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 the Chronic Obstructive pulmonary Disease (COPD). Moreover, the factors affecting sleep quality of those patients remain unclear. The aim of this study: was to assess 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.

Functional Status and Sleep Quality Among Elderly Patients With Chronic Obstructive Pulmonary Disease

“…Concerning the relation between characteristics of the studied elderly patients and sleep quality, there was a significant relation found between age and quality of sleep. This is congruent with a study finished in Egypt by Khalil et al, (2019) 21 . In contrast, Geiger et al, (2015) 53 initiate that there was a statistically significant negative relationship between quality of sleep and age.…”

“…In relation to marital status, the current study revealed that greatest of the studied elderly patients were marital. This result in the same line with a study prepared in Egypt by Khalil and Mostafa., (2019) 21 . Also, the present study revealed that illiteracy was high prevailing among the studied elderly patients.…”

“…This is may be due to symptoms such as dyspnea, productive cough, and administration of nebulizer sessions, as major concerns in patients with COPD. This result is consistent with a study done in Egypt by Khalil, Mostafa and Ahmed., (2019) 21 who revealed that mainstream of patients had the insufficient of sleep quality. Also, a study done in Thailand by Kulpatcharapong., et al, (2019) 43 demonstrated high incidence of poor sleep quality.…”

Study of sleep patterns in asthma and COPD diseases at tertiary care hospital in India

“…Finally, daily life habits as daytime naps and smoking. 10 Malhotra et al, in there article concluded that polysomnographic features in COPD are a consequence of sleep-induced respiratory loads. Patients with COPD may respond to increased respiratory loads with marked sleep disturbances or, alternatively, they may have minimal sleep disturbance but a highly abnormal breathing pattern with or without severe alterations in gas exchange.…”

Sleep quality in stable chronic obstructive pulmonary disease patients in Zagazig University Hospitals, Egypt

“…Chronic obstructive pulmonary disease (COPD) is a serious global health problem [1]. Different studies proposed that more than 75% of patients with COPD may have nocturnal symptoms and sleep disturbances in the form of prolonged sleep latency, arousals, and frequent insomnias [2], resulting in decrease in patient's activity during daytime associated with more severe disease and frequent exacerbations [3].…”