Sleep quality among patients with chronic obstructive pulmonary disease at a university hospital in Egypt

Abstract

Background: Disturbed sleep is a common complaint in patients with Chronic Obstructive Lung Disease (COPD). Moreover, the factors affecting sleep quality of those patients remain unclear. The aim of this study: was to assess factors affecting sleep quality among patients with the chronic obstructive pulmonary disease. Material and Methods: A descriptive exploratory design was utilized and conducted at the intermediate respiratory care unit at Mansoura university hospital including a convenient sample of 60 patients of both sexes, able to verbalize their health status and who stayed more than two days at intermediate care unit. Patients' Demographic, Health Relevant Data, Pittsburgh Sleep Quality Index and factors affecting sleep quality instruments were utilized in data collection. Results: Most of the patients were married males, their age ranged between 50 and 69 years with a mean age of 61 and one-third of them were smokers. The majority of patients (80%) had the unsatisfactory level of sleep according to Pittsburgh Sleep Quality Index. The factors altered the patients' sleep included physiological factors such as the production of sputum and chest tightness. The most influential environmental factors included the movement of health care members, performing nursing procedures and administration of nebulizer sessions. The dietary factors included hunger. The influential psychological factors included patients' anxiety and fear of being alone. Finally, daily life habits as daytime naps and smoking. Conclusion and recommendations: It can be concluded that most of the patients had an unsatisfactory level of sleep and need to be improved. As well, further researches are highly recommended on a larger probability sample in different geographical hospitals in Egypt to ensure generalization of findings