Association of the sleep quality with pain, radiological damage, functional status and depressive symptoms in patients with knee osteoarthritis

Abstract

Objective: The aim of this study is to evaluate the sleep quality and relationship between the sleep quality with disease-related variables, pain, functional status, radio­logical damage and the psychological status in patients with Osteoarthritis (OA). Methods: Fifty two patients diagnosed with OA and 35 healthy control subjects were enrolled in the study. The demographic characteristics of the patients such as age, education level, and marital status were recorded. Dis­ease related disability were assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Generalized pain, generalized fatigue and knee pain were assessed with the Visual Analogue Scale (VAS). Psychological status were evaluated with the Hos­pital Anxiety Depression Scale. The radiological grade of knee OA was evaluated according to the Kellgren Law­rence score. For the evaluation of the sleep quality, the OA and control groups were assessed with the help of the Pittsburgh Sleep Quality Index (PSQI). Results: The patients with OA had significantly higher scores in the subjective sleep quality, sleep latency, habit­ual sleep efficiency and total PSQI score compared to the healthy control group (p

Keywords

• Knee osteoarthritis, sleep quality, pain, ra­diological grade, depression

Diz osteoartritli hastalarda uyku kalitesinin ağrı, radyolojik hasar, fonksiyonel durum ve depresif semptomlar ile ilişkisi

Öz

Amaç: Bu çalışmanın amacı diz osteoartriti (OA) tanılı hastalarda uyku kalitesini değerlendirmek ve uyku kalitesi ile klinik parametreler, ağrı, fonksiyonel durum, radyolojik hasar ve psikolojik durum arasındaki ilişkiyi incelemektir. Yöntemler: Diz osteoartriti tanılı 52 hasta ve 35 sağlık­lı gönüllü çalışmaya dahil edildi. Hastaların yaş, eğitim seviyesi, medeni durumu gibi demografik özellikleri kay­dedildi. Hastalıkla ilişkili yeti yitimi, Western Ontario ve McMaster Üniversitesi Osteoartrit indeksi (WOMAC) ile değerlendirildi. Genel ağrı, genel yorgunluk ve diz ağrısı seviyesi görsel analog skala ile değerlendirildi. Psikolojik durum hastane anksiyete depresyon skalası ile ölçüldü. Diz osteoartritinin radyolojik evresi Kellgren Lawrence skoruna göre hesaplandı. Hasta ve kontrol grubunun uyku kalitesi, Pittsburgh uyku kalitesi indeksi (PUKİ) yar­dımıyla değerlendirildi. Bulgular: Diz osteoartriti olan hastalarda, öznel uyku ka­litesi, uykuya dalma süresi, alışılmış uyku etkinliği ve total PUKİ skoru kontrol grubuna göre anlamlı olarak yüksekti (p

Anahtar Kelimeler

• Diz osteoartriti, uyku kalitesi, ağrı, radyolojik evre, depresyon

Kaynakça

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