2022

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

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 ara- sında 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

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

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

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