Fatah Rebar M Noori, Abdulrahman Binar Burhan
Department of Orthopedic and Traumatology, University of Sulaimani/School of Medicine, Sulaimani, Kurdistan Region, Iraq.
Department of Orthopedic and Traumatology, Shar Teaching Hospital, Sulaimani, Kurdistan Region, Iraq.
J Family Med Prim Care. 2020 Jan 28;9(1):119-124. doi: 10.4103/jfmpc.jfmpc_595_19. eCollection 2020 Jan.
Knee osteoarthritis (OA) is common arthritis in elderly. Total knee arthroplasty; (TKA) is effective to restore mobility and improve quality of life in patients with OA. One of TKA complications is sleep disturbance.
Aim was to evaluate sleep disturbance after TKA despite differences in postoperative pain managements.
Prospective cohort study was performed on 67 patients who underwent primary TKA by different surgeons during May to March 2019. Samples were collected randomly from different hospitals in Sulaimani, Kurdistan, Iraq. Sleep pattern was assessed by Pittsburgh Sleep Quality Index (PSQI) and pain was assessed by visual analogue scale (VAS) for three months postoperatively.
Mean ± standard deviation (SD) age (year) and body mass index (BMI; kg/m) of participants were 64.2 ± 7.5 (range: 40-82) and 27.3 ± 3.7 (range: 21.3-41.6), respectively. About 83.6% were females with male to female ratio of (0.2:1). There were statistically insignificant associations of age, gender, BMI, and history of diabetes mellitus with PSQI. Degree of pain was gradually decreasing during follow-up, but sleep was better at beginning followed by peaked disturbance after one month, then it started to improve gradually at end of follow-up.
Sleep disturbance assessment needs multimodal approaches in order to improve it and satisfy patients.
膝关节骨关节炎（OA）是老年人常见的关节炎。全膝关节置换术（TKA）对于恢复OA患者的活动能力和改善生活质量有效。TKA的并发症之一是睡眠障碍。
旨在评估TKA术后的睡眠障碍情况，尽管术后疼痛管理存在差异。
对2019年5月至3月期间由不同外科医生进行初次TKA的67例患者进行前瞻性队列研究。样本从伊拉克库尔德斯坦苏莱曼尼亚的不同医院随机收集。术后三个月通过匹兹堡睡眠质量指数（PSQI）评估睡眠模式，通过视觉模拟量表（VAS）评估疼痛情况。
参与者的平均年龄±标准差（SD）（岁）和体重指数（BMI；kg/m²）分别为64.2±7.5（范围：40 - 82）和27.3±3.7（范围：21.3 - 41.6）。约83.6%为女性，男女比例为（0.2:1）。年龄、性别、BMI和糖尿病史与PSQI之间的关联无统计学意义。随访期间疼痛程度逐渐降低，但睡眠在开始时较好，一个月后睡眠障碍达到峰值，然后在随访结束时开始逐渐改善。
睡眠障碍评估需要采用多模式方法，以改善睡眠障碍并使患者满意。
