Prevalence of poor sleep quality and its associated factors among hypertensive patients on follow up at Jimma University Medical Center.,Journal of Human Hypertension

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Prevalence of poor sleep quality and its associated factors among hypertensive patients on follow up at Jimma University Medical Center.
Journal of Human Hypertension ( IF 2.7 ) Pub Date : 2020-03-03 , DOI: 10.1038/s41371-020-0320-x
Tesema Etefa Birhanu ₁ , Bekalu Getachew ₁ , Asfaw Gerbi ₁ , Diriba Dereje ₂

Affiliation

Several studies have reported an association between the abnormal duration of sleep and chronic conditions including hypertension. However, the existing body of evidence is not entirely significant; as insignificant associations between poor sleep and blood pressure (BP) have been found across different studies. The aim of this study was to determine prevalence and factors associated with poor sleep quality among hypertensive patients in Jimma University Medical Center. An institution based cross sectional study design was employed from June 01 to July 15, 2018 among 279 hypertensive patients on follow-up at Jimma University Medical Centre chronic clinic, Jimma, Ethiopia. Data collection was done by using face to face interview. Sleep quality was measured by using validated, standard Pittsburgh sleep quality index (PSQI). PSQI total score ≥5 was considered as a diagnostic of poor sleep quality. On multivariate logistic regression variables with of p value of <0.05 was considered as predictors of poor sleep quality. A total of 279 hypertensive patients were enrolled into the study. Out of which 279, 142 (50.9%) were males. The prevalence of poor sleep quality among hypertensive patient was 99 (35.5%). Physical inactivity (AOR = 0.288, 95% CI: (0.130-0.639), diastolic blood pressure Stage I (AOR = 3.923, 95% CI: 1.052-14.632) and diastolic blood pressure Stage II (AOR = 4.520; 95% CI: 1.079-18.931) were identified as independent predictors of poor sleep quality. In conclusion, about one-third of hypertensive patients were poor sleepers. High diastolic blood pressure and physical inactivity are independent predictors of poor sleep quality among hypertensive patients.

中文翻译：

吉马大学医学中心随访的高血压患者睡眠质量差的患病率及其相关因素。

几项研究报告了异常睡眠时间与包括高血压在内的慢性病之间的关联。然而，现有的证据并不完全重要。因为在不同的研究中发现睡眠不足与血压 (BP) 之间的关联微不足道。本研究的目的是确定吉马大学医学中心高血压患者睡眠质量差的患病率和相关因素。2018 年 6 月 1 日至 7 月 15 日，在埃塞俄比亚吉马的吉马大学医学中心慢性诊所随访的 279 名高血压患者中采用了基于机构的横断面研究设计。数据收集采用面对面访谈的方式完成。睡眠质量是通过使用经过验证的标准匹兹堡睡眠质量指数 (PSQI) 来衡量的。PSQI总分≥5被认为是睡眠质量差的诊断。在多元逻辑回归变量中，p 值 <0.05 被认为是睡眠质量差的预测因素。共有 279 名高血压患者参加了这项研究。其中 279 人中有 142 人（50.9%）是男性。高血压患者睡眠质量差的患病率为99（35.5%）。缺乏身体活动 (AOR = 0.288, 95% CI: (0.130-0.639), 舒张压 I 期 (AOR = 3.923, 95% CI: 1.052-14.632) 和舒张压 II 期 (AOR = 4.55% CI: 9; 1.079-18.931) 被确定为睡眠质量差的独立预测因子。总而言之，大约三分之一的高血压患者睡眠不好。

更新日期：2020-04-24

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