Investigating Sleep Preparation, Sleep Participation, and Sleep Performance among Individuals with Spinal Cord Injuries : A Cross-sectional Study

Abstract

Background: It is essential to explore sleep patterns and factors affecting sleep quality in individuals with spinal cord injury, as they are more prone to sleep disturbances, yet there is a lack of research on this topic in Bangladesh, highlighting the need for studies to address this gap and provide insights for improving sleep outcomes in this population. Aim: The study aims to compare sleep preparation, sleep participation, and sleep performance and related factors among individuals with spinal cord injuries in hospital and community settings. Methods: The study employed a cross-sectional design, recruiting participants from both hospital and community settings, utilizing self-reported measures to assess the domain of sleep and related factors. Statistical analysis, including Spearman's correlation coefficient, was conducted to examine the relationships between these variables and identify any significant correlations. Result: The overall sleep preparation practices among individuals with spinal cord injury were slightly higher in hospital settings (M = 3.56, SD = 0.648) compared to community settings (M = 3.42, SD = 0.479). Overall, sleep participation was higher among community participants (M = 3.53, SD = 0.485) compared to hospital participants (M = 3.23, SD = 0.794). Community participants (M = 3.74, SD = 0.577) demonstrated higher overall sleep quality compared to hospital participants (M = 3.41, SD = 0.947). The study highlights significant associations between sleep participation, sleep quality, and sleep preparation in hospital settings with more positive ratings in physical and psychological factors, while no significant correlations were found with environmental factors. Conversely, in a community setting, positive correlations were Abstract observed between sleep participation and sleep preparation, as well as between physical and psychological factors, with environmental factors showing a moderate negative correlation. Conclusion: The findings highlight the significance of addressing sleep-related challenges and considering the multifaceted impact of physical, psychological, and environmental factors on sleep quality for individuals with spinal cord injuries. Keywords: Sleep quality, spinal cord injury, physical factors, psychological factors, environmental factors, sleep preparation, sleep participation.