AVALIAÇÃO DA QUALIDADE DO SONO POR MEIO DO ÍNDICE DE QUALIDADE DE SONO DE PITTSBURGH EM PACIENTES COM DOENÇA PULMONAR OBSTRUTIVA CRÔNICA
Palavras-chave:
DPOC. Qualidade do Sono. Pittsburgh Sleep Quality Index. Distúrbios do sonoResumo
Introdução: A doença pulmonar obstrutiva crônica (DPOC) destaca-se entre as principais causas de morbidade e mortalidade no Brasil e a prevalência de sintomas noturnos e de distúrbios do sono, porém, frequentemente passam despercebidos por médicos, ou não são relatados pelos próprios pacientes.Objetivo: Avaliar a qualidade do sono em pacientes com DPOC e explorar possíveis associações, como a gravidade da doença e as características sociodemográficas desses pacientes.Métodos: Estudo transversal realizado no ambulatório de pneumologia de um hospital universitário do sul do Brasil. O grau de dispneia foi mensurado pela escala Medical Research Council modificada (mMRC), ao passo que o impacto clínico da foi mensurado pelo COPD Assessment Test (CAT) e a avaliação da qualidade do sono foi realizada por meio da escala Índice de Qualidade de Sono de Pittsburgh (PSQI).Resultados: Participaram desse estudo 52 indivíduos com média de idade de 65,9 (DP=9,9) anos, sendo a maioria do sexo masculino (63,5%). Verificou-se uma pobre qualidade do sono em 67,3% dos participantes (PSQI ? 5). Foi encontrada associação estatisticamente significativa entre os escores globais da PSQI e a gravidade da DPOC (p ajustado = 0,009). A variável sexo associou-se à má qualidade do sono (p = 0,014). Não foram encontradas associações significativas com as demais variáveis estudadas. Houve correlação moderada entre o escore do PSQI e o CAT (?= 0,51). Conclusão: A maioria dos pacientes com DPOC, notadamente as mulheres, exibem pobre qualidade de sono que independe do grau de obstrução ao fluxo aéreo.
Referências
Carvalho, AK, Menezes AMB, Camelier A, et al. Prevalence of self-reported chronic diseases in individuals over the age of 40 in Sao Paulo, Brazil: the PLATINO study. Cad Saude Publica, 2012; 28(5): 905-12.
GOLD. Global Strategy for Prevention, Diagnosis and Management of COPD: Global Strategy For The Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease. 2022 Report. 2022.
Zamarrón C, García Paz V, Morete E, et al. Association of chronic obstructive pulmonary disease and obstructive sleep apnea consequences. Int J Chron Obstruct Pulmon Dis, 2008; 3(4): 671-82.
Mohsenin, V. Sleep in chronic obstructive pulmonary disease. Semin Respir Crit Care Med, 2005; 26(1): 109-16.
Cabral, MM and T. Mueller Pde. Sleep and chronic lung diseases: diffuse interstitial lung diseases, bronchial asthma, and COPD. J Bras Pneumol, 2010; 36 Suppl 2: 53-6.
McNicholas WT, Verbraecken J, Marin JM. Sleep disorders in COPD: the forgotten dimension. Eur Respir Rev. 2013; 22(129):365-75.
Price D, Small M, Milligan G, Higgins V, et al. Impact of night-time symptoms in COPD: a real-world study in five European countries. Int J Chron Obstruct Pulmon Dis, 2013; 8: 595-603.
Agusti A, Hedner J, Marin JM, et al. Night-time symptoms: a forgotten dimension of COPD. Eur Respir Rev, 2011; 20(121): 183-94.
Buysse DJ, Reynolds CF 3rd, Monk TH, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res, 1989; 28(2): 193-213.
Bertolazi AN, Fagondes SC, Hoff LS, et al. Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index. Sleep Med, 2011; 12(1): 70-5.
Bestall JC, Paul EA, Garrod R, et al. Usefulness of the Medical Research Council (MRC) dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease. Thorax, 1999; 54(7) 581-6.
Silva GP, Morano MT, Viana CM, et al. Portuguese-language version of the COPD Assessment Test: validation for use in Brazil. J Bras Pneumol, 2013. 39(4): 402-8.
