SLEEP QUALITY AND ASSOCIATED FACTORS AMONG ADULT PATIENTS WITH CANCER UNDER TREATMENT AT ONCOLOGY UNITS IN AMHARA REGION ETHIOPIA, 2021

Abstract

Introduction: Sleep is an important component of human life. Sleep-related complaints are extremely common in patients with cancer but often are not recognized, and they are rarely treated. Even though poor sleep quality in patients with cancer has detrimental physical and psychological consequences, its prevalence and associated factors are not well investigated in Ethiopia. Objective: To assess the prevalence of sleep quality and its associated factors among adult patients with cancer under treatment at oncology units in Amhara region Ethiopia, 2021. Methods and materials: Institution-based cross-sectional study was conducted among adult patients with cancer under treatment at the oncology units of the three governmental hospitals in the Amhara region from April 04 to May 04/2013 E.c. A systematic random sampling technique was used to select 423 samples. After obtaining consent, data were collected using a structured Interviewer-administered questionnaire. Then data were entered into Epi-data version 4.6 and exported to SPSS version 23.0 for analysis. Model fitness was checked by the HosmerLemeshow goodness of fit test. Descriptive statistics were computed and presented using tables and texts. Bivariable and multivariable logistic regression analysis was computed considering p<0.25 to select candidate variables for multivariable analysis and p<0.05 to be statistically significant at the final model. Result: A total of 410 cancer patients participated in this study, of which 71.5% 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: Conclusion and recommendation: The study found a relatively high prevalence of poor sleep quality among cancer patients. Early screening and management of sleep problems are crucial in patients with cancer. Keywords: Amhara region, Ethiopia, Cancer, Sleep quality