Relationship between Sleep, Pain and Inflammatory Markers in Patients with Rheumatoid Arthritis

Introduction: Rheumatoid Arthritis (RA) is known as a progressive chronic auto-immune disease. Measurement of inflammatory markers are applied for follow up the activity of disease. So determining factors that effects these markers such as sleep and pain can help to prevent the sev...

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Main Authors: Majid Purabdollah, Sima lakdizaji, Azad Rahmani
Format: Article
Language:English
Published: Tabriz University of Medical Sciences 2017-09-01
Series:Journal of Caring Sciences
Subjects:
Online Access:http://journals.tbzmed.ac.ir/JCS/Manuscript/JCS-6-249.pdf
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author Majid Purabdollah
Sima lakdizaji
Azad Rahmani
author_facet Majid Purabdollah
Sima lakdizaji
Azad Rahmani
author_sort Majid Purabdollah
collection DOAJ
description Introduction: Rheumatoid Arthritis (RA) is known as a progressive chronic auto-immune disease. Measurement of inflammatory markers are applied for follow up the activity of disease. So determining factors that effects these markers such as sleep and pain can help to prevent the severity of disease. The aim of study was to determine the relationship between sleep disorders, pain and inflammatory markers in patients with RA. Methods: Participants included 210 patients with RA referred to educational medical clinics of Imam Reza and Sina in Tabriz selected by convenience sampling. They were assessed by Sleep Disorders Questionnaire (SDQ) and Epworth Sleepiness Scale (ESS). Visual Analog Scale (VAS) also applied for pain measurement. Data were analyzed using SPSS ver.13 by descriptive and inferential statistics. Results: Most of participants (74%) were female, the mean age of participants was 48.41 years. The mean (SD) of sleepiness was 13.14 (5.6) and pain 6.09 (2.14). Significant relationship obtained between sleep disorders and pain. As well as sleep problems had significant relation with CRP. Also pain had significant correlation with inflammatory markers. Conclusion: Sleep pattern in RA appears to be disrupted by pain. Pain severity and sleep problems can predict increasing inflammatory markers that can be a clues of intensity of disease. So relieving pain and improved sleep can decrease the intensity of disease.
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spelling doaj.art-7169273d64224a5b8cd631bfba92bc252022-12-21T18:43:20ZengTabriz University of Medical SciencesJournal of Caring Sciences2251-99202017-09-016324925510.15171/jcs.2017.024JCS_32_20170312202915Relationship between Sleep, Pain and Inflammatory Markers in Patients with Rheumatoid ArthritisMajid Purabdollah0Sima lakdizaji1Azad Rahmani2Medical Surgical Nursing Department, Nursing and Midwifery Faculty, Tabriz University of Medical Science, Tabriz, Iran Medical Surgical Nursing Department, Nursing and Midwifery Faculty, Tabriz University of Medical Science, Tabriz, Iran Medical Surgical Nursing Department, Nursing and Midwifery Faculty, Tabriz University of Medical Science, Tabriz, Iran Introduction: Rheumatoid Arthritis (RA) is known as a progressive chronic auto-immune disease. Measurement of inflammatory markers are applied for follow up the activity of disease. So determining factors that effects these markers such as sleep and pain can help to prevent the severity of disease. The aim of study was to determine the relationship between sleep disorders, pain and inflammatory markers in patients with RA. Methods: Participants included 210 patients with RA referred to educational medical clinics of Imam Reza and Sina in Tabriz selected by convenience sampling. They were assessed by Sleep Disorders Questionnaire (SDQ) and Epworth Sleepiness Scale (ESS). Visual Analog Scale (VAS) also applied for pain measurement. Data were analyzed using SPSS ver.13 by descriptive and inferential statistics. Results: Most of participants (74%) were female, the mean age of participants was 48.41 years. The mean (SD) of sleepiness was 13.14 (5.6) and pain 6.09 (2.14). Significant relationship obtained between sleep disorders and pain. As well as sleep problems had significant relation with CRP. Also pain had significant correlation with inflammatory markers. Conclusion: Sleep pattern in RA appears to be disrupted by pain. Pain severity and sleep problems can predict increasing inflammatory markers that can be a clues of intensity of disease. So relieving pain and improved sleep can decrease the intensity of disease.http://journals.tbzmed.ac.ir/JCS/Manuscript/JCS-6-249.pdfArthritis rheumatoidDisordersInflammationC-reactive protein
spellingShingle Majid Purabdollah
Sima lakdizaji
Azad Rahmani
Relationship between Sleep, Pain and Inflammatory Markers in Patients with Rheumatoid Arthritis
Journal of Caring Sciences
Arthritis
rheumatoid
Disorders
Inflammation
C-reactive protein
title Relationship between Sleep, Pain and Inflammatory Markers in Patients with Rheumatoid Arthritis
title_full Relationship between Sleep, Pain and Inflammatory Markers in Patients with Rheumatoid Arthritis
title_fullStr Relationship between Sleep, Pain and Inflammatory Markers in Patients with Rheumatoid Arthritis
title_full_unstemmed Relationship between Sleep, Pain and Inflammatory Markers in Patients with Rheumatoid Arthritis
title_short Relationship between Sleep, Pain and Inflammatory Markers in Patients with Rheumatoid Arthritis
title_sort relationship between sleep pain and inflammatory markers in patients with rheumatoid arthritis
topic Arthritis
rheumatoid
Disorders
Inflammation
C-reactive protein
url http://journals.tbzmed.ac.ir/JCS/Manuscript/JCS-6-249.pdf
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