Diz Osteoartriti Semptom Şiddeti, Yaşam Kalitesi ve Uyku Kalitesi Arasındaki İlişki

Yıl 2018, , 519 - 527, 27.12.2018

Sevgi İkbali Afşar , Hüma Bölük Selin Özen

https://doi.org/10.17098/amj.497329

Öz

Amaç: Diz osteoartriti (OA), yaşla sıklığı artan yaygın bir hastalıktır ve önemli bir morbidite nedenidir.

Diz OA’lı hastalarda istirahat ve nokturnal ağrının nadiren görüldüğü yaygın bir bilgidir, ancak son

çalışmalar nadir görülmediğini göstermiştir. Uyku bozukluklarının noktürnal ağrı ile ilişkili olduğu

düşünülür ve artritli hastalarda uyku problemleri gelişmesi daha olasıdır. Gece ağrısı aynı zamanda

depresyon ve yaşam kalitesinin düşmesi ile de ilişkilidir. Bu çalışmada, diz OA'lı hastalarda uyku

kalitesini değerlendirmek ve OA şiddetiyle ağrı ve uyku bozuklukları ile kadın ve erkek hastalarda yaşam

kalitesi arasındaki ilişkiyi ortaya koymak amaçlanmıştır.

Materyal ve Metot: Bu kesitsel çalışma diz OA’sı olan 41 gönüllü hastayı (27 kadın, 14 erkek)

kapsamakta ve 40‐65 yaş arası 6 aydan fazla diz ağrısı olan ve Kellgren‐Lawrence 'e göre 2. ve 3. derece

olan hastaları kapsamaktadır. Hastalar Görsel Analog Skala (GAS), Western Ontario and McMaster

Universitesi Osteoartrit İndeksi (WOMAC), Lequesne Indeksi, Pittsburg Uyku Kalitesi İndeksi (PSQI),

Beck anksiyete envanteri (BAI), Beck depresyon envanteri (BDI) ve Kısa form‐36 (SF‐36) kullanılarak

değerlendirildi.

Bulgular: VAS, WOMAC, Lequesne indeksi, PSQI, BAI ve BDI skorları kadınlarda erkeklere göre

anlamlı olarak yüksek bulundu. Erkeklerde iyi uyku kalitesi prevalansı anlamlı olarak yüksek bulundu.

WOMAC skorları ile VAS, BAI ve BDI skorları arasında pozitif bir korelasyon vardı, fakat toplam PSQI

skoru arasında anlamlı bir ilişki yoktu. Lequesne indeks skorları ile VAS, total PSQI, BAI ve BDI skorları

arasında pozitif korelasyon vardı. WOMAC ve Lequesne indeksi ile SF‐36 arasında negatif korelasyon

bulundu.

Sonuç: Sonuç olarak, diz OA semptom şiddeti ile depresyon, anksiyete, uyku kalitesi ve yaşam kalitesi

ilişkili bulunmuştur. Yaşam kalitesini iyileştirmek için diz OA'yı yönetmek düşünülmelidir.

Anahtar Kelimeler

Diz osteoartriti, ağrı, uyku kalitesi, yaşam kalitesi

Relationship Among the Symptom Severity of Knee Osteoarthritis, Quality of Life and Sleep Quality

Öz

Objectives: Knee osteoarthritis (OA) is a
widespread disease that increases in the elderly and is an important cause of
morbidity. It is common knowledge that resting and nocturnal pain is rarely
seen in patients with knee OA, however latest studies showed that it is not
rare. Sleep disorders are thought to be related with nocturnal pain and it is
shown that in patients with arthritis are more likely to develop sleep
problems. Nocturnal pain is also related with depression and decreased quality
of life. This study aims to evaluate sleep quality in patients with knee OA and
to reveal the relationship between severity of knee OA, pain and sleep
disorders and quality of life in female and male patients.
Materials and Methods: This cross
sectional study includes 41 volunteer patients (27 female,14 male) between
40-65 years with knee OA, who suffer from knee pain for more than 6 months, and
the study includes patients with grade 2 and 3 OA according to the
Kellgren-Lawrence classification. Patients were evaluated using Visual Analog
Scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index
(WOMAC), Lequesne Index, Pittsburg Sleep Quality Index (PSQI), Beck Anxiety
Inventory (BAI), Beck Depression Inventory (BDI) and Short form-36 (SF-36).
Results: VAS, WOMAC, Lequesne index,
PSQI, BAI and BDI scores were significantly higher in female subjects than in
male subjects. Prevalence of good sleep quality was significantly higher in
male patients. There was a positive correlation between WOMAC scores and VAS,
BAI and BDI scores, but there was no significant relationship between total
PSQI scores. There was a positive correlation between Lequesne index scores and
VAS, total PSQI, BAI and BDI scores. A negative correlation was found between
WOMAC and Lequesne index and SF-36.
Conclusion: Severity of knee OA is
found associated with pain, depression and anxiety, sleep quality and quality
of life. It should be considered to manage knee OA to improve quality of life.

Anahtar Kelimeler

Knee osteoarthritis, pain, sleep quality, quality of life

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