Gül TÜRKMEN, Altınay Göksel KARATEPE, Rezzan GÜNAYDIN, Taciser KAYA

PRİMER FİBROMYALJİ SENDROMLU KADIN HASTALARDA YAŞAM KALİTESİ DÜZEYİ VE İLİŞKİLİ FAKTÖRLER

Primer fibromiyalji tanılı kadın hastalarda uyku bozukluğu ve depresyon sıklığının ve hastalıkla ilişkili değişkenlerle yaşam kalitesi düzeyi arasındaki ilişkinin araştırılması. Çalışmaya 49 kadın hasta ve 27 sağlıklı kadından oluşan kontrol grubu katıldı. Hastaların ağrı şiddeti, depresyon varlığı ve şiddeti, uykusuzluk şiddeti ve yorgunluk şiddeti sırasıyla vizüel analog skala, Beck Depresyon Ölçeği, Pittsburg Uyku Kalitesi İndeksi, MFSI-SF çok boyutlu yorgunluk semptom envanteri-kısa form, Multidimensional Fatigue Symptom Inventory-Short Form ile değerlendirildi. Yaşam kalitesi düzeyi kısa form-36 KF-36 kullanılarak değerlendirildi. Hastalarımızın %91.8’inde uyku bozukluğu; %28.6’sında hafif, %10.2’sinde orta, %28’inde şiddetli ve %26.5’inde ağır depresyon ile %98’inde yorgunluk saptandı. Fibromiyaljili hastalarda KF-36’nın tüm alt grup ve mental komponent skor MKS ilefiziksel komponent skor FKS özet skorları daha düşüktü. Yorgunluk ile KF-36’nın FKS ve MKS özet skorları, depresyon ile MKS özet skoru arasında korelasyon saptandı. Sağlıklı kontrollerle karşılaştırıldığında fibromiyalji sendromu yaşam kalitesini olumsuz etkilemektedir. Yorgunluk ve depresyon fibromiyalji sendromlu olgularda sık gözlenen bir semptom olup yaşam kalitesi ile ilişki göstermiştir. Fibromiyaljili olgularda yorgunluk ve depresyonun sağaltılması, yaşam kalitesi düzeyini arttırmada etkili olabilir

Anahtar Kelimeler:

Fibromiyalji, yaşam kalitesi, depresyon, uyku bozukluğu

THE QUALITY OF LIFE LEVEL AND RELATED FACTORS IN FEMALE PATIENTS WITH PRIMARY FIBROMYALGIA SYNDROME

To investigate the frequency of sleep disturbance and depression, and the relation between disease related variables and the level of quality of life in female patients with primary fibromyalgia. Forty-nine female patients and 27 healthy women as control group were involved. The pain severity, the presence and the severity of depression, the sleep disturbance and fatigue were evaluated respectively by visual analog scale, Beck Depression Inventory, Pittsburg Sleep Quality Index, and Multidimensional Fatigue Symptom Inventory-Short Form. The level of the quality of life was assessed by using short form 36 SF-36 . 91.8% sleep disturbance, 28.6% mild, 10.2% moderate, 28% severe and 26.5% severe depression and 98% fatigue were identified in our patients. All subgroup scores of SF-36, and mental component score MCS and physical component score PCS summary scores were lower in the FMS patients. There was a correlation between fatigue and PCS and MCS summary scores of SF-36 and between depression and MCS summary scores. FMS does affect the quality of life negatively. The fatigue and depression is common symptoms in patients with fibromyalgia and are related with the level of the quality of life. It may be beneficial to improve fatigue and depression in female patients with fibromyalgia to enhance the level of quality of life

Keywords:

Fibromyalgia, quality of life, depression, sleep disturbance,

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