Poor sleep hygiene practice and associated factors among adults with epilepsy attending follow up care at Mettu Karl comprehensive specialized hospitals in Illu Ababora Zone and general hospital in Buno Bedele zone, Southwest Ethiopia’

Abstract Background Globally, sleep disorders are an important global public health problem. Poor sleep hygiene is at the core of chronic insomnia and other sleep disorders. Sleep hygiene practices are effective, practical, and affordable, and have no side effects other than other therapies benefiti...

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Main Authors: Tesfaye Segon, Mamaru Melkam, Techilo Tinsae, Girum Nakie, Tirusew Wondie, Endris Seid, Girum Tareke Zewude
Format: Article
Language:English
Published: BMC 2024-11-01
Series:Sleep Science and Practice
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Online Access:https://doi.org/10.1186/s41606-024-00110-x
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author Tesfaye Segon
Mamaru Melkam
Techilo Tinsae
Girum Nakie
Tirusew Wondie
Endris Seid
Girum Tareke Zewude
author_facet Tesfaye Segon
Mamaru Melkam
Techilo Tinsae
Girum Nakie
Tirusew Wondie
Endris Seid
Girum Tareke Zewude
author_sort Tesfaye Segon
collection DOAJ
description Abstract Background Globally, sleep disorders are an important global public health problem. Poor sleep hygiene is at the core of chronic insomnia and other sleep disorders. Sleep hygiene practices are effective, practical, and affordable, and have no side effects other than other therapies benefiting patients with epilepsy. However, there is no research regarding sleep hygiene practice and its awareness among people with epilepsy in Ethiopia. This study aimed to assess sleep hygiene practice and its factors in patients with epilepsy. Methods An institutional-based cross-sectional study was conducted. The study included 424 participants selected through systematic random sampling. An interviewer-administered Sleep Hygiene Index (SHI) questionnaire was used to collect data.The collected data was analyzed using SPSS Version 25.0. Bi-variable and multi-variable analyses were conducted to identify factors related to poor sleep hygiene. Results The frequency of poor sleep hygiene practice among people with epilepsy was 59.5%. Non-adherence to AED (AOR = 1.86, 95% CI: 1.13, 3.23), depression (AOR = 2.10, 95% CI: 1.42, 4.21), poor sleep quality (AOR = 5.7, 95% CI: 3.12, 10.01), anxiety (AOR = 2.71, 95% CI: 1.67, 4.82), and current alcohol drinkers (AOR = 1.74, 95% CI: 1.27, 3.13) were associated with poor sleep hygiene practice. Conclusion and recommendation The perception of sleep hygiene practice among patients with epilepsy was poor. Non-adherence to AED, depression, poor sleep quality, anxiety, and current use of alcohol were associated with poor sleep hygiene practices. Therefore, regular screening, sleep issue management, and expanded mental health support are crucial. Training programs and awareness strategies to improve sleep hygiene are highly recommended. Professionals should incorporate sleep hygiene in epilepsy care.
