Assessment of sleep quality and its factors among clinicians working in critical care units and operation theaters at North West Ethiopia, 2022: a multicenter cross-sectional study

Yitbarek Tsegay; Nurhusen R Arefayne; Demeke Y Fentie; Misganaw M Workie; Biresaw A Tegegne; Yophtahe W Berhe

doi:10.1097/MS9.0000000000001071

Assessment of sleep quality and its factors among clinicians working in critical care units and operation theaters at North West Ethiopia, 2022: a multicenter cross-sectional study

Ann Med Surg (Lond). 2023 Jul 8;85(8):3870-3879. doi: 10.1097/MS9.0000000000001071. eCollection 2023 Aug.

Authors

Yitbarek Tsegay¹, Nurhusen R Arefayne², Demeke Y Fentie², Misganaw M Workie², Biresaw A Tegegne², Yophtahe W Berhe²

Affiliations

¹ Department of Anesthesia, College of Medicine and Health Sciences, Debre Markos university, Debre markos, Ethiopia.
² Department of Anesthesia, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Abstract

The quality of sleep has an effect on the health of clinicians and the quality of patient care. Maintaining cognitive function/mood, facilitation of glucose metabolism, and strengthening of the immune system are among the roles that adequate sleep may contribute. Poor sleep quality is multifactorial, and studies had shown inconsistencies in the factors that contribute to the development of this poor sleep quality. The prevalence of poor sleep quality among clinicians working in the critical care unit and operation theater in the study setting was not investigated yet.

Objective: The objective of this study was conducted for the purpose of assessing the quality of sleep and associated factors among clinicians working in the critical care unit and operation theater.

Methods: A cross-sectional study was conducted from 15 May to 15 June 2022. Data were collected using a self-administered questionnaire from 421 clinicians selected by simple random sampling techniques. Sleep quality was measured by the Pittsburg sleep quality index. The data were entered into Epi-data and exported to SPSS. Frequency and percentage were used for the descriptive analysis. Binary and multivariate logistic regression analysis were used to identify factors associated with poor quality of sleep. The strength of the association was measured with an OR within the 95% CI and P-value of <0.05.

Result: About half 220 (52.3%) of the study participants age between 25 and 30 year old and the majority 321 (76.2%) of them were males. The prevalence of poor sleeps quality was 81.5% (95% CI: 77.9-85.5). Working night shift (AOR: 3.37, 95% CI: 1.754-6.484), having depressive symptoms (AOR: 3.25, 95% CI: 1.485-7.147) and having no regular exercises (AOR: 0.299, 95% CI: 0.166-0.537) were predisposing factors for poor sleep quality.

Conclusion and recommendation: The prevalence of poor sleep quality among clinicians working in the ICU and operation room was high. Clinicians who had no regular exercise, who worked in night shift, and who had depressive symptoms were associated with poor quality of sleep. Clinicians should have an awareness on the symptoms of depression, implement sleep hygiene education programs and promoting regular exercise. The authors recommend healthcare policy makers for improving working schedules.

Keywords: clinicians; intensive care unit; operation theater; sleep quality.