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Background <p>The problem of sleep quality is a significantly growing global public health challenge that millions of people are suffering from. Evidence from developed countries sugests that patients with orthopedic problems are severely affected by poor sleep quality. However, there is limited evidence on sleep quality in developing countries like Ethiopia.</p> Objective <p>To assess the magnitude of sleep quality and associated factors among orthopedic follow-up patients at Jimma Medical Center, Ethiopia, 2023.</p> Methods <p>An institutional-based cross-sectional study design was performed from July 20 to September 15, 2023, among 422 orthopedic follow-up patients. The study used a systematic random sampling technique. Data was collected through face-to-face interviews using kobotool box of mobile application. Sleep quality was assessed by Pittsburgh sleep quality index (PSQI). SPSS version 25 was used to analyze the data. Bivariable and multivariable logistic regression were used. Statistical significance was considered at a P-value &lt; 0.05 with a 95% CI and strength of association was measured by AOR.</p> Result <p>Out of 422 eligible orthopedic patients approached, 416 participated in the study, resulting in a response rate of 98.6%. The prevalence of poor sleep quality was 77.2% (95% CI: 73.1%–81.1%). Being male (AOR = 2.4, 95% CI: 1.3–4.3), low monthly income (AOR = 3.4, 95% CI: 1.8–6.4), poor social support (AOR: 4.4, 95% CI: 1.6–12.4), pain (AOR = 8.1, 95% CI: 4.3–15.0), anxiety (AOR = 2.4, 95% CI: 1.4–4.3) and depression (AOR = 3.9, 95% CI: 2.2–7.2) were correlated with poor sleep quality.</p> Conclusion <p>Poor sleep quality among orthopedic follow-up patients attending treatment at Jimma Medical Center was high. These findings emphasize the need for healthcare providers to routinely assess and address sleep disturbances in orthopedic patients. Interventions targeting pain management, mental health conditions (anxiety and depression), and improvement of social support may help reduce poor sleep quality among patients. Special attention should also be given to patients who are male and those with low monthly income, as they are at higher risk.</p>

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Sleep Quality and Associated Factors among Orthopedic Patients Attending Follow Up Treatment at Jimma Medical Center, Ethiopia

  • 期刊论文

  • 发表日期：

    2026年5月22日

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  • Sisay Siyum,
  • Liyew Agenagnew,
  • Girum Nakie,
  • Lami Tamana,
  • Nigus Kassie Worku,
  • Hailemariam Weldemariam

摘要

Background

The problem of sleep quality is a significantly growing global public health challenge that millions of people are suffering from. Evidence from developed countries sugests that patients with orthopedic problems are severely affected by poor sleep quality. However, there is limited evidence on sleep quality in developing countries like Ethiopia.

Objective

To assess the magnitude of sleep quality and associated factors among orthopedic follow-up patients at Jimma Medical Center, Ethiopia, 2023.

Methods

An institutional-based cross-sectional study design was performed from July 20 to September 15, 2023, among 422 orthopedic follow-up patients. The study used a systematic random sampling technique. Data was collected through face-to-face interviews using kobotool box of mobile application. Sleep quality was assessed by Pittsburgh sleep quality index (PSQI). SPSS version 25 was used to analyze the data. Bivariable and multivariable logistic regression were used. Statistical significance was considered at a P-value < 0.05 with a 95% CI and strength of association was measured by AOR.

Result

Out of 422 eligible orthopedic patients approached, 416 participated in the study, resulting in a response rate of 98.6%. The prevalence of poor sleep quality was 77.2% (95% CI: 73.1%–81.1%). Being male (AOR = 2.4, 95% CI: 1.3–4.3), low monthly income (AOR = 3.4, 95% CI: 1.8–6.4), poor social support (AOR: 4.4, 95% CI: 1.6–12.4), pain (AOR = 8.1, 95% CI: 4.3–15.0), anxiety (AOR = 2.4, 95% CI: 1.4–4.3) and depression (AOR = 3.9, 95% CI: 2.2–7.2) were correlated with poor sleep quality.

Conclusion

Poor sleep quality among orthopedic follow-up patients attending treatment at Jimma Medical Center was high. These findings emphasize the need for healthcare providers to routinely assess and address sleep disturbances in orthopedic patients. Interventions targeting pain management, mental health conditions (anxiety and depression), and improvement of social support may help reduce poor sleep quality among patients. Special attention should also be given to patients who are male and those with low monthly income, as they are at higher risk.