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spelling doaj-art-30c3b0de745c477f82d2c820ff098d482024-11-17T12:41:30ZengBMCSleep Science and Practice2398-26832024-11-018111110.1186/s41606-024-00110-xPoor sleep hygiene practice and associated factors among adults with epilepsy attending follow up care at Mettu Karl comprehensive specialized hospitals in Illu Ababora Zone and general hospital in Buno Bedele zone, Southwest Ethiopia’Tesfaye Segon0Mamaru Melkam1Techilo Tinsae2Girum Nakie3Tirusew Wondie4Endris Seid5Girum Tareke Zewude6Department of Psychiatry, College of Health Science, Mettu UniversityDepartment of Psychiatry, College of Medicine and Health Science, University of GondarDepartment of Psychiatry, College of Medicine and Health Science, University of GondarDepartment of Psychiatry, College of Medicine and Health Science, University of GondarDepartment of Psychiatry College of Medicine and Health Science, Debre Markos UniversityDepartment of Psychiatry, College of Medicine and Health Science, Dilla UniversityDepartment of Psychology, Institute of Teachers Education and Behavioral Sciences, Wollo UniversityAbstract Background Globally, sleep disorders are an important global public health problem. Poor sleep hygiene is at the core of chronic insomnia and other sleep disorders. Sleep hygiene practices are effective, practical, and affordable, and have no side effects other than other therapies benefiting patients with epilepsy. However, there is no research regarding sleep hygiene practice and its awareness among people with epilepsy in Ethiopia. This study aimed to assess sleep hygiene practice and its factors in patients with epilepsy. Methods An institutional-based cross-sectional study was conducted. The study included 424 participants selected through systematic random sampling. An interviewer-administered Sleep Hygiene Index (SHI) questionnaire was used to collect data.The collected data was analyzed using SPSS Version 25.0. Bi-variable and multi-variable analyses were conducted to identify factors related to poor sleep hygiene. Results The frequency of poor sleep hygiene practice among people with epilepsy was 59.5%. Non-adherence to AED (AOR = 1.86, 95% CI: 1.13, 3.23), depression (AOR = 2.10, 95% CI: 1.42, 4.21), poor sleep quality (AOR = 5.7, 95% CI: 3.12, 10.01), anxiety (AOR = 2.71, 95% CI: 1.67, 4.82), and current alcohol drinkers (AOR = 1.74, 95% CI: 1.27, 3.13) were associated with poor sleep hygiene practice. Conclusion and recommendation The perception of sleep hygiene practice among patients with epilepsy was poor. Non-adherence to AED, depression, poor sleep quality, anxiety, and current use of alcohol were associated with poor sleep hygiene practices. Therefore, regular screening, sleep issue management, and expanded mental health support are crucial. Training programs and awareness strategies to improve sleep hygiene are highly recommended. Professionals should incorporate sleep hygiene in epilepsy care.https://doi.org/10.1186/s41606-024-00110-xSleep hygiene practiceEpilepsyAnti-epileptic drugsEthiopia
spellingShingle Tesfaye Segon
Mamaru Melkam
Techilo Tinsae
Girum Nakie
Tirusew Wondie
Endris Seid
Girum Tareke Zewude
Poor sleep hygiene practice and associated factors among adults with epilepsy attending follow up care at Mettu Karl comprehensive specialized hospitals in Illu Ababora Zone and general hospital in Buno Bedele zone, Southwest Ethiopia’
Sleep Science and Practice
Sleep hygiene practice
Epilepsy
Anti-epileptic drugs
Ethiopia
title Poor sleep hygiene practice and associated factors among adults with epilepsy attending follow up care at Mettu Karl comprehensive specialized hospitals in Illu Ababora Zone and general hospital in Buno Bedele zone, Southwest Ethiopia’
title_full Poor sleep hygiene practice and associated factors among adults with epilepsy attending follow up care at Mettu Karl comprehensive specialized hospitals in Illu Ababora Zone and general hospital in Buno Bedele zone, Southwest Ethiopia’
title_fullStr Poor sleep hygiene practice and associated factors among adults with epilepsy attending follow up care at Mettu Karl comprehensive specialized hospitals in Illu Ababora Zone and general hospital in Buno Bedele zone, Southwest Ethiopia’
title_full_unstemmed Poor sleep hygiene practice and associated factors among adults with epilepsy attending follow up care at Mettu Karl comprehensive specialized hospitals in Illu Ababora Zone and general hospital in Buno Bedele zone, Southwest Ethiopia’
title_short Poor sleep hygiene practice and associated factors among adults with epilepsy attending follow up care at Mettu Karl comprehensive specialized hospitals in Illu Ababora Zone and general hospital in Buno Bedele zone, Southwest Ethiopia’
title_sort poor sleep hygiene practice and associated factors among adults with epilepsy attending follow up care at mettu karl comprehensive specialized hospitals in illu ababora zone and general hospital in buno bedele zone southwest ethiopia
topic Sleep hygiene practice
Epilepsy
Anti-epileptic drugs
Ethiopia
url https://doi.org/10.1186/s41606-024-00110-x
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