THE VALUE OF THE PITTSBURGH SLEEP QUALITY INDEX IN ASSESSING SLEEP QUALITY IN PATIENTS WITH SYSTEMIC LUPUS ERYTHEMATOSUS

Thùy Dương Lại, Thị Phương Thủy Nguyễn, Minh Tâm Dương, Thị Thu Hà Trần

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Abstract

LUPUS ERYTHEMATOSUS


Background: Poor sleep quality is a common issue that significantly affects the quality of life for patients with systemic lupus erythematosus (SLE). Objectives: 1. To evaluate the validity of the Pittsburgh Sleep Quality Index (PSQI) in assessing sleep quality among patients with SLE. 2. To determine the current status of sleep quality in this patient population. Methods: A cross-sectional descriptive study was conducted involving 465 patients with systemic lupus erythematosus at Bach Mai Hospital from May 2024 to May 2025. The sleep quality of the study participants was assessed using the Pittsburgh Sleep Quality Index (PSQI) scale. Additionally, a psychiatrist evaluated each patient to determine their sleep quality status. Results: The Pittsburgh Sleep Quality Index (PSQI), which is used to evaluate sleep quality in patients with lupus, has a Cronbach's α coefficient of 0.798. It demonstrates a sensitivity of 85.85% and a specificity of 74.0%, with an area under the ROC curve of 0.832. The prevalence of poor sleep quality among these patients is 66.0%. The main factors contributing to poor sleep quality include waking up too early, getting up to use the bathroom, and experiencing joint pain. Conclusion: The PSQI scale demonstrates high sensitivity and specificity, making it a reliable tool for evaluating sleep quality in patients with lupus BDHT. A significant number of patients with lupus BDHT experience poor sleep quality.

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References

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