4. INVESTIGATION OF SLEEP QUALITY BY PITTSBURGH SCORE (PITTSBURGH SLEEP QUALITY INDEX - PSQI) ON HYPERTENSIVE PATIENTS AT THONG NHAT DONG NAI GENERAL HOSPITAL
Main Article Content
Abstract
Introduction: Hypertension is one of the most common chronic non-infectious diseases today. Poor sleep quality tends to increase, negatively affecting patient care and treatment. There are many studies demonstrating that poor quality of life is associated with increased risks of hypertension and other chronic diseases. In Vietnam, there have not been many studies on sleep quality in hypertensive patients.
Objective: To determine the prevalence of poor sleep quality and related factors in hypertensive patients at the Examination Department of Thong Nhat General Hospital - Dong Nai.
Research subjects and methods: Cross-sectional study on 380 hypertensive patients at Thong Nhat General Hospital - Dong Nai from April 2023 to September 2023. All subjects eligible to participate in the study were interviewed directly through a set of prepared questions; Poor sleep quality was assessed by the average PSQI score with a cutoff of >5. Using statistical hypothesis tests to determine association, with p < 0.05.
Results: The prevalence of poor sleep quality was 61.8% (PSQI score >5), the average PSQI score was 12 ± 6. After analyzing the variables: average age (p<0.000), age group (p<0.000), average number of medications (p<0.000), hypertension grade (p<0.000), depression (p <0.001), cardiovascular disease (p<0.001), musculoskeletal disease ( p < 0.001) is statistically related to poor quality of life.
Conclusion: The prevalence of hypertensive patients with poor quality of life is still quite high; It is necessary to concentrate on assessing the quality of life in patients with the following characteristics: older age group, using many drugs, high blood pressure, depression, cardiovascular disease, and musculoskeletal disease.
Article Details
Keywords
Patient, sleep quality, hypertension, PSQI, PHQ-9.
References
một số yếu tố liên quan của người bệnh tăng
huyết áp điều trị ngoại trú tại bệnh viện đa khoa
tỉnh Nam Định năm 2016, Luận văn Thạc sỹ
điều dưỡng, Trường Đại học điều dưỡng Nam
Định, 2016.
[2] Hoàng Văn Tám, Chất lượng giấc ngủ và các yếu
tố liên quan ở bệnh nhân tăng huyết áp tại phòng
khám bác sĩ gia đình bệnh viện quận 2, thành
phố Hồ Chí Minh, Tạp chí Nghiên cứu y học,
26, (2022).
[3] Birhanu TE, Getachew B, Gerbi A et al.,
Prevalence of poor sleep quality and its associated
factors among hypertensive patients on follow
up at Jimma University Medical Center; Journal
of Human Hypertension, 35:94-100, 2020.
[4] Buysse DJ, Reynolds CF, 3rd, Monk TH et al.,
14 The Pittsburgh Sleep Quality Index: a new
instrument for psychiatric practice and research.
Psychiatry research. 1989; 28(2): 193-213.
[5] Słomko J, Zawadka-Kunikowska M, Kujawski
S et al., Do Changes in Hemodynamic
Parameters Depend Upon Length of Sleep
Deprivation? Comparison Between Subjects
With Normal Blood Pressure, Prehypertension,
and Hypertension. Frontiers in physiology;
2018; 9: 1374.
[6] Oume M, Obayashi K, Asai Y et al., Objective
sleep quality and night-time blood pressure in
the general elderly population: a cross-sectional
study of the HEIJO-KYO cohort. J Hypertens;
2018; 36(3): 601-607.
[7] Laura P, Rosa MB, Angelo G et al., Sleep loss
and hypertension: a systematic review. Curr
Pharm Des. 2013;19(13):2409-19.
[8] Shittu RO, Issa BA, Olanrewaju GT, Association
between Subjective Sleep Quality, Hypertension,
Depression and Body Mass Index in a Nigerian
Family Practice Setting; Journal of Sleep
Disorders and Therapy, 3(2):157, 2020.