Tóm tắt
Objective: To describe the sleep quality and identify selected factors associated with sleep quality among patients with chronic musculoskeletal disorders at Nghe An Provincial Friendship General Hospital in 2025.
Methods: A cross-sectional descriptive study was conducted among 298 inpatients aged ≥ 18 years who were diagnosed with chronic musculoskeletal diseases (osteoarthritis, rheumatoid arthritis, gout, osteoporosis, ankylosing spondylitis, and systemic lupus erythematosus). Data were collected from March to August 2025 using a structured questionnaire covering general characteristics, the Pittsburgh Sleep Quality Index (PSQI), and the Visual Analog Scale (VAS) for pain. Multiple linear regression analysis was performed to determine factors associated with sleep quality.
Results: The mean PSQI score was 10.88 ± 3.96 (range: 2–20), and 82.2% of patients had poor sleep quality. Mean sleep duration was 5.43 ± 1.07 hours, and habitual sleep efficiency was 68.98 ± 16.83%. The mean pain score on the VAS was 5.99 ± 2.18, with 55.0% of patients reporting severe pain. Regression analysis showed that pain intensity within the previous 24 hours (β = 0.292; p < 0.05) and income (β = −0.366; p < 0.05) were statistically significant predictors of sleep quality; the model explained 43.5% of the variance in PSQI scores (adjusted R² = 0.435).
Conclusion: Sleep quality among patients with chronic musculoskeletal disorders was markedly poor and was primarily influenced by pain and socioeconomic conditions. Multimodal pain management, strengthened rehabilitation, and psychological support are recommended, with particular attention to low-income patients. Integrating routine sleep screening using the PSQI into clinical practice is necessary for early detection and timely intervention, thereby contributing to improved patient quality of life.
Từ khóa
Tài liệu tham khảo
Scott AJ, Correa AB, Bisby MA, et al. Cognitive behavioral therapy for insomnia in people with chronic disease: a systematic review and meta-analysis. JAMA Intern Med. 2025;185(11):1350-1361. doi:10.1001/jamainternmed.2025.4610
Whale K, Gooberman-Hill R. The importance of sleep for people with chronic pain: current insights and evidence. JBMR Plus. 2022;6(7):e10658. doi:10.1002/jbm4.10658
Dos Santos Bento AP, Filho NM, Ferreira AS, Cassetta AP, et al. Sleep quality and polysomnographic changes in patients with chronic pain with and without central sensitization signs. Braz J Phys Ther. 2023;27(3):100504. doi:10.1016/j.bjpt.2023.100504
Debta DK, Tripathy KP, Jain T, et al. Prevalence of sleep disturbances in rheumatoid arthritis and its association with disease severity: a hospital-based cross-sectional observation. Cureus. 2025;17(5):e84767. doi:10.7759/cureus.84767
Hoa NT, Tuan NV. Thực trạng rối loạn giấc ngủ ở người bệnh thoái hóa khớp gối [Sleep disturbances among patients with knee osteoarthritis]. Tạp chí Y học Việt Nam (Vietnam Medical Journal). 2024;543(2). doi:10.51298/vmj.v543i2.11443
Buysse DJ, Reynolds CF, Monk TH, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213. doi:10.1016/0165-1781(89)90047-4.
Mui NT, Luu TV, Tam NB et al. Thực trạng rối loạn giấc ngủ của bệnh nhân ung thư điều trị nội trú tại Hải Dương năm 2018 [Sleep disturbance status among hospitalized cancer patients in Hai Duong, 2018]. Tạp chí Khoa học Điều dưỡng (Journal of Nursing Science).
Gouda W, Mokhtar M, Elazab SA, et al. Sleep disorders in patients with rheumatoid arthritis: association with quality of life, fatigue, depression levels, functional disability, disease duration, and activity: a multicentre cross-sectional study. J Int Med Res. 2023;51(10):3000605231204477. doi:10.1177/03000605231204477
Abeler K, Bergvik S, Sand T, et al. Daily associations between sleep and pain in patients with chronic musculoskeletal pain. J Sleep Res. 2021;30(4):e13237. doi:10.1111/jsr.13237
Juárez-Rojop I, Fresán A, Genis-Mendoza AD, et al. Prevalence of poor sleep quality and associated factors in individuals with rheumatoid arthritis: a cross-sectional study. Medicina (Kaunas). 2023;59(9):1633. doi:10.3390/medicina59091633
Kozłowska K, Bączyk G. Sleep quality and fatigue level, clinical and demographic factors in women with rheumatoid arthritis. Front Glob Womens Health. 2025;6:1534447. doi:10.3389/fgwh.2025.1534447
Grabovac I, Haider S, Berner C, et al. Sleep quality in patients with rheumatoid arthritis and associations with pain, disability, disease duration, and activity. J Clin Med. 2018;7(10):336. doi:10.3390/jcm7100336
Szady P, Bączyk G, Kozłowska K. Fatigue and sleep quality in rheumatoid arthritis patients during hospital admission. Reumatologia. 2017;55(2):65-72. doi:10.5114/reum.2017.67600
Kontodimopoulos N, Stamatopoulou E, Kletsas G, et al. Disease activity and sleep quality in rheumatoid arthritis: a deeper look into the relationship. Expert Rev Pharmacoecon Outcomes Res. 2020;20(6):595-602. doi:10.1080/14737167.2020.1677156
Guaracha-Basáñez GA, Contreras-Yáñez I, Bautista-Torres A, et al. Sleep quality and predictors of optimal sleep in patients with rheumatoid arthritis: data from a recent-onset cohort. Clin Exp Rheumatol. 2023;41(11):2269-2276. doi:10.55563/clinexprheumatol/j88k7a.
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