Behçet Hastalığı Olanlarda Uyku Kalitesinin ve Uyku Kalitesi ile Hastalık Aktivitesi Arasındaki İlişkinin Değerlendirilmesi

Year 2018, Volume: 26 Issue: 3, 1 - 1, 31.12.2018

Oğuzhan Herdi , Vesile Şentürk Cankorur

Abstract

Giriş:Behçet
hastalığı vaskülit ile seyreden kronik otoimmün bir hastalıktır. Hastalık yineleme
(relaps) ve iyilik dönemleri (remisyon) ile seyretmektedir ve tüm organları
tutabilmektedir. Behçet hastalığında aynı zamanda psikiyatrik belirtilerin de
sık gözlendiği çalışmalarda ortaya konmuştur ve psikiyatrik belirtilerin
hastalık şiddeti ile ilişkili olduğu gösterilmiştir. Çalışmamızın amacı Behçet
Hastalığı olanlarda uyku kalitesinin değerlendirilmesi ve uyku kalitesi ile hastalık
aktivitesi arasındaki ilişkinin araştırılmasıdır.

Yöntem:
Ankara Üniversitesi Tıp Fakültesi Mulidisipliner Behçet polikliniğine başvuran
49 hastaya Sosyodemografik veri formu, Pittsburgh Uyku Kalitesi Ölçeği (PUKÖ),
Hastane Anksiyete Depresyon (HAD) ve Behçet Hastalığı Aktivite Formu (BHAF)
verilmiştir. Tanımlayıcı analizler, korelasyon analizleri ve Students t-testi
yapılmıştır.

Bulgular:  PUKÖ ortalaması 4,76±2,52, BHAF puanı
ortalaması 4,4±2,43 ve HAD ortalaması 16,71±6,6 olarak belirlenmiştir. BHAF ve
HAD’den yüksek puan almak sırası ile hastalık aktivitesi ve depresyon ile
anksiyete belirtilerinin daha fazla olduğuna işaret etmektedir. PUKÖ puanları değerlendirildiğinde
hastaların %32,7’si (n=16) eşik puan olan 5’in üzerinde puan almıştır. PUKÖ ile
BDCAF arasında anlamlı bir korelasyon saptanmamıştır (r=.068, p=0.641).Her üç
Behçet hastasının birinin uyku kalitesinin bozuk olduğu gösterilmiş olup
hastalık aktivitesi ve uyku kalitesi arasında anlamlı bir ilişki bulunmamıştır. 

Keywords

Behçet hastalığı, hastalık aktivitesi, uyku kalitesi

Sleep Quality in Behcet Disease and The Relationship Between Sleep Quality and Disease Activity

Abstract

Introduction: Behcet disease is an autoimmune disease that presents vasculitis. It is relapsing and remmitting disease and effects every organs. Nevertheless it was shown that psychiatric findings were common in the disease and there was a relationship between disease activity and these findings. In this paper we aimed to evaluate relationship between sleep quality and disease activity. Method:Sociodemographic dataset, Pittsburgh Sleep Quality Index, Hospital Anxiety and Depression Scale and Behcet Disease Current Activity Form were applied to patients that refered to Ankara University MEdical Faculty Multidiscipliner Behcet Clinic. Descriptive, correlation analysis and Mann-Whitney U were carried out. Results: Mean of BDCAF, HAD depression subscale, anxiety subscale and PSQI were respectively 4,4 ± 2,43, 8,69±3,19, 8,10 ± 4,36 and 4,76±2,52. %32,7 (n=16) of patients had over 5 point in PSQI; which cut off point of this scale is 5 point. Both BDCAF and HAD higher scores mean increased disease activity and more intense depression and anxiety findings. There was no correlation between PSQI and BDCAF(r=.068, p=0.641). Conclusion: In our study it was shown that one of three patients with Behcet disease had poor sleep quality but there was no relationship between sleep quality and disease activity

Keywords

Behcet disorder, disease activity, sleep quality

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