Abstract
Background: Poor sleep quality is a common problem among university students and may affect their health and academic performance. Nursing students may be at higher risk of experiencing sleep-related problems due to the nature of their training, which combines theoretical learning with clinical practice. Assessing sleep quality and its associated factors among nursing students may provide a basis for developing interventions to improve their health and academic performance.
Objectives: To describe sleep quality and identify factors associated with sleep quality among nursing students.
Materials and methods: A cross-sectional analytical study was conducted among 690 nursing students at Hue University of Medicine and Pharmacy. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), while academic stress was assessed using the Educational Stress Scale for Adolescents (ESSA). Data were analyzed using descriptive statistics and multivariable logistic regression, with statistical significance set at p < 0.05.
Results: Poor sleep quality was reported by 61.2% of the students, while 38.8% had good sleep quality. The mean sleep duration was 6.20 ± 1.44 hours per night, with 80.4% of students sleeping less than 7 hours per night. ESSA scores were higher among students with poor sleep quality than among those with good sleep quality, with median scores of 40.0 (34.0 – 45.0) and 35.5 (29.0 – 41.0), respectively; the difference was statistically significant (p < 0.001). Multivariable logistic regression showed that academic stress was significantly associated with sleep quality (AOR = 1.058; 95% CI: 1.039 – 1.077; p < 0.001).
Conclusion: Poor sleep quality is an issue of concern among nursing students. Academic stress was significantly associated with sleep quality.
| Published | 2026-11-15 | |
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| Issue | Vol. 16 No. S-3 (2026) | |
| Section | Original Articles | |
| DOI | 10.34071/jmp.2026.S-3.17 | |
| Keywords | sleep quality, PSQI, academic stress, ESSA, nursing students |

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2026 Hue Journal of Medicine and Pharmacy
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