Quality of Sleep in Patients with Chronic Low Back Pain; Relationship of Sleep with Pain, Functional Status and Quality of Life

Year 2021, , 481 - 487, 25.12.2021

Tuğçe Köksal , Selda Sarıkaya

https://doi.org/10.29058/mjwbs.1034438

Cited By: 2

Abstract

Aim: The objective of this study was to assess sleep quality in patients with chronic low back pain and
to demonstrate the relationship between sleep quality and pain, functional status and quality of life, as
well as the relationship between chronic back pain and depression.
Material and Methods: This study included 100 patients with chronic low back pain(CLBP) and 100
healthy controls. Pain was evaluated with Visual Analog Scale, functional capacity with Roland Morris
Disability Questionnaire ,sleep quality with Pittsburgh Sleep Quality Index (PUKI), life quality with Short
Form-36 (SF-36) and depression status with Beck Depression Inventory (BDI). We used these self-report questionnaires to compare CLBP patients with healthy control group. Also, cross- correlation among the sleep disturbance and
severity of CLBP, functional capacity, life quality and depression were evaluated.
Results: PSQI score was higher in patients with CLBP than control group [The median PSQI was 4 (0-15) for the healthy controls and 5
(1-14) for the patients group, p=0.014]. Significant associations were found between PUKI and the severity of pain in night (p=0.005). In
the patient group, the detailed categories of physical function, physical role, vitality, social functioning, pain and general health of the SF-36
were statistically significantly lower than control group (p<0.001, p<0.001, p=0.001, p<0.001, p<0.001, p<0.001 respectively). There was no
statistically significant difference BDI between the two groups (p=0.074) but there was a positive correlation between PUKI and BDI scores
in two groups (for both p<0.001).
Conclusion: Sleep quality is poor in patients with chronic low back pain and it is associated with night pain intensity. Sleep quality was
associated with depression and poor quality of life independently low back pain. In individuals with chronic low back pain, treatment for pain
may also improve sleep quality and quality of life.

Keywords

Low Back Pain, Sleep, Quality Of Life, Functional Status

Kronik Bel Ağrılı Hastalarda Uyku Kalitesi; Uykunun Ağrı, Fonksiyonel Durum ve Yaşam Kalitesi ile İlişkisi

Abstract

Amaç: Kronik bel ağrılı hastalarda uyku kalitesini değerlendirmek ve uyku kalitesi ile ağrı, fonksiyonel
durum ve yaşam kalitesi arasındaki ilişkiyi incelemek, ayrıca kronik bel ağrısı ile depresyon durumu
arasındaki ilişkiyi ortaya koymaktır.
Gereç ve Yöntemler: Çalışmaya kronik bel ağrılı 100 hasta ve 100 kas-iskelet ağrısı olmayan birey
alındı.Bel ağrısı düzeyi Vizüel Analog Skala (VAS), fonksiyonel durum Roland Morris Özürlülük Ölçeği,
uyku kalitesi Pittsburg Uyku Kalitesi Ölçeği (PUKI), sağlıkla ilişkili yaşam kalitesi Kısa Form -36(KF-36)
ve depresyon durumu Beck Depresyon Ölçeği ile değerlendirildi. Bu değerlendirme ölçekleri ile gruplar
karşılaştırılmıştır. Ayrıca uyku kalitesi ile ağrı şiddeti, fonksiyonel durum, yaşam kalitesi ve depresyon
durumu arasındaki ilişki incelenmiştir.
Bulgular: Kronik bel ağrılı hastaların PUKI skoru kontrol grubundan anlamlı olarak daha yüksekti.
[PUKI ortancası hasta grubu 5 (1-14), kontrol grubu 4 (0-15), p=0.014].Uyku kalitesi ile VAS-gece arasında
istatistiksel anlamlı ilişki saptandı (p=0.005). Hasta grubunda KF-36’nın fiziksel fonksiyon, fiziksel
rol güçlüğü, canlılık, sosyal işlevsellik, ağrı ve genel sağlık algısı alt parametrelerinde kontrol grubuna
göre istatistiksel anlamlı düşük puan saptandı (Sırasıyla p<0.001, p<0.001, p=0.001, p<0.001, p<0.001,
p<0.001). İki grup arasında Beck Depresyon Ölçeği değerleri açısından istatistiksel anlamlı farklılık
yoktu (p=0.074) ancak iki grupta da PUKI ile Beck Depresyon Ölçeği arasında pozitif yönde korelasyon
bulundu (Her iki grup için p<0.001).
Sonuç: Kronik bel ağrılı hastalarda uyku kalitesi daha düşüktür ve uyku kalitesi gece ağrısı ile ilişkilidir.
Uyku kalitesi ağrıdan bağımsız olarak depresyon ve düşük yaşam kalitesi ile ilişkilidir. Kronik bel ağrısı
olan bireylerde ağrıya yönelik tedavi, uyku kalitesi ve yaşam kalitesinde de iyileşme sağlayabilir

Keywords

Bel Ağrısı, Uyku, Yaşam Kalitesi, Fonksiyonel Durum

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