Sleep Quality and Associated Factors Among Adult Cancer Patients Under Treatment at Oncology Units in Amhara Region, Ethiopia

Destaw Endeshaw,1 Henok Biresaw,1 Tseganesh Asefa,2 Nurhusien Nuru Yesuf,3 Senay Yohannes3 1Department of Adult Health Nursing, School of Health Sciences, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia; 2Department of Medical Nursing, School of Nursing, College of...

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Main Authors: Endeshaw D, Biresaw H, Asefa T, Yesuf NN, Yohannes S
Format: Article
Language:English
Published: Dove Medical Press 2022-06-01
Series:Nature and Science of Sleep
Subjects:
Online Access:https://www.dovepress.com/sleep-quality-and-associated-factors-among-adult-cancer-patients-under-peer-reviewed-fulltext-article-NSS
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author Endeshaw D
Biresaw H
Asefa T
Yesuf NN
Yohannes S
author_facet Endeshaw D
Biresaw H
Asefa T
Yesuf NN
Yohannes S
author_sort Endeshaw D
collection DOAJ
description Destaw Endeshaw,1 Henok Biresaw,1 Tseganesh Asefa,2 Nurhusien Nuru Yesuf,3 Senay Yohannes3 1Department of Adult Health Nursing, School of Health Sciences, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia; 2Department of Medical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 3Department of Surgical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaCorrespondence: Destaw Endeshaw, Bahir Dar, Ethiopia, Tel +251918281262, Email destawendeshaw@gmail.comIntroduction: Poor sleep quality, a common, under-diagnosed, and under-treated problem in cancer patients, has negative physical and psychological consequences, but its prevalence and associated factors are not well studied in Ethiopia. Thus, the present study aimed to assess the prevalence of sleep quality and its associated factors among adult cancer patients receiving treatment at oncology units in Amhara region, Ethiopia.Methods and Materials: An institution-based cross-sectional study was conducted among adult patients with cancer under treatment at the oncology units in the Amhara region from April 12 to May 12/2021. A systematic random sampling technique was used to select 423 samples. Data were collected using a structured Interviewer-administered questionnaire. Sleep quality and depression were assessed by the Pittsburgh Sleep Quality Index and depression subscale of Hospital Anxiety and Depression Scale, respectively. Bivariable and multivariable logistic regression analyses were computed, considering p < 0.25 to select candidate variables for multivariable analysis and p < 0.05 to be statistically significant in the final model.Results: A total of 410 cancer patients participated in this study. The mean of the participant’s age was 44.2 (range: 20– 77) years. More than half (52.7%) of participants received chemotherapy and the remaining were treated with a combination of treatments. Two-hundred ninety-three (71.5%) of participants had poor sleep quality and 28.5% had good sleep quality. The factors found to be significantly associated with poor sleep quality were advanced age [AOR = 1.037, 95% CI: (1.012– 1.062)]; having depressive symptoms [AOR = 2.862, 95% CI: (1.133, 7.228)]; having distant metastasis cancer [AOR = 3.758, 95% CI: (1.585, 8.909)]; and increased severity of pain [AOR = 1.331, 95% CI: (1.106, 1.601)].Conclusion: The study found a high prevalence of poor sleep quality among cancer patients. Early screening and management of sleep problems are crucial in patients with cancer.Keywords: cancer patients, Ethiopia, Pittsburgh Sleep Quality Index, PSQI, sleep quality