Global Initiative for Asthma . Global strategy for asthma management and prevention. Updated 2022. Disponível em https://ginasthma.org/wp-content/uploads/2021/05/GINA-Main-Report-2021-V2-WMS.pdf.
Nunes DM, Mota RM, de Pontes Neto OL, et al. Impaired sleep reduces quality of life in chronic obstructive pulmonary disease. Lung, 2009; 187(3): 59-63.
Scharf SM, Maimon N, Simon-Tuval T, et al. Sleep quality predicts quality of life in chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis, 2010; 6: 1-12.
Geiger-Brown J, Lindberg S, Krachman S, et al. Self-reported sleep quality and acute exacerbations of chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis, 2015; 10: 389-97.
Vukoja M, Kopitovic I, Milicic D, et al. Sleep quality and daytime sleepiness in patients with COPD and asthma. Clin Respir J, 2018; 12(2): 398-403.
Sanders MH, Newman AB, Haggerty CL, et al. Sleep and sleep disordered breathing in adults with predominantly mild obstructive airway disease. Am J Respir Crit Care Med, 2003; 167: 7-14.
Bednarek M, Plywaczewski R, Jonczak L, et al. There is no relationship between chronic obstructive pulmonary disease and obstructive sleep apnea syndrome: a population study. Respiration, 2005; 72(2): 142-9.
McNicholas WT. Chronic obstructive pulmonary disease and obstructive sleep apnea: overlaps in pathophysiology, systemic inflammation, and cardiovascular disease. Am J Respir Crit Care Med, 2009; 180(8): 692-700.
Budhiraja R, Parthasarathy S, Budhiraja P, et al. Insomnia in patients with COPD. Sleep, 2012; 35(3): 369-375.
George CF, Bayliff CD. Management of insomnia in patients with chronic obstructive pulmonary disease. Drugs, 2003; 63: 379-387.
Laurin C, Lavoie KL, Bacon SL, et al. Sex differences in the prevalence of psychiatric disorders and psychological distress in patients with COPD. Chest, 2007; 132(1): 148-55.
Centanni S, Di Marco F, Castagna F, et al. Psychological issues in the treatment of asthmatic patients. Respir Med, 2000; 94(8): 742-9.
Antonelli-Incalzi R, Imperiale C, Bellia V, et al. Do GOLD stages of COPD severity really correspond to differences in health status? Eur Respir J, 2003; 22(3): 444-9.
Baker A, Simpson S, Dawson D. Sleep disruption and mood changes associated with menopause. J Psychosom Res, 1997; 43(4): 359-69.
Campos, HH, Bittencourt LRA, Haidar MA. Sleep disturbance prevalence in postmenopausal women. Rev Bras Ginecol Obstet, 2005; 27(12): 731-36.
De Lorenzi DR, Baracat EC, Saciloto B, et al. Factors related to quality of life in post-menopause. Rev Assoc Med Bras, (1992), 2006; 52(5): 312-7.
Saaresranta T, Irjala K, Aittokallio T, Polo O. Sleep quality, daytime sleepiness and fasting insulin levels in women with chronic obstructive pulmonary disease. Respir Med, 2005; 99(7): 856-63.
Orr WC, Shamma-Othman Z, Levin D et al. Persistent hypoxemia and excessive daytime sleepiness in chronic obstructive pulmonary disease (COPD). Chest, 1990; 97(3): 583-5.
Ali Zohal M, Yazdi Z, Kazemifar AM. Daytime sleepiness and quality of sleep in patients with COPD compared to control group. Glob J Health Sci, 2013; 5(3): 150-5.
Koutsourelakis I, Perraki E, Bonakis A, et al. Determinants of subjective sleepiness in suspected obstructive sleep apnoea. J Sleep Res, 2008; 17(4):437-43.
Azuma M, Chin K, Yoshimura C, et al. Associations among chronic obstructive pulmonary disease and sleep-disordered breathing in an urban male working population in Japan. Respiration, 2014. 88(3): 234-43.
Cully JA, Graham DP, Stanley MA, et al. Quality of life in patients with chronic obstructive pulmonary disease and comorbid anxiety or depression. Psychosomatics, 2006. 47(4): 312-9.
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Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
