Level of Sleep Quality and Its Associated Factors among Patients with Guillain Barre Syndrome in Bangladesh: A Cross-Sectional Study

Abstract

Background: Poor sleep quality has adverse effect on health. Moreover, it is associated with depression, anxiety, stress which leads to unstable psychosocial health. It is important to understand the associated factors that influences poor sleep quality among Guillain barre patients. This understanding is essential for maintain sleep hygiene during rehabilitation. Aim: To identify the level of sleep quality and examine the factors associated with sleep quality among patients with Guillain-Barré Syndrome (GBS). Methods: The study used a cross-sectional quantitative design to conduct a telephone survey with 126 GBS patients who had received rehabilitation services from the Centre for the Rehabilitation of the Paralysed (CRP) in Savar and Mirpur. Standardized questionnaires (Pittsburgh Sleep Quality Index, Depression, Anxiety Stress -DASSS 21) were used to collect. The data was analyzed using the SPSS 20 version for descriptive and inferential analysis. Results: The study showed 55.6% respondents reported experiencing poor sleep quality and 44.4% of the respondents indicated that they had good sleep quality. Duration of 24-35 months illness 2.171 times higher PSQI scores that means increase worse sleep quality significantly(p<.001). Moreover, taking no sleep medication is 4.013 times higher the PSQI scores that means increase worse sleep quality significantly(p<.003). Sleep quality has positive correlations among depression ((r=0.331, p<0.01, B=147 CI=.077,0.217), Stress (r=0.311 p<0.01, B= .212, CI=.12 .299), Anxiety (r=0.383 p<0.01, B=.235, CI=.118 .351). Conclusion: The study revealed that illness duration within 24-35 months worsens the sleep quality significantly. Moreover, depression, stress and anxiety have significant correlations with poor sleep quality. However, gender, weight, number of family members, secondary complications, living area, socioeconomic status, therapy session, personal habit has not shown any significant association with sleep quality. Furthermore, who has depression, anxiety and stress showed poor sleep quality. Therefore, a comprehensive approach to Guillain barre syndrome patient rehabilitation physical and psychosocial interventions is imperative and should be maintained sleep hygiene during rehabilitation. Keywords: Sleep Quality, Depression, Anxiety, Stress, Sleep medication, Duration of illness