Sleep quality and associated factors among adult patients with epilepsy attending follow-up care at referral hospitals in Amhara region, Ethiopia

Globally, epilepsy is the commonest neurological disorder in adults. It has significant health and economic consequences to the affected individuals and the family. There is ample evidence that epileptic patients are at increased risk of poor sleep quality than the general population. However, there...

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Bibliographic Details
Published in:PloS one 2021-12, Vol.16 (12), p.e0261386-e0261386
Main Authors: Simie Tsega, Sintayehu, Yazew, Birhaneselassie Gebeyehu, Mekonnen, Kennean
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adults
Aftercare
Anxiety
Biology and Life Sciences
Complications and side effects
Confidence intervals
Convulsions & seizures
Cross-Sectional Studies
Data collection
Drugs
Education
Epilepsy
Epilepsy - physiopathology
Ethiopia - epidemiology
Female
Follow-Up Studies
Health care
Hospitals
Humans
Independent variables
Low level
Male
Medical schools
Medication Adherence
Medicine
Medicine and Health Sciences
Mental depression
Mental health
Middle Aged
Neurological diseases
Neurological disorders
Nursing schools
Patient compliance
Patients
People and Places
Physical Sciences
Prevalence
Public health
Quality assessment
Quality of life
Random sampling
Referral and Consultation
Regression analysis
Regression models
Research and Analysis Methods
Risk factors
Sampling techniques
Sleep
Sleep disorders
Sleep Initiation and Maintenance Disorders - etiology
Sleep Initiation and Maintenance Disorders - pathology
Sleep Initiation and Maintenance Disorders - prevention & control
Sleep Quality
Social interactions
Social Sciences
Social support
Statistical analysis
Statistical sampling
Statistics
Surveys and Questionnaires
Young Adult
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Summary:Globally, epilepsy is the commonest neurological disorder in adults. It has significant health and economic consequences to the affected individuals and the family. There is ample evidence that epileptic patients are at increased risk of poor sleep quality than the general population. However, there is limited evidence on sleep quality among epileptic patients and associated factors in Ethiopia. Therefore, this study investigated the prevalence of poor sleep quality and associated factors among adult patients with epilepsy. Institutional based cross-sectional study was conducted among adult epileptic patients attending follow-up care at referral hospitals in the Amhara region. A total of 575 epileptic patients were recruited using a stratified systematic random sampling technique. An interviewer-administered semi-structured questionnaire and record review were used for data collection. To assess sleep quality the pretested Pittsburgh Sleep Quality Index (PSQI) tool was used. A binary logistic regression model was used to assess factors associated with poor sleep quality. Variables with a p-value less than 0.2 in the bivariable binary logistic regression analysis were considered for the multivariable binary logistic regression analysis. In the multivariable binary logistic regression analysis, the Adjusted Odds Ratio (AOR) with the 95% Confidence Interval (CI) were reported to declare the statistical significance and strength of association. Model fitness was assessed using the Hosmer-Lemeshow test and was adequate (p>0.05). Multicollinearity of the independent variables was assessed using the Variance Inflation Factor (VIF) and the mean VIF was less than 10. A total of 565 participants were enrolled in the study with a response rate of 98.3%. The prevalence of poor sleep quality among adult epileptic patients was 68.8% [95% CI: 64.8%, 72.5%]. In the multivariable binary logistic regression, being unable to read and write [AOR = 3.16, 95%CI: 1.53, 6.51], taking polytherapy treatment [AOR = 2.10, 95% CI: 1.37, 3.21], poor medication adherence [AOR = 2.53, 95%CI: 1.02, 6.23] and having poor support [AOR = 2.72, 95%CI: 1.53, 4.82] and moderate social support [AOR = 1.89, 95%CI: 1.05, 3.41] were significantly associated with higher odds of poor sleep quality. Poor sleep quality is a major public health concern in Ethiopia. The patient's level of education, number of medication use, medication adherence, and social support were found significant predictors of po
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0261386