Abstract
bjective: To find the impact of disease activity level
of rheumatoid arthritis (RA) on sleep quality of these
patients.
Methodology: In this cross sectional observational
study, data were collected from 185 RA patients from
Sheikh Zaid Hospital, Lahore, Jinnah Hospital,
Lahore, Civil Hospital Mandi Bahauddin and Zafar
Hospital, Malakwal. We used Pittsburg Sleep Quality
Index (PSQI) questionnaire for quality of sleep and
Disease Activity Score 28(DAS-28) scale for the
activity of disease level. Diagnosed RA patients aged
between 29 – 70 years of both gender with no history
of other systemic illnesses were recruited into the
study.
Results: Out of 185 patients, 39.5% were males and
60.5% were females. We found that 77.8% had poor
sleep. Among these, 4.8% had inactive disease activity
level, 12.5% had moderate disease activity level while
85% had high disease activity level. Statistically
positive relation between quality of sleep and activity
of disease level was p < 0.01.
Conclusion: Activity of disease level and quality of
sleep both were strongly associated. Sleep quality was
more disturbed in patients with more disease activity
level.
Keywords: Disease activity level, rheumatoid
arthritis, sleeps quality.
