The relationship between sleep quality and dyspnoea severity in patients with COPD.

Emine Kaplan Serin,Emine Derya Ister,Ahmet Ozdemir

doi:10.4314/ahs.v20i4.32

Emine Kaplan Serin, Emine Derya Ister + Show 1 more

Open Access

https://doi.org/10.4314/ahs.v20i4.32

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Journal: African health sciences	Publication Date: Dec 1, 2020
Citations: 8	License type: cc-by

Affiliation: Gaziantep University

Abstract

This study aimed to determine sleep quality, frequency and severity of dyspnoea in COPD patients and to evaluate the relationship between dyspnoea severity and sleep quality. The sample of the study consisted of 110 patients admitted to the Chest Diseases polyclinic of a private hospital and diagnosed as COPD for at least one year. The data of the study were collected using the "Individual Information Form", "COPD and Asthma Sleep Scale (CASIS)" and "Medical Research Council (MRC) Dyspnoea Scale". It was found that 6.4% of the patients did not experience dyspnoea, 34.5% had mild, 40.9% had moderate, and 18.2% had severe dyspnoea. The mean CASIS score of the patients without dyspnoea was 29.08±7.83, with mild dyspnoea was 40.22±9.30, with moderate dyspnoea was 50.31±8.97 and with severe dyspnoea was 56.96±13.13. There was a statistically significant difference between dyspnoea severity and mean CASIS score (p=0.001). Correlation analysis between MRC dyspnoea scale and CASIS score showed a significant positive correlation (r=0.61 p=0.001). It was concluded that the majority of COPD patients had moderate or poor sleep quality and dyspnoea. As dyspnoea severity increases, sleep quality decreases.

Highlights

Chronic Obstructive Pulmonary Disease (COPD) is a progressive pulmonary disease characterized by irreversible airflow restriction, increased sputum production, and coughing, resulting in an abnormal inflammatory response of the lungs to certain particles and gases.[1,2] COPD, which is one of the most important causes of death today, is largely preventable, it is difficult to treat after the onset of the disease and has a high financial burden.[1,2] COPD patients experience many symptoms related to the disease
In a study conducted by Mohammad Ali Zohal et al (2014) using Pittsburgh sleep quality index (PSQI) with 139 COPD patients in Iran, 74.8% of the patients were found to have poor sleep quality
In a study conducted by Akinci et al (2017) with 51 moderate to severe COPD patients, it was reported that 94% of the patients with moderate and severe COPD patients had poor sleep quality measured by PSQI.[18]

Summary

Introduction

Chronic Obstructive Pulmonary Disease (COPD) is a progressive pulmonary disease characterized by irreversible airflow restriction, increased sputum production, and coughing, resulting in an abnormal inflammatory response of the lungs to certain particles and gases.[1,2] COPD, which is one of the most important causes of death today, is largely preventable, it is difficult to treat after the onset of the disease and has a high financial burden.[1,2] COPD patients experience many symptoms related to the disease. The most important and common symptoms of the patients are chronic and progressive dyspnoea, cough, sputum production and fatigue. Dyspnoea, which is the most common symptom in COPD, causes patients to experience intense fear, inadequacies in life activities, change in their priorities, increase in addictive states, fear of death, intense anxiety and depression. Chang et al (2016) reported that more than half of COPD patients had poor sleep quality and had problems waking up at night or early in the morning.[3]

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