FUNCTIONS, SLEEP, FATIGUE AND QUALITY OF LIFE IN PATIENTS WITH SCLERODERMA DURING COVID-19: CROSS - SECTIONAL STUDY

Authors : Tuğba ÇİVİ KARAASLAN, Ela TARAKCI, Özal KELEŞ, Yasemin ASLAN KELEŞ, Serdal UĞURLU

Pages : 182-188

Doi:10.21653/tjpr.1105576

View : 47 | Download : 39

Publication Date : 2023-08-31

Article Type : Research Paper

Abstract :Purpose: COVID-19, which has affected people in various ways, has also shown to cause various limitations on the lives of Scleroderma patients. The current study aims at evaluating the upper extremity functions, sleep quality, fatigue, and health-related quality of life in Scleroderma patients and to determine the factors affecting upper extremity functions. Methods: A total of 83 participants were recruited in this study. Of the participants, 39 were Scleroderma patients insert ignore into journalissuearticles values(mean age 43.28±9.96 years); and 44 were healthy controls insert ignore into journalissuearticles values(mean age 40.05±8.89 years);. The Disabilities of the Arm, Shoulder and Hand Questionnaire insert ignore into journalissuearticles values(DASH); and Michigan Hand Outcomes Questionnaire insert ignore into journalissuearticles values(MHQ); were applied to evaluate upper extremity functions of the participants. Pittsburgh Sleep Quality Index insert ignore into journalissuearticles values(PSQI);, Fatigue Severity Scale insert ignore into journalissuearticles values(FSS);, and the Scleroderma Health Assessment Questionnaire insert ignore into journalissuearticles values(SHAQ); were used to evaluate the sleep quality, fatigue, and health-related quality of life, respectively. Results: Scleroderma patients had significantly lower scores in hand functions, sleep quality, fatigue, and health-related quality than the healthy group insert ignore into journalissuearticles values(p=0.001);. The correlations between DASH and PSQI insert ignore into journalissuearticles values(r=0.559, p=0.001);, FSS insert ignore into journalissuearticles values(r=0.496, p=0.001);, SHAQ scores insert ignore into journalissuearticles values(r=0.754, p=0.001); were highly positive. Similarly, a high correlation was found between MHQ and SHAQ scores insert ignore into journalissuearticles values(r=-0.679, p=0.001);. Conclusion: Upper extremity functions and health-related quality of life were found to be affected in patients with Scleroderma. It was revealed that upper extremity functions were affected by sleep quality, fatigue, and health-related quality of life. Therefore, knowing all these effects and their relationships with each other allows to draw a systematic treatment plan on Scleroderma patients.
Keywords : Günlük Yaşam Aktiviteleri, El, Yaşam Kalitesi, Sistemik Skleroz