Abstract
Introduction
Sleep quality is a subjective experience related to satisfaction and feelings after
waking. Many menopausal women struggle to achieve adequate sleep, averaging less than
7 hours per night.
Objective
The purpose of this study was to identify unraveling the factors shaping sleep quality
among postmenopausal women in Indonesia.
Methods
This research is a correlative descriptive study with a quantitative approach using
a cross-sectional design. Determination of the sample in this study using the accidental
sampling method (n = 256) in women aged ≥ 40 years in Indonesia with the Pittsburgh Sleep Quality Index
(PSQI) questionnaire instrument to determine sleep quality. Depression Anxiety Stress
Scale (DASS-21) to assess psychological factors, the Multidimensional Scale of Perceived
Social Support (MSPSS) for social support, and the Menopause Rating Scale (MRS).
Results
The results showed that the proportion of menopausal women aged 50 to 72 years in
Indonesia with poor sleep quality was 72.3%. Variables that significantly affect the
sleep quality of menopausal women in bivariate analysis were age(OR = 2.898; 95%CI = 1.650–5.090;
p < 0.001), level of education(OR = 2.035; 95%CI = 1.115–3.713; p = 0.019), anxiety level (OR = 2.027; 95%CI = 1.010–4.069; p = 0.044), stress level (OR = 4.640; 95%CI = 2.573–8.368; p < 0.001), social support(OR = 0.484; 95%CI = 0.273–0.860; p = 0.013) and menopausal symptoms(OR = 4.596; 95%CI = 1.069–19.766; p = 0.026). Then in multivariate analysis, stress level (OR = 6.075; 95%CI = 3.147-
11.727; p < 0.001) was the most dominant factor affecting sleep quality.
Conclusion
It can be concluded that there were factors that significantly affected menopausal
women, namely age, education level, anxiety level, stress level, social support, and
menopausal symptoms with stress levels being the most dominating factor in menopausal
women's sleep quality.
Keywords
sleep quality - postmenopausal - Indonesia - women - deepression - menopause
