The Clinical Correlates And Self-Management Of Insomnia Among Patients Presenting In A Tertiary Health Institution, South West Nigeria

Agbesanwa, Tosin Anthony and Aina, Felix O and Fatunla, Odunayo Adebukola and Shabi, Olabode Muftau and Ibrahim, Azeez (2019) The Clinical Correlates And Self-Management Of Insomnia Among Patients Presenting In A Tertiary Health Institution, South West Nigeria. International Journal of Innovative Research and Advanced Studies, 6 (6). pp. 84-87. ISSN 2394-4404

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Abstract

Background: Sleep has important biological functions that are essential for normal restorative, conservative and adaptive functions. The lack or inadequacy of it will alter these normal biological functions in man which may negatively affect various organs and systems. The knowledge of what people with insomnia are using will assist clinician on modality of approach in proper management Aim: To determine the clinical correlates of insomnia and self management among patients presenting with insomnia. Method: A descriptive cross sectional study of three hundred and seventeen adults selected through systematic random sampling technique. An interviewer administered questionnaire was used to collect the data. Result: The following clinical conditions were observed to have positive association with insomnia. This include Hypertension (X2 30.101; P value <0.001), Heart disease (X2 38.040; P value <0.001), Fall/Pains (X2 24.306; P value <0.001), Arthritis/Joint Pains (X2 28.359; P value <0.001), Depression (X2 25.277; P value <0.001), Other Psychiatric diseases (X2 42.639; P value <0.001). Over the counter medication has significant association with presence of insomnia but not with herbal usage (X2 33.399; P value <0.001). a larger proportion of insomniacs who were using over the counter medication have stopped its usage as the time of the study (X2 4.629; P value <0.039) Conclusion: Multiple clinical morbidities are associated with insomnia. The desire to improve the sleep quality and quantity of an insomniac, they tend to embark on self-management. Clinician with this understanding must therefore take proactive approach to find what type of self management the individual is using. This will help to inform, educate and counsel appropriately against dangerous steps and measures that may have been embarked upon

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