Evidence map›Paper›PMID 41439110›Full record

SynthesisBioMed research international2025

Sleep Quality and Its Determinants Among Patients With Chronic Diseases in Ethiopia: A Systematic Review With Meta-Analysis.

Bekahegn Girma, Alemayehu Molla, Asresu Feleke, Takla Tamir, Ahmedin Sefa, Jemberu Nigussie

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BioMed research international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Bekahegn GirmaDepartment of Nursing, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia, du.edu.et.ORCID https://orcid.org/0000-0001-5504-6047
Alemayehu MollaDepartment of Psychiatry, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia, du.edu.et.ORCID https://orcid.org/0000-0001-5368-6665
Asresu FelekeDepartment of Nursing, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia, du.edu.et.
Takla TamirDepartment of Nursing, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia, du.edu.et.ORCID https://orcid.org/0000-0002-3037-8341
Ahmedin SefaDepartment of Nursing, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia, du.edu.et.
Jemberu NigussieDepartment of Nursing, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia, du.edu.et.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients with chronic medical and mental illnesses are more vulnerable to poor sleep quality. However, there is little aggregated evidence about poor sleep quality among this population and its determinants in Ethiopia. This study was aimed at assessing the pooled prevalence of sleep quality and its determinants among patients with chronic diseases in Ethiopia. Methods: We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to write this review. Primary articles were retrieved from PubMed, PsycINFO, Hinari, ScienceDirect, African Journal Online (AJOL), and Google Scholar databases. A random-effects model was applied for analysis. Results: The pooled prevalence of poor sleep quality among patients with chronic medical and mental illnesses was 53.12% (95% CI: 47.66, 58.58). Eight factors were associated with poor sleep quality: advanced age (POR = 1.04, 95% CI: 1.02, 1.07), female sex (POR = 2.95, 95% CI: 2.21, 3.93), social support (POR = 2.62, 95% CI: 1.90, 3.61), substance use (POR = 1.76, 95% CI: 1.51, 2.04), anxiety symptoms (POR = 2.92, 95% CI: 2.40, 3.56), comorbidity (POR: 2.47, 95% CI: 1.83, 3.33), sleep hygiene practice (POR: 2.86, 95% CI: 2.02, 4.04), and depression symptoms (POR = 3.73, 95% CI: 2.96, 4.69). Conclusion and Recommendation: More than half of patients with chronic diseases experienced poor sleep quality. Poor sleep quality was connected with advanced age, female sex, substance use, having comorbidity, inadequate social support and sleep hygiene practices, anxiety, and depression symptoms. Substance use should be restricted, and patients with chronic mental and medical illnesses should be counseled to avoid substance use. Moreover, special focus should be given to female patients, patients with other comorbid conditions, elderly individuals, and those who have poor sleep hygiene and social support. Lastly, patients with chronic medical and mental illnesses should be screened for anxiety and depression symptoms.

Indexed as

Sleep QualitySleep Wake DisordersChronic DiseaseEthiopiaFemaleHumansMaleMental DisordersPrevalenceSocial Supportassociated factorschronic illnessesEthiopiameta-analysissleep quality

Identifiers

PMID41439110
PMCPMC12719613

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.