What does this research mean for the field?

65.7% of adult patients admitted to the intensive care unit experience poor sleep quality, influenced by factors such as previous ICU admission, anxiety, length of stay, mechanical ventilation, co-morbidity, and environmental disturbances. Novelty: ClaimNovelty.NOVEL_FINDING. Consensus alignment: ConsensusAlignment.ESTABLISHES_NEW_DIRECTION.

What question did this study set out to answer?

To assess sleep quality and associated factors among adult patients in the intensive care unit at Bahir Dar hospitals.

February 21, 2026Sleep Science and Practice0 citationsOpen Access

Assessment of sleep quality and associated factors in adult patients admitted in intensive care unit at Bahir Dar city comprehensive specialized hospitals, Northwest Ethiopia: a multi-center cross-sectional study

ADAtalay Eshetie Demilie HBHabtu Tsehayu Bayu EDEshetu Tesfaye Dejen

Puntos clave

To assess sleep quality and associated factors among adult patients in the intensive care unit at Bahir Dar hospitals.
Multi-center cross-sectional study conducted from April to October 2024.
Convenient sampling method used to select ICU patients.
Data collected via a modified questionnaire during recovery phase.
Data analyzed with SPSS version 26 using logistic regression methods.
65.7% of patients reported poor sleep quality.
Factors associated with poor sleep include previous ICU admission, worrying, and length of ICU stay.
Mechanical ventilation and co-morbidity were also linked to lower sleep quality.
Environmental issues like noise and pain correlated negatively with sleep quality.

Resumen

Sleep has basic physiologic function and mental health stability that encourage healing process progressively in severely illness patients. Sleep disorder is a common problem in patients admitted to intensive care unit. The cause of sleep disturbance includes ignorance by clinical staffs, clinical and environmental factors. Sleep disturbances affect negatively the recovery of patients from critical illness. However, the problem remains unexplored in the study area. To assess sleep quality and associated factors among adult patients admitted to intensive care unit at Bahir Dar city comprehensive specialized hospitals, Bahir Dar, Ethiopia. Multi-center cross-sectional study was conducted from April 1, 2024 to October 30, 2024. Convenient sampling method was used to select patients who were admitted to intensive care unit. Data were collected using questionnaire developed based on modified freedman questionnaire from the patients during the recovery phase. Data were entered and analysed using SPSS version 26. Bi-variable and multivariable logistic regression analyses were performed. Majority of patients (65.7%) had poor sleep quality (95% CI = 63.31–69.01). Previous ICU admission (AOR = 2.10, 95% CI = 1.932- 23.103), worrying (AOR = 2.6, 95% CI = 0.298- 0.926), length of stay in ICU (AOR = 1.87, 95%CI = 0.361- 0.875), mechanical ventilation (AOR = 3.8, 95%CI = 0.035–0.864), co-morbidity (AOR = 1.86, 95%CI = 0.617–87.102), first night in the ICU (AOR = 2.5,95%CI = 0.625- 6.371), day time sleepiness (AOR = 3.2, 95%CI = 2.924, 23.190)and marital status (AOR = 1.6, 95%CI = 0.342–0.675) had positive association with poor quality of sleep. Additionally, environmental factors like noise, pain, light and doctors/nurses activities were correlated with poor sleep quality in intensive care unit. The prevalence of poor sleep quality was high in intensive care unit. We recommend reducing anxiety through psychological support, managing pain and minimize noise by adjusting monitorings and ventilator alarms. Additionally, training should be provided for ICU staff to reduce sleep disturbance factors. Moreover, eye shields and ear plugs should be given for patients to minimize environmental noise.

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