Factors Predicting Sleep Quality in Patients with Chronic Obstructive Pulmonary Disease
DOI:
https://doi.org/10.60099/jtnmc.v39i04.269261Keywords:
chronic obstructive pulmonary disease, sleep quality, fatigue, stress, caffeine consumptionAbstract
Introduction It is evident that sleep quality affects health outcomes for patients with chronic obstructive pulmonary disease. However, factors affecting sleep quality remain limited, particularly in Thai patients with chronic obstructive pulmonary disease.
Objective This study aimed to describe sleep quality and examine the predictive power of body mass index, fatigue, inhaled corticosteroids, stress, and caffeine consumption on sleep quality in patients with chronic obstructive pulmonary disease.
Design Descriptive correlational predictive design, employing Spielman’s concept of chronic insomnia as a conceptual framework
Methodology The participants consisted of 137 patients with chronic obstructive pulmonary disease, aged 40 or over, who attended follow-up visits at a chronic obstructive pulmonary disease clinic in a secondary hospital in Chonburi province from March to June 2023. The study participants were selected through purposive sampling with inclusion criteria. The sample size was determined using power analysis. Data were collected using a record form of demographics and history of illness, the Pittsburgh Quality of Sleep Index (PSQI) Thai version, the Piper Fatigue Scale-12 (PFS-12) Thai version, the Suanprung Stress Test -20 (SPST-20), and the caffeine consumption questionnaire. Data were analyzed using descriptive statistics and Multiple regression analysis.
Results The participants had a mean age of 71.87 years (SD=12.04). Most of them were male (83.2%). Their sleep quality was poor (81.0%). Body mass index, fatigue, inhaled corticosteroids, stress, and caffeine consumption jointly explained 77.5% of variances in sleep quality in patients with chronic obstructive pulmonary disease (R2 = .775, F = 90.437, p < .001). Fatigue, stress, and caffeine consumption were significant predictors of sleep quality in these patients (β = .116, .159, and .724 respectively, p < .001)
Recommendation Nurses should assess fatigue and stress in patients with chronic obstructive pulmonary disease and develop approaches to preventing and managing these symptoms, including providing information on the negative effects of caffeine consumption on sleep quality in these patients.
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