RELAÇÃO ENTRE AS MANIFESTAÇÕES CLÍNICAS DO LÚPUS ERITEMATOSO SISTÊMICO E A QUALIDