Sleep quality and its determinants among family caregivers of patients with cancer in oncologic centers of Northwest Ethiopia: A multicenter cross-sectional study

Abstract

OBJECTIVE: Sleep quality plays a crucial role in overall well-being, and many caregivers of cancer patients report being dissatisfied with their sleep. The aim of this study was to assess sleep quality and its determinants among caregivers of patients with cancer at oncologic centers of Northwest Ethiopia. METHODS: An institution-based, multicenter cross-sectional study was conducted among 412 family caregivers of patients with cancer at oncologic centers in Northwest Ethiopia from August to October 2023. Study participants were enrolled using systematic random sampling. Data entry and analysis were done using EpiDdata version 4.6.0 and Statistical Package for Social Sciences (SPSS) version 26, respectively. A multivariable logistic regression model was used to identify determinants of sleep quality. Variables with a p-value <0.05 at a 95 % Confidence Interval (CI) were defined as statistically significant. RESULTS: Out of a total of 422 approached participants, 412 eligible caregivers were included in the study. Poor sleep quality was reported among 68.9 % of caregivers. The presence of chronic illness [Adjusted Odds Ratio (AOR) = 2.19, 95 % CI: 1.18, 4.03, P: 0.012], depression [AOR = 3.40, 95 % CI: 2.04, 5.68, P: <0.001], anxiety [AOR = 2.27, 95 % CI: 1.29, 3.99, P: 0.004], and poor social support [AOR = 2.06, 95 % CI: 1.04, 4.06, P: 0.036] were significantly associated with poor sleep quality. CONCLUSION: In this study, two-thirds of caregivers were found to have poor sleep quality. Participants with chronic illness, depression, anxiety, and poor social support need prompt screening and follow-up in order to improve sleep quality.