Alomayri Waad, Alanazi Nawal, Faraj Fatma
Department of Family Medicine, Family Medicine Residency Training Program, King Salman Armed Forces Hospital, Tabuk, SAU.
Department of Family Medicine, King Salman Armed Forces Hospital, Tabuk, SAU.
Cureus. 2020 Dec 13;12(12):e12051. doi: 10.7759/cureus.12051.
Background Atopic dermatitis is a chronic inflammatory skin disease characterized by pruritic, dry, and eczematous lesions. The effect of atopic dermatitis on the quality of patients' lives has been investigated. However, its impact on the quality of sleep is still controversial. Objective This study aims to identify the correlation between sleep quality and atopic dermatitis disease among adults living in Saudi Arabia. Design and setting This is a cross-sectional, quantitative survey study, carried out during July and August 2020, which included atopic dermatitis patients. The study used Arabic versions of a self-administered, Internet-based questionnaire of the Pittsburgh Sleep Quality Index (PSQI) and Dermatology Life Quality Index (DLQI). Face-to-face patient interviews were not applicable due to the COVID-19 pandemic. Results A total of 400 patients participated in this survey study. Eighty-six percent (86%) were females while 39.6% were in the age group of 18 to 25 years old. A third of the responders could not sleep within half an hour, and a third of them woke up at night or early in the morning more than three times a week. Twenty-three point eight percent (23.8%) of the responders rated their sleep quality as a very good quality of sleep while 17.8% rated it as very bad. Inability to get to sleep within half an hour (p-value=0.002), waking up at night (p-value=0.005), and not being able to sleep because of pain (p-value<0.001) were all significantly correlated to the occurrence of many or a lot of skin symptoms of atopic dermatitis. There was a significantly higher total score among patients with atopic dermatitis (p value<0.001), which shows a poorer quality of sleep. Conclusion Symptoms of atopic dermatitis negatively influence the quality of sleep of adults in Saudi Arabia. The frequency of symptoms are significantly correlated to the poor quality of sleep. Therefore, we suggest that the evaluation of sleep quality is necessary for the management of atopic dermatitis patients.
特应性皮炎是一种慢性炎症性皮肤病，其特征为瘙痒、干燥和湿疹样皮损。特应性皮炎对患者生活质量的影响已得到研究。然而，其对睡眠质量的影响仍存在争议。
本研究旨在确定沙特阿拉伯成年居民中睡眠质量与特应性皮炎疾病之间的相关性。
这是一项横断面定量调查研究，于2020年7月至8月进行，纳入了特应性皮炎患者。该研究使用了基于互联网的匹兹堡睡眠质量指数（PSQI）和皮肤病生活质量指数（DLQI）的阿拉伯文自填问卷。由于新冠疫情，不适用面对面患者访谈。
共有400名患者参与了这项调查研究。86%为女性，39.6%年龄在18至25岁之间。三分之一的应答者半小时内无法入睡，其中三分之一的人每周夜间或清晨醒来超过三次。23.8%的应答者将其睡眠质量评为非常好，而17.8%的应答者将其评为非常差。半小时内无法入睡（p值=0.002）、夜间醒来（p值=0.005）以及因疼痛无法入睡（p值<0.001）均与特应性皮炎许多或大量皮肤症状的发生显著相关。特应性皮炎患者的总分显著更高（p值<0.001），这表明睡眠质量较差。
特应性皮炎症状对沙特阿拉伯成年人的睡眠质量有负面影响。症状频率与睡眠质量差显著相关。因此，我们建议对特应性皮炎患者进行睡眠质量评估对于其管理是必要的。
