CHẤT LƯỢNG GIẤC NGỦ VÀ MỘT SỐ YẾU TỐ LIÊN QUAN Ở BỆNH NHÂN LUPUS BAN ĐỎ HỆ THỐNG

Abstract

Background: Poor sleep quality is a common issue among patients with systemic lupus erythematosus (SLE), significantly impacting their daily activities and overall quality of life. Objectives: This study aimed to evaluate sleep quality and associated factors in patients with SLE. Methods: A cross-sectional descriptive study was conducted involving 186 SLE patients who visited and received treatment at Bach Mai Hospital from May 2024 to January 2025. Participants were interviewed using a pre-designed questionnaire and sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Results: Among patients with SLE, 66.1% of patients experiened poor sleep quality, indicated by a PSQI score greater than 5. The PSQI scores in this study ranged from 0 to 20 points, with an average score of 8.36 points. Common factors contributing to poor sleep quality in these patients included waking up too early and frequent nighttime trips to the bathroom, which were the most prevalent issues reported. The sleep quality of patients with SLE was influeed by several factors, including age, educational level, disease activity of SLE, organ damage, scores from the Lupus Pro quality of life assessment, pain levels measured by the VAS scale, along with the reductions in blood complement concentration and high level of IL-6 in serum. Conclusions: The study results indicated that Vietnamese patients with SLEs had a high rate of poor sleep quality. The most common issues reported including waking up too early and needing to get up to use the bathroom. Several factors affected the sleep quality of these patients, particularly during periods of acute disease progression.