Fibromiyalji Görülen Hastalarda Fonksiyonel Durum, Yorgunluk ve Uykusuzluk Arasındaki İlişki

Öz

Amaç: Çalışmamızın amacı fibromiyalji sendromu (FMS) görülen hastalarda fonksiyonel durum, yorgunluk ve uykusuzluk arasındaki ilişkiyi araştırmaktır. Gereç ve Yöntem: Çalışmaya katılan hastaların demografik verileri, medeni durum, eğitim durumu, sigara kullanımı, ek hastalık varlığı ve egzersiz alışkanlığı sorgulandı. Fibromiyalji fonksiyonel durumu Fibromiyalji Etki Anketi ile, yorgunluk değerlendirmesi ‘Kronik hastalık tedavisinin fonksiyonel değerlendirmesi- yorgunluk’ ile, uykusuzluk Uykusuzluk Şiddeti İndeksi ile değerlendirildi. Bulgular: Çalışma toplam 64 hasta (yaş=45,06±12,98 yıl, vücut kütle indeksi: 26,84±4,67kg/m2) ile tamamlandı. Hastaların %76,6’sı (n=49) kadın idi. Hastaların fonksiyonel durum skoru ortalaması 58,36±6,81, yorgunluk skoru ortalaması 26,07±5,70, uykusuzluk skoru ortalaması ise 12,64±3,59 olarak hesaplandı. Kadın hastaların uykusuzluk skoru erkeklere göre anlamlı derecede yüksekti (p=0,016). Vücut kütle indeksi (VKİ) normalin üstünde (≥25) olanların uykusuzluk skoru, normal sınırlarda olanlara göre anlamlı derece de yüksekti (p=0,007). FMS hastalarının fonksiyonel durumları ile yorgunluk ve uykusuzluk arasında herhangi bir ilişki saptanamadı (p>0,05). Sonuç: FMS hastalarının büyük çoğunluğu uykusuzluk alt eşiğindedir ve fonksiyonları hafif şiddette olumsuz yönde etkilenmiştir. Kadınlardaki uykusuzluk etkilenimi erkeklerden fazla oup, özellikle artmış VKİ uykusuzluğun predispozanlarından biri olarak saptanmıştır.

Anahtar Kelimeler

• fibromiyalji
• Uykusuzluk
• Yorgunluk

THE RELATIONSHIP BETWEEN FUNCTIONAL STATUS, FATIGUE, AND INSOMNIA IN PATIENTS WITH FIBROMYALGIA

Öz

Aim: The aim of our study is to investigate the relationship between functional status, fatigue and insomnia in patients with fibromyalgia syndrome (FMS). Methods: Demographic data, marital status, educational status, smoking, presence of additional disease and exercise habits of the patients participating in the study were questioned. Fibromyalgia functional status was assessed with the Fibromyalgia Impact Questionnaire, fatigue assessment with the 'Functional Assessment of Chronic Disease Treatment-Fatigue', and insomnia with the “Insomnia Severity Index”. Result: The study was completed with a total of 64 patients (age=45.06±12.98 years, body mass index=26.84±4.67kg/m2). 76.6% (n=49) of the patients were women. The mean functional status score of the patients was 58.36±6.81, the mean fatigue score was 26.07±5.70, and the mean insomnia score was 12.64±3.59. Insomnia scores of female patients were significantly higher than males (p=0.016). The insomnia score of those with a body mass index (BMI) above normal (≥25) was also significantly higher than those within the normal range (p=0.007). No correlation was found between the functional status of FMS patients and fatigue and insomnia (p>0.05). Conclusion: The majority of FMS patient sare at the lower threshold of insomnia and their functions are mildly adversely affected. The effect of insomnia in women is higher than in men, especially increased BMI has been determined as one of the predisposing factors of insomnia.

Anahtar Kelimeler

• Fatigue
• Fibromyalgia
• İnsomnia

Kaynakça

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