THỰC TRẠNG RỐI LOẠN GIẤC NGỦ Ở NGƯỜI BỆNH THOÁI HÓA KHỚP GỐI

Abstract

Research objective: Describe current status of sleep disturbances in patients with knee osteoarthritis. Subjects and methods: Cross-sectional descriptive study on 116 outpatients with knee osteoarthritis treated at the National Geriatric Hospital and Bach Mai Hospital from December 2023 to June 2024. Results: The average age of the study subjects was 61.3 ± 10.7 years old, the majority were female, and the average BMI was 22.5 ± 2.68 kg/m². About half of patients have moderate pain level according to the VAS scale and 44.8% of patients have nocturnal pain. The mean WOMAC score was 36.1 ± 11.8. The rate of difficulty sleep disturbances in patients with knee osteoarthritis is 76.7%, of which 94.4% are insomnia types and the rate of sleep maintenance difficulty is the highest (83.1%). The average time to fall asleep in patients with knee osteoarthritis and sleep disorders is 51.6±22.7 minutes. Average number of awakenings per night 2.3 ± 1.0. Time to fall back asleep after waking up is 27.9 ± 21.4 minutes. Waking up time is 28.8 ± 16.9 minutes earlier than usual. Average sleep time per night is 4.1 ± 1.0 hours. Sleep disturbances affect daytime activities mostly to a small and moderate degree with rates of 34.8% and 43.8%, respectively. Conclusion: Sleep disturbances are common in people with knee osteoarthritis and most of them affect daytime activities, so they need to be considered in the care and treatment plans for these patients.