Sang Hee Lee1,2, Haejung Lee3, Yun Seong Kim4, Ki Uk Kim5,6, Hye-Kyung Park5,6, Min Ki Lee5,6. 1. Department of Internal Medicine, Wonkwang University Sanbon Hospital, Gunpo-si, Republic of Korea. 2. Department of Internal Medicine, Wonkwang University College of Medicine, Iksan, Republic of Korea. 3. Department of Nursing, Pusan National University College of Nursing, Yangsan-si, Republic of Korea. 4. Department of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan-si, Republic of Korea. 5. Department of Internal Medicine, Pusan National University Hospital, Busan, Republic of Korea. 6. Medical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.
Abstract
INTRODUCTION: Poor sleep quality in patients with chronic obstructive pulmonary disease (COPD) has been associated with poor health outcomes. However, there is a lack of research on factors associated with sleep disturbance in patients with COPD. OBJECTIVES: We investigated patterns of sleep disturbance and factors associated with sleep impairment in patients with COPD. METHODS: This was a prospective, multicenter cross-sectional study enrolling a sample of 245 COPD subjects. All patients completed the patient-reported measure, the COPD and Asthma Sleep Impact Scale (CASIS) to assess sleep impairment. The St. George's Respiratory Questionnaire (SGRQ), the 36-item Short-Form health survey (SF-36), Hospital Anxiety and Depression Scale (HADS), and the COPD Self-Efficacy Scale (CSES) were utilized to assess health-related quality of life (HRQL), anxiety/depression and self-efficacy, respectively. RESULTS: About 35.1% of the patients reported that they had a bad night's sleep. Univariate analysis showed that the CASIS total score was significantly correlated with the modified Medical Research Council dyspnea scale, SGRQ total score, SF-36 PCS, SF-36 MCS, HADS-A, HADS-D and CSES (all P < 0.05). In a multivariate analysis, SGRQ total (r = 0.19, P = 0.006), SF-36 PCS (r = 0.14, P = 0.037), HADS-D (r = 0.24, P ≤ 0.001), and CSES(r = -0.12, P = 0.010) were independently associated with the CASIS score. CONCLUSIONS: In this study, 35% of clinically stable patients with COPD reported poor sleep quality. Depression, poorer HRQL and self-efficacy were significantly associated with sleep disturbance in patients with COPD.
INTRODUCTION: Poor sleep quality in patients with chronic obstructive pulmonary disease (COPD) has been associated with poor health outcomes. However, there is a lack of research on factors associated with sleep disturbance in patients with COPD. OBJECTIVES: We investigated patterns of sleep disturbance and factors associated with sleep impairment in patients with COPD. METHODS: This was a prospective, multicenter cross-sectional study enrolling a sample of 245 COPD subjects. All patients completed the patient-reported measure, the COPD and Asthma Sleep Impact Scale (CASIS) to assess sleep impairment. The St. George's Respiratory Questionnaire (SGRQ), the 36-item Short-Form health survey (SF-36), Hospital Anxiety and Depression Scale (HADS), and the COPD Self-Efficacy Scale (CSES) were utilized to assess health-related quality of life (HRQL), anxiety/depression and self-efficacy, respectively. RESULTS: About 35.1% of the patients reported that they had a bad night's sleep. Univariate analysis showed that the CASIS total score was significantly correlated with the modified Medical Research Council dyspnea scale, SGRQ total score, SF-36 PCS, SF-36 MCS, HADS-A, HADS-D and CSES (all P < 0.05). In a multivariate analysis, SGRQ total (r = 0.19, P = 0.006), SF-36 PCS (r = 0.14, P = 0.037), HADS-D (r = 0.24, P ≤ 0.001), and CSES(r = -0.12, P = 0.010) were independently associated with the CASIS score. CONCLUSIONS: In this study, 35% of clinically stable patients with COPD reported poor sleep quality. Depression, poorer HRQL and self-efficacy were significantly associated with sleep disturbance in patients with COPD.
Authors: Yousef S Aldabayan; Jaber S Alqahtani; Ahmed M Al Rajeh; Amal Ismael Abdelhafez; Rayan A Siraj; Vidhya Thirunavukkarasu; Abdulelah M Aldhahir Journal: Int J Environ Res Public Health Date: 2022-10-06 Impact factor: 4.614