SLEEP QUALITY AND ASSOCIATED FACTORS AMONG ELDERLY PATIENTS ATTENDING OUTPATIENT CLINICS OF HOSPITAL UNIVERSITI SAINS MALAYSIA, KELANTAN, MALAYSIA

Authors

  • Lee Liang Hoong Department of Family Medicine,School of Medical Sciences, Universiti Sains Malaysia, 16150, Health Campus, Kelantan, Malaysia
  • Salziyan Badrin Department of Family Medicine,School of Medical Sciences, Universiti Sains Malaysia, 16150, Health Campus, Kelantan, Malaysia
  • Ruzilawati Abu Bakar Department of Pharmacology,School of Medical Sciences, Universiti Sains Malaysia, 16150, Health Campus, Kelantan, Malaysia
  • Imran Ahmad Department of Family Medicine,School of Medical Sciences, Universiti Sains Malaysia, 16150, Health Campus, Kelantan, Malaysia

Keywords:

sleep quality, elderly, outpatient, M-PSQI, M-DASS, M-WHOQoL-Bref

Abstract

Sleeping is a complex entity in which many factors; from physical health, mental health, biopsychosocial factors and quality of life affect one’s sleeping quality. Studying sleep quality among elderly people provides important values as the world elderly population is increasing. The objective of this study was to determine the prevalence of poor sleep quality and its associated factors among elderly patients attending outpatient clinics of Hospital Universiti Sains Malaysia, Kelantan, Malaysia. We conducted a cross sectional study involving 303 elderly aged 60 and above. Systematic random sampling in the ratio of 1:2 was applied to the elderly who attended outpatient clinics of Hospital Universiti Sains Malaysia, Kelantan, Malaysia from September 2019 to June 2020.  Face-to-face interview and participants’ case notes were used to obtain information needed. Malay Version of Pittsburgh Sleep Quality Index (M-PSQI) was used to assess sleep quality. Depression, anxiety and stress score (DASS) was used to assess mental health. The data was analysed using SPSS version 26, applying descriptive statistic, simple logistic regression and multiple logistic regression. The average age of the participants were 68.6 years old (SD: 6.152), 166 (54.8%) of them were female and 256 (84.5%) were Malays. The prevalence of poor sleep quality was 65.7%. Ethnicity (p=0.01 95%CI 0.232, 0.818), diabetes mellitus (p=0.04, 95%CI 1.023, 2.666), chronic joint pain (p=0.002, 95%CI 1.450, 4.908), mental health and quality of life were significantly associated with poor sleep quality among the elderly. Depression (p=0.001, 95%CI (1.088, 1.406), anxiety (p=<0.001, 1.094, 1.350) and stress (p=<0.001, 95%CI 1.094, 1.350) also showed significant association. All components in WHO-quality of life brief version (WHOQoL bref) also showed significant association. In conclusion, the prevalence of poor sleep quality was high among elderly patients attending outpatient clinics. Factors such as ethnicity, chronic health conditions, mental health issues, and quality of life were identified as significant contributors to poor sleep quality among the elderly population.

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Published

2024-04-28

How to Cite

Lee Liang Hoong, Badrin, S., Ruzilawati Abu Bakar, & Imran Ahmad. (2024). SLEEP QUALITY AND ASSOCIATED FACTORS AMONG ELDERLY PATIENTS ATTENDING OUTPATIENT CLINICS OF HOSPITAL UNIVERSITI SAINS MALAYSIA, KELANTAN, MALAYSIA. Malaysian Journal of Public Health Medicine, 24(1), 259–267. Retrieved from https://mjphm.org/index.php/mjphm/article/view/2518