Factors affecting preoperative sleep quality in patients undergoing myomectomy and hysterectomy

Abstract

Objective: In this study, preoperative subjective sleep quality (SP) and the factors which affect the SP were investigated in patients who underwent myomectomy and hysterectomy. Material and Methods: A total of 172 patients were included in the present study; 67 patients undergoing myomectomy and 105 undergoing hysterectomies were evaluated. Pittsburgh Sleep Quality Index (PSQI), Beck Anxiety Inventory (BAI), and Beck Depression Inventory (BDI) were used preoperatively to evaluate subjective sleep quality, anxiety, and depression, respectively. The patients were classified into two groups according to sleep quality score: good quality (PSQI ≤ 5) and poor quality (PSQI > 5). Results: Overall, 56.4% of patients reported poor sleep quality with a PSQI score > 5. The total PSQI score, BAI score, subjective sleep quality, sleep latency, sleep duration, sleep disturbances, and the use of sleeping medication of the patients undergoing hysterectomy were significantly higher than those undergoing myomectomy (p < 0.05). Age (odds ratio [OR] = 1.082; 95% confidence interval [CI], 1.012–1.157; p = 0.021), operation type (OR = 1.071; 95% CI, 1.015–1.149; p = 0.035), and BAI score (OR = 1.097; 95% CI, 1.073–1.294; p = 0.001) were significantly associated with poor sleep quality. Logistic regression analysis showed that age, the BAI score, and the type of surgery were significantly associated with poor sleep quality. Conclusion: The preoperative sleep quality of patients was significantly associated with the surgical procedure, patient age, and patient anxiety. Preoperative sleep quality of patients who underwent hysterectomy was worse than those who underwent myomectomy.