INFLUENCE OF SLEEP QUALITY AND AGE ON PRIMIGRAVIDA HEALTH-RELATED QUALITY OF LIFE IN IBADAN, NIGERIA

Abstract

The first pregnancy may be associated with mixed feelings of happiness and negative expectations. Primigravida may expect their first child-bearing experience to be frightening, extremely difficult and painful which can affect their health-related quality of life (HRQoL). The study investigated the influence of sleep quality and age on health- related quality of life among primigravida in Ibadan. The study adopted a descriptive survey research design. Seven hundred and sixty-eight (768) primigravida attending ante-natal care were purposively selected in nine government hospitals in Ibadan. These selected participants fulfilled the inclusion criteria and consented to participate in the study. The participants’ ages ranged from 18 to 41 with a mean age of 93.6. A questionnaire consisting of demographic information of primigravida, World Health Organization Quality of life (WHOQOL-BREF) and Pittsburgh Sleep Quality Index (PSQI) was used to collect data. The hypotheses raised were tested using stepwise linear regression and analysis of variance (ANOVA). The result revealed that out of seven sleep quality components (subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbance, use of medication and daytime dysfunction), only sleep disturbance has a statistically significant independent influence on HRQoL of primigravida but sleep quality components jointly influence HRQoL of primigravida in Ibadan. Primigravida within 22-37 ages reported a higher level of HRQoL than their younger (18-21) and older counterparts (38-41). The study concluded that sleep quality components if enhanced could improve health-related quality of life among primigravida.

Keywords: Sleep quality, Age, Quality of life, Health-related quality of life, Primigravida