Caring for patients with chronic medical disorders such as stroke is
a very demanding task. Family caregivers suffer various negative
health consequences in the course of rendering care for patients
with stroke. There is paucity of research on the impact of caregiving
on the quality of sleep of these caregivers.
Aim: To assess the quality of sleep in caregivers of patients with
stroke attending a tertiary teaching hospital in Lagos Nigeria. Also,
to determine the factors associated with poor quality of sleep in
the caregivers. The study also determined the relationship between
quality of sleep, burden of care and psychological distress among
Study design: Cross-sectional study.
Methodology: Sixty-four informal caregivers of randomly selected
patients with stroke attending the Medical Out-patients clinic
of the Lagos University Teaching Hospital Idi-Araba, Lagos,
South-Western, Nigeria. The quality of sleep of the participants
was assessed using the Pittsburgh Sleep Quality Index (PSQI).
Caregivers’ burden and psychological distress were assessed with
Zarit Burden Interview (ZBI) and General Health Questionnaire-12
(GHQ-12) respectively. Data were obtained from all the participants
via a face to face interview conducted by the researchers; additional
clinical variables pertaining to the illness in the patients were
obtained from the patients’ case files.
Results: About 31.3% of the caregivers of patients with stroke had
poor quality of sleep (global PSQI score > 5). On regression analysis,
caregivers’ burden (p=0.004) and psychological distress in the
caregivers (p=0.004) are the only factors that were independently
associated with poor quality of sleep among the caregivers.
Conclusion: Our findings bring to the fore the need to screen
caregivers of patients with stroke for sleep problems and facilitate
their access to relevant interventions.