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spelling doaj.art-1ac76235480a4806834fbf8bf580d83f2022-12-22T02:37:24ZengDove Medical PressNature and Science of Sleep1179-16082022-06-01Volume 141049106275667Sleep Quality and Associated Factors Among Adult Cancer Patients Under Treatment at Oncology Units in Amhara Region, EthiopiaEndeshaw DBiresaw HAsefa TYesuf NNYohannes SDestaw Endeshaw,1 Henok Biresaw,1 Tseganesh Asefa,2 Nurhusien Nuru Yesuf,3 Senay Yohannes3 1Department of Adult Health Nursing, School of Health Sciences, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia; 2Department of Medical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 3Department of Surgical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaCorrespondence: Destaw Endeshaw, Bahir Dar, Ethiopia, Tel +251918281262, Email destawendeshaw@gmail.comIntroduction: Poor sleep quality, a common, under-diagnosed, and under-treated problem in cancer patients, has negative physical and psychological consequences, but its prevalence and associated factors are not well studied in Ethiopia. Thus, the present study aimed to assess the prevalence of sleep quality and its associated factors among adult cancer patients receiving treatment at oncology units in Amhara region, Ethiopia.Methods and Materials: An institution-based cross-sectional study was conducted among adult patients with cancer under treatment at the oncology units in the Amhara region from April 12 to May 12/2021. A systematic random sampling technique was used to select 423 samples. Data were collected using a structured Interviewer-administered questionnaire. Sleep quality and depression were assessed by the Pittsburgh Sleep Quality Index and depression subscale of Hospital Anxiety and Depression Scale, respectively. Bivariable and multivariable logistic regression analyses were computed, considering p < 0.25 to select candidate variables for multivariable analysis and p < 0.05 to be statistically significant in the final model.Results: A total of 410 cancer patients participated in this study. The mean of the participant’s age was 44.2 (range: 20– 77) years. More than half (52.7%) of participants received chemotherapy and the remaining were treated with a combination of treatments. Two-hundred ninety-three (71.5%) of participants had poor sleep quality and 28.5% had good sleep quality. The factors found to be significantly associated with poor sleep quality were advanced age [AOR = 1.037, 95% CI: (1.012– 1.062)]; having depressive symptoms [AOR = 2.862, 95% CI: (1.133, 7.228)]; having distant metastasis cancer [AOR = 3.758, 95% CI: (1.585, 8.909)]; and increased severity of pain [AOR = 1.331, 95% CI: (1.106, 1.601)].Conclusion: The study found a high prevalence of poor sleep quality among cancer patients. Early screening and management of sleep problems are crucial in patients with cancer.Keywords: cancer patients, Ethiopia, Pittsburgh Sleep Quality Index, PSQI, sleep qualityhttps://www.dovepress.com/sleep-quality-and-associated-factors-among-adult-cancer-patients-under-peer-reviewed-fulltext-article-NSScancer patientsethiopiapittsburgh sleep quality indexpsqisleep quality
spellingShingle Endeshaw D
Biresaw H
Asefa T
Yesuf NN
Yohannes S
Sleep Quality and Associated Factors Among Adult Cancer Patients Under Treatment at Oncology Units in Amhara Region, Ethiopia
Nature and Science of Sleep
cancer patients
ethiopia
pittsburgh sleep quality index
psqi
sleep quality
title Sleep Quality and Associated Factors Among Adult Cancer Patients Under Treatment at Oncology Units in Amhara Region, Ethiopia
title_full Sleep Quality and Associated Factors Among Adult Cancer Patients Under Treatment at Oncology Units in Amhara Region, Ethiopia
title_fullStr Sleep Quality and Associated Factors Among Adult Cancer Patients Under Treatment at Oncology Units in Amhara Region, Ethiopia
title_full_unstemmed Sleep Quality and Associated Factors Among Adult Cancer Patients Under Treatment at Oncology Units in Amhara Region, Ethiopia
title_short Sleep Quality and Associated Factors Among Adult Cancer Patients Under Treatment at Oncology Units in Amhara Region, Ethiopia
title_sort sleep quality and associated factors among adult cancer patients under treatment at oncology units in amhara region ethiopia
topic cancer patients
ethiopia
pittsburgh sleep quality index
psqi
sleep quality
url https://www.dovepress.com/sleep-quality-and-associated-factors-among-adult-cancer-patients-under-peer-reviewed-fulltext-article-NSS
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