Fatigue and sleep quality in rheumatoid arthritis patients during hospital admission
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Submission date: 2017-01-16
Final revision date: 2017-01-31
Acceptance date: 2017-02-21
Online publication date: 2017-04-28
Publication date: 2017-04-28
Reumatologia 2017;55(2):65–72
Objectives: Rheumatoid arthritis (RA) is a systemic disease of connective tissue characterised by chronic course with periods of exacerbation and remission. Even in the early stages of the disease patients report the occurrence of fatigue and sleep disorders. Reduced sleep quality and chronic fatigue are common among patients with rheumatoid arthritis. The aim of the research was to evaluate the severity of fatigue and sleep quality assessment among patients hospitalised with rheumatoid arthritis and to determine the relation between the level of symptoms of fatigue and sleep quality and variables such as: age, gender, disease duration, marital status, applied pharmacological treatment, and pain intensity.
Materials and methods: The study involved 38 patients (12 men and 26 women) hospitalised in the Rheumatologic Ward of the Orthopaedics and Rehabilitation Hospital of the University of Medical Sciences. The average age of the entire group was 56.26 years. Fatigue was evaluated with use of Polish version of Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F), while in order to evaluate sleep quality within the examined group of patients the Pittsburgh Sleep Quality Index (PSQI) was used.
Results: Patients with rheumatoid arthritis in the analysed group have lower sleep quality, and within subjects with such a diagnosis the fatigue is present. The relation was found between fatigue and such variables as: age, illness duration, marital status, applied pharmacological treatment, and severity of pain. Sleep quality within patients with RA is correlated by such variables as: age, gender, applied pharmaceutical treatment, and severity of pain. It was identified that patients with lower sleep quality experience increased levels of fatigue.
Conclusions: There is a need to clarify which factors determine the level of fatigue and sleep quality in patients suffering from RA in future population-based research and to indicate to doctors, nurses, psychologists, and physiotherapists the significance and importance of the problem, which requires specialised and holistic care.
Rutkowska-Sak L, Moskalewicz B. Projekt strategii wczesnej diagnostyki reumatoidalnego zapalenia stawów. Reumatologia 2007; 45: 64-66.
Kontny E. Patogeneza reumatoidalnego zapalenia stawów. Część I – Odpowiedź nabyta, uwarunkowania genetyczne i środowiskowe. Reumatologia 2011; 49: 47-54.
Ostanek M, Ciechanowicz A. Czynniki genetyczne w patogenezie reumatoidalnego zapalenia stawów. Reumatologia 2009; 47: 143-150.
Zimmermann-Górska I. Uogólnione choroby tkanki łącznej. In: Choroby reumatyczne. Podręcznik dla studentów. Zimmermann-Górska I (ed.). Wydawnictwo Lekarskie PZWL, Warszawa 2004: 143-163.
Durcan L, Wilson F, Cunnane G. The effect of exercise on sleep and fatigue in rheumatoid arthritis: a randomized controlled study. J Rheumatol 2014; 41: 1966-1973.
Mortada M, Abdul-Sattar A, Gosec L. Fatigue in Egyptian patients with rheumatic diseases: a qualitative study. Health Qual Life Out 2015; 13: 134-142.
Bourguignon C, Lahyak SE, Talbi D. Investigating sleep disturbances in adults with rheumatoid arthritis. Holist Nurs Pract 2003; 17: 241-247.
Purabdollah M, Lakdizaji S, Rahmani A, et al. Relationship between Sleep Disorders, Pain and Quality of Life in Patients with Rheumatoid Arthritis. Scand J Caring Sci 2015; 4: 233-241.
Wrońska A, Nowicki Z, Jakitowicz J. Zaburzenia snu w chorobach tkanki łącznej. Sen 2006; 6: 21-29.
Hochberg M. The American College of Rheumatology. Revised criteria for the classification of global functional status in rheumatoid arthritis. Arthritis Rheum 1991; 35: 498-502.
Stanisławska-Biernat E, Sierakowska M, Sierakowski S. Nowe kryteria klasyfikacyjne reumatoidalnego zapalenia stawów. Reumatologia 2010; 48: 361-365.
Steinbrocker O, Traeger C, Batterman, R. Therapeutic criteria in rheumatoid arthritis. Am J Med Assoc 1949; 140: 659-661.
Chadran V, Bhella S, Schentag C, Gladman DD. Functional assessment of chronic illness therapy – fatigue scale is valid in patients with psoriatic arthritis. Ann Rheum Dis 2007; 66: 936-939.
Buysse D, Reynolds C, Monk T, et al. The Pittsburgh Sleep Quality Index: A New Instrument for Psychiatric Practice and Research. Psychiatry Res 1988; 28: 193-213.
Huskisson EC. Measurement of pain. Lancet 1974; 9: 1127-1131.
Fitzpatrick R. The measurement of health status and quality of life in rheumatologic disorders. Baill Clin Rheum 1993; 7: 207-317.
Gossec L, Steinberg G, Rouanet S, Combe B. Fatigue in rheumatoid arthritis: quantitative findings on the efficacy of tocilizumab and on factors associated with fatigue. The French multicentre prospective PEPS Study. Clin Exp Rheumatol 2015; 33: 664-670.
Wisłowska M, Kanecki K, Tyszko K, et al. Jakość życia zależna od zdrowia u pacjentów z reumatoidalnym zapaleniem stawów. Reumatologia 2010; 48: 104-111.
Hifinger M, Putrik P, Ramiro S, et al. In addition to individual demographic and clinical measures, levels of fatigue are dependent on country of residence. An analysis among 3920 patients from 17 countries (the COMORA study). Ann Rheum Dis, Suppl 2014; 2: 73.
Madsen SG, Danneskiold-Samsoe B, Stockmarr A, Bartels EM. Correlations between fatigue and disease duration, disease activity, and pain in patients with rheumatoid arthritis: a systematic review. J Rheumatol 2016; 45: 255-261.
Olsen CL, Lie E, Kvien TK, Zangi HA. Predictors of fatigue in rheumatoid arthritis patients in remission or low disease activity. Arthritis Care Res 2015; 30: 2151-4658.
Wysocka-Skurska I, Sierakowska M, Sierakowski S. Ocena jakości życia pacjentów z reumatoidalnym zapaleniem stawów w zależności od stosowanej terapii farmakologicznej. Reumatologia 2012; 50: 16-23.
Steenbergen HW, Tsonaka R, Huizinga TW, et al. Fatigue in rheumatoid arthritis; a persistent problem: a large longitudinal study. RMD Open 2015; 4: 1-9.
Loppenthin K, Esbensen BA, Jennum P, et al. Sleep quality and correlates of poor sleep in patients with rheumatoid arthritis. Clin Rheumatol 2015; 34: 2029-2039.
Sarivildiz MA, Batmaz I, Bozkurt M, et al. Sleep quality in rheumatoid arthritis: relationship between the disease severity, depression, functional status and the quality of life. J Clin Med Res 2014; 6: 44-52.
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