Department of Nursing, College of Medicine and Health Sciences, Wolkite University, PO Box 07, Wolkite, Ethiopia.
Department of Adult Health Nursing, Wollo University, Dessie, Ethiopia.
BMC Psychiatry. 2023 Mar 2;23(1):132. doi: 10.1186/s12888-023-04619-w.
Poor sleep quality is an important health problem in people living with HIV. The exact cause of sleep disturbance is not well known, but it may relate to HIV itself, antiretroviral drug side effects, and other HIV-related disorders. As a result, the purpose of this study was to assess sleep quality and associated factors among adult HIV patients on follow-up at Dessie Town governmental health facilities' antiretroviral therapy clinics in Northeast Ethiopia in 2020.
A multi-center cross-sectional study was conducted among 419 adult people living with HIV/AIDS from February 1/2020 to April 22/2020 in Dessie Town governmental antiretroviral therapy clinics. A systematic random sampling method was used to select the study participants. An interviewer-administered method of data collection with a chart review was used. The Pittsburgh Sleep Quality Index was used to evaluate sleep disruption. A binary logistic regression was conducted to see the relationship between a dependent variable and independent variables. Variables with a p-value of < 0.05 and a 95% confidence interval were used to declare an association between factors and a dependent variable.
A total of 419 study participants were enrolled in this study, with a response rate of 100%. The mean age of the study participants was 36 ± 6.5 SD years and 63.7% of the participants were female. The prevalence of poor sleep quality was found to be 36% (95% CI, 31-41%). Being female (AOR = 3.45, 95% CI: 1.52-7.79), viral loads 1000 copies/ml (AOR = 6.88, 95% CI: 2.79-16.9), CD4 cell count 200 cells/mm3 (AOR = 6.85, 95% CI: 2.42-19.39), WHO stage II and III (AOR = 4.29, 95% CI: 1.05-17.53), having anxiety (AOR = 10, 95% CI: 4.21-23.9.
The findings of this study showed that more than one-third of the study participants had poor-quality sleep at the Dessie Town Health Facility ART clinic. Being female, low CD4 cell counts, viral load ≥1000 copies/ml, WHO stage II and III, depression, anxiety, sleeping in a communal bedroom, and living alone were predictors of poor sleep quality.
睡眠质量差是 HIV 感染者的一个重要健康问题。睡眠障碍的确切原因尚不清楚，但可能与 HIV 本身、抗逆转录病毒药物的副作用以及其他与 HIV 相关的疾病有关。因此，本研究旨在评估 2020 年在埃塞俄比亚东北部德西镇政府卫生机构抗逆转录病毒治疗诊所接受随访的成年 HIV 患者的睡眠质量和相关因素。
这是一项多中心横断面研究，于 2020 年 2 月 1 日至 4 月 22 日在德西镇政府抗逆转录病毒治疗诊所招募了 419 名成年 HIV/AIDS 患者。采用系统随机抽样方法选择研究对象。采用访谈者管理的数据收集方法和图表审查。使用匹兹堡睡眠质量指数评估睡眠障碍。进行二元逻辑回归分析，以确定因变量与自变量之间的关系。采用具有<0.05 概率值和 95%置信区间的变量来确定因素与因变量之间的关联。
共有 419 名研究参与者参与了这项研究，应答率为 100%。研究参与者的平均年龄为 36±6.5 岁，其中 63.7%为女性。研究发现，睡眠质量差的患病率为 36%（95%CI，31-41%）。女性（OR=3.45，95%CI：1.52-7.79）、病毒载量≥1000 拷贝/ml（OR=6.88，95%CI：2.79-16.9）、CD4 细胞计数<200 个/mm3（OR=6.85，95%CI：2.42-19.39）、世界卫生组织（WHO）Ⅱ和Ⅲ期（OR=4.29，95%CI：1.05-17.53）、患有焦虑症（OR=10，95%CI：4.21-23.9）是睡眠质量差的预测因素。
本研究结果表明，德西镇卫生保健机构抗逆转录病毒治疗诊所的研究参与者中，超过三分之一的人睡眠质量差。女性、低 CD4 细胞计数、病毒载量≥1000 拷贝/ml、WHO Ⅱ和Ⅲ期、抑郁、焦虑、在集体卧室睡觉和独居是睡眠质量差的预测因素。
