Özet:

Aim: The objective of this study was to assess sleep quality in patients with chronic low back pain and to demonstrate the relationship between sleep quality and pain, functional status and quality of life, as well as the relationship between chronic back pain and depression. Material and Methods: This study included 100 patients with chronic low back pain(CLBP) and 100 healthy controls. Pain was evaluated with Visual Analog Scale, functional capacity with Roland Morris Disability Questionnaire ,sleep quality with Pittsburgh Sleep Quality Index (PUKI), life quality with Short Form-36 (SF-36) and depression status with Beck Depression Inventory (BDI). We used these self-report questionnaires to compare CLBP patients with healthy control group. Also, cross- correlation among the sleep disturbance and severity of CLBP, functional capacity, life quality and depression were evaluated. Results: PSQI score was higher in patients with CLBP than control group [The median PSQI was 4 (0-15) for the healthy controls and 5 (1-14) for the patients group, p=0.014]. Significant associations were found between PUKI and the severity of pain in night (p=0.005). In the patient group, the detailed categories of physical function, physical role, vitality, social functioning, pain and general health of the SF-36 were statistically significantly lower than control group (p<0.001, p<0.001, p=0.001, p<0.001, p<0.001, p<0.001 respectively). There was no statistically significant difference BDI between the two groups (p=0.074) but there was a positive correlation between PUKI and BDI scores in two groups (for both p<0.001). Conclusion: Sleep quality is poor in patients with chronic low back pain and it is associated with night pain intensity. Sleep quality was associated with depression and poor quality of life independently low back pain. In individuals with chronic low back pain, treatment for pain may also improve sleep quality and quality of life.

Anahtar Kelimeler: