Examination of Factors Affecting the Sleep Quality of Psychiatry Patients Through Structural Equation Model

Örsal, Özlem

doi:10.14744/phd.2018.06978

Cited by 6 publications

(6 citation statements)

References 35 publications

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“…In the current study, more than half of the patients (57.4%) with 95%CI: [52%-62%] were reported poor sleep quality which is in agreement with different previous studies which had reported high prevalence of poor sleep quality [27][28][29] . The current finding was higher than the other studies done before probably because of different study settings and study years, duration of the illness, tools used to assess sleep quality and inclusion criteria of the study participants [30][31][32] .…”

Section: Discussioncontrasting

confidence: 70%

Sleep Quality in Schizophrenia

Dule¹,

Ahmed²,

Tessema³

et al. 2020

J Ment Health Clin Psychol

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The aim of this study is to assess the quality of sleep and contributing factors in treated patients with schophrenia. Materials and methods:The sleep quality of 411 subjects in treatment for schizophrenia was assessed. A cross-sectional study design was used to determine mediating factors. A consecutive sampling technique was used for recruitment. The Pittsburgh Sleep Quality Index (PSQI) was used to assess outcome variables, and the positive and negative syndrome scale (PANSS) and the four-item Morisky-Green test (MGT) was used for symptom severity and medication adherence. Logistic regression analysis was used to determine factor association and the adjusted odds ratio (AOR) and a p-value < 0.05 determined statistical significance. Results: More than half of the patients were poor sleepers. Sleep determinants were: a) urban residence AOR=3.08 [2.57, 8.12], b) family size ≥6 AOR=2.72 [1.38, 5.08], c) current khat use AOR=2.30 [1.22, 4.31], d) low antipsychotics adherence AOR=6.23 [3.61, 10.75], e) positive and negative syndrome scale (PANSS) for positive symptoms greater than mean AOR=2.99 [1.69, 5.30] and PANSS for general symptoms greater than mean AOR=4.22 [2.22, 8.05]. These were all significantly associated with sleep quality on multiple logistic regressions. Conclusion:There is a high prevalence of poor sleep quality among schizophrenia patients and risk factors are known. It is time to address these factors clinically to ensure better health for this population.

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Section: Discussioncontrasting

confidence: 70%

Sleep Quality in Schizophrenia

Dule¹,

Ahmed²,

Tessema³

et al. 2020

J Ment Health Clin Psychol

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“…Sleep quality is the feeling of being refreshed, energized, and ready for a new day after waking up. Sleep is one of the most important concepts that determine people's quality of life and ensure the smooth functioning of their daily routines 27 . Nocturia, which is one of the symptoms of BPH and is defined as urinating two or more times during the night, causes insomnia and negatively affects the patient's sleep quality.…”

Section: Discussionmentioning

confidence: 99%

“…Sleep is one of the most important concepts that determine people's quality of life and ensure the smooth functioning of their daily routines. 27 Nocturia, which is one of the symptoms of BPH and is defined as urinating two or more times during the night, causes insomnia and negatively affects the patient's sleep quality. Our study findings indicate that patients experience a decrease in sleep quality due to an increase in urination frequency, sudden urgency to urinate, and interrupted sleep due to nocturia.…”

Section: Theme 2 Social Disconnectionmentioning

confidence: 99%

Difficulties experienced by patients with benign prostatic hyperplasia regarding their physical symptoms

Yurtseven,

Doğan,

Arslan

2023

Int J of Uro Nursing

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Benign prostatic hyperplasia (BPH) is a significant health concern for all ageing men and is characterized by clinical symptoms resulting from the growth of benign tissues in the prostate gland. Living with a chronic disease like BPH undoubtedly affects different aspects of a person's life. This study was conducted to examine in‐depth the difficulties experienced by BPH patients who have no other option but to undergo surgery due to their symptoms. The study is qualitative research with a phenomenological design. A total of 18 patients were included in the study. Research data were obtained using the interview method, which is one of the qualitative data collection methods, and the content analysis method was used to analyse the data obtained from the interviews. Eighteen patients with ages ranging from 57 to 75 years and experiencing BPH‐related symptoms for 2–11 years participated in the study. The reactions of patients to living with BPH‐related symptoms were presented under the themes of social anxiety, social disconnection, impaired quality of sleep, and decreased sexual self‐confidence. The themes mentioned by BPH patients regarding the duration of their illness are the result of a combination of many factors. In this context, it is recommended that urology nurses provide psychological support, medical information, self‐care skills, and self‐monitoring skills to BPH patients to develop individual coping mechanisms. BPH is a significant health concern for all ageing men and is characterized by clinical symptoms resulting from the growth of benign tissues in the prostate gland. Living with a chronic disease like BPH undoubtedly affects different aspects of a person's life. It is not impossible to find solutions to patients by understanding them deeply.

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“…Örsal et al 16 defined sleep quality as ‘the efficiency of sleep’. It consists of several components: subjective sleep quality, delay to onset, duration, habitual sleep activity, primary sleep disorder, daytime dysfunction and use of opiates or sedatives.…”

Section: Introductionmentioning

confidence: 99%

Sleep quality of adult psychiatric outpatients at Chris Hani Baragwanath Academic Hospital

Harlies,

Friedlander

2023

South African Journal of Psychiatry

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Background: Sleep disorders are increasingly prevalent among the general population and individuals with mental disorders. However, little research has focused on the sleep quality of psychiatric patients beyond depression, despite its relevance in diagnostic criteria.Aim: This study aimed to assess overall sleep quality in psychiatric outpatients and to assess for an association with socio-demographic variables.Setting: This study took place at the adult psychiatric outpatient department of Chris Hani Baragwanath Academic Hospital.Methods: A cross-sectional study design was employed to evaluate overall sleep quality using the self-administered Pittsburgh Sleep Quality Index (PSQI), a validated tool. The PSQI yields a global score ranging from 0 to 21, with scores of 5 or greater indicating poor sleep quality. Eligibility was determined through structured clinical interviews and data obtained from participant records.Results: Poor sleep quality was found in 50% of participants. Sleep quality did not differ significantly based on sex or age. Subscale analysis revealed reduced sleep duration and efficiency, nocturnal disturbances and daytime dysfunction. Additionally, 38% of participants required pharmacological intervention for sleep issues, despite lacking a diagnosis of primary or comorbid sleep disorders.Conclusion: Half of the psychiatric outpatients experienced poor sleep quality, irrespective of socio-demographic factors, psychiatric diagnosis, symptom remission or medication type.Contribution: This study highlights the importance of addressing sleep disturbances as comorbid conditions in psychiatric patients. Comprehensive evaluation and management of sleep quality can lead to improved patient outcomes and quality of life.

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Examination of Factors Affecting the Sleep Quality of Psychiatry Patients Through Structural Equation Model

Cited by 6 publications

References 35 publications

Sleep Quality in Schizophrenia

Sleep Quality in Schizophrenia

Difficulties experienced by patients with benign prostatic hyperplasia regarding their physical symptoms

Sleep quality of adult psychiatric outpatients at Chris Hani Baragwanath Academic Hospital

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