Sleep quality among patients with ankylosing spondylitis at the University Medical Center Ho Chi Minh City and associated factors

Huynh Ho Ngoc Quynh, Huynh Thanh Bao Luan, Nguyen Thi Nhu Ngan, Le Truong Vinh Phuc

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Abstract

This study aimed to assess sleep quality and its associated factors among patients with ankylosing spondylitis at the University Medical Center Ho Chi Minh City (UMC). A cross-sectional study was conducted at UMC on 73 patients diagnosed with ankylosing spondylitis. Data were collected using a self-administered questionnaire based on the Pittsburgh Sleep Quality Index (PSQI), the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), the Visual Analog Scale (VAS), and a clinical-paraclinical information sheet. Associations were expressed as prevalence ratios (PR) with 95% confidence intervals, and statistical significance was defined as p < 0.05. PSQI results showed that 69.9% of patients had poor sleep quality. BASDAI rated of active disease at 65.8%. The average VAS pain score was 45.7 ± 12.8, with 50.7%  had mild pain. Poor sleep quality was associated with disease activity level and pain level. Health care providers should strengthen sleep quality screening, health education and guide patients on pain management strategies. Patients with ankylosing spondylitis should adhere to treatment to control disease symptoms and improve sleep quality.

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References

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