficulty that people have to get up, as well as in constant drowsiness and fatigue during the first hours of the morning.

Method
The present study uses the referential method as a basis,

Justification
The present investigation will focus on studying the hygiene habits based on the quality of sleep in hospitalized patients, since due to work stress or in hospital instances it has been seen that patients have directly modified their sleep habits, worsening the quality of life and By delaying the recovery in the hospital by increasing concomitant symptoms, we propose then to investigate the evolution of the pathological patterns and their aggregate symptoms; the reasons that led us to investigate the quality of sleep in hospitalized patients are due to the increase in discomfort or somnolence data reported by patients after staying more than 2 days in hospital. We think that by means of the detailed analysis we will be able to make the health personnel aware to improve

Statistical Population
Sampling was done in which people of both sexes were chosen, who underwent a descriptive evaluation through direct surveys, where a sample of 20 people with characteristics with a simple random election type was collected, making a list of participants hospitalized to form the sample to be studied by means of questionnaires.

Results
A random sample is taken to carry out descriptive direct surveys at the Regional  1-4). The descriptive surveys did not take into account the situations of right-of-way in the institution where the majority of those interviewed or those who were interviewed were the rightful claimants in the asset, having the majority percentage with 60% followed by military personnel in the asset where it was noted that most of the concomitant symptoms corresponded to anxiety and headache ( Figure 5). Among the key questions that are characterized in the scale of Pittsburgh manifested bedtime where literally 50% of the patients interviewed reiterated to sleep at around 10:00 pm and 11:00 pm, while the rest were distributed with 25% who go to bed regularly from 08:00 pm to 09:00 pm and the other 25% after 12:00 pm (Figures 6-10).              l ask indirect questions about if your family member snored 40% answered that they did not catch such events in the last 4 weeks while 45% answered that on average 1-2 times per week they snored at night what they did the patient will wake up during the night, 50% of patients have not woken up during the night due to cold in the last 4 weeks, and with a total of 5 patients it gives a result of 25% who woke up at least once a week due to cold sensation (Figures 19 & 20). Otherwise, 70% of patients used to wake up during the night due to the sensation of heat. 35% of the patients surveyed had as a result that they have not had problems like nightmares at bedtime, while the other 35% have nightmares 1 or 2 times a week, 30% 3 times a week; the following graph is representative of the results obtained when applying that question to the sample that was investigated.   showing the results in which the disability or problem that caused the maintenance of that drowsiness status was shown, obtaining that 35% of the patients do not have no problem when carrying out their daily activities, while another 35% of the people surveyed expressed their concern and described as a slight problem in their daily lives the maintenance of somnolence data which can cause difficulties in their daily life; Finally, 25% classified their level of sleepiness as a moderate problem, defining that in daily activities it is a conflict to be able to perform them with the greatest aptitude and energy.

Conclusion
Definitely the great problem of health to solve in our country necessarily has to do with habits and because, by not respecting the hours of sleep, biorhythms are altered that result in clinical problems such as: headache, nervous colitis, depression , anxiety, metabolic and systemic problems. It is important to understand the reeducation to our patients in each consultation and sanitary step, since the installation of an adequate diet and weight control, as well as a healthy and aerobic sport together with the sleep hygiene measures will be the main weapons to attack diverse diseases in our times.