Factors Affecting Sleep Quality in Patients Using Cannabis Oil for Insomnia at a Thai Traditional Medical Cannabis Clinic
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Abstract
Objective: To study sleep quality and its affecting factors in patients using cannabis oil to treat insomnia at a Thai traditional medical cannabis clinic. Methods: The research was an analytical cross-sectional study. The subjects consisted of 279 patients who used cannabis oil for insomnia at the Thai traditional medical cannabis clinic of Thai Traditional Health Promotion Center under the Department Thai Traditional and Alternative Medicine. The study measured sleep quality using the Thai version of the Pittsburgh Sleep Quality Index. The studied factors included background information of the patients and stress as measured by the Suanprung Stress Test. Results: 53.0% of the subjects had poor sleep quality, while 47.0% had good sleep quality. Factors significantly affecting poor sleep quality with P<0.05 were educational levels bachelor's degree or higher (OR=1.93, 95%CI=1.19-3.12, compared to those at below bachelor's degree), being paid workers, business owners, commerce and housekeepers/retirees (OR=4.64, 95%CI=1.58-13.61; OR=4.67, 95%CI=1.21-18.04; OR=7.40, 95%CI=2.34-23.38; OR=3.70, 95%CI=1.17-11.74, respectively, compared with civil servants/those working in state enterprises), those not able to specify specific working hours and those working more than 8 hours in a day (OR=3.16, 95%CI=1.47-6.77; OR=2.99, 95%CI= 1.45-6.14, respectively, compared to those working less than or equal to 8 hours a day), those with chronic diseases (OR=2.50, 95%CI=1.54-4.07), those regularly taking other medications (OR=2.27, 95%CI=1.39-3.72), those taking sedative and sedation -inducing drugs (OR=11.47, 95%CI=1.47-89.47), those with moderate and high levels of stress (OR=2.16, 95%CI=1.30-3.58, compared with those with mild stress) and duration of cannabis oil use at 366-730 days and greater than or equal to 731 days (OR=1.85, 95%CI=1.14-3.10; OR=3.64, 95%CI=1.59. -8.29, respectively, compared to those with less than or equal to 365 days of cannabis use). Conclusion: Hospitals can apply factors found to affect sleep quality of patients who use cannabis oil to take care of them at Thai traditional medical cannabis clinics.
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ผลการวิจัยและความคิดเห็นที่ปรากฏในบทความถือเป็นความคิดเห็นและอยู่ในความรับผิดชอบของผู้นิพนธ์ มิใช่ความเห็นหรือความรับผิดชอบของกองบรรณาธิการ หรือคณะเภสัชศาสตร์ มหาวิทยาลัยสงขลานครินทร์ ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากการพิมพ์ บทความที่ได้รับการเผยแพร่โดยวารสารเภสัชกรรมไทยถือเป็นสิทธิ์ของวารสารฯ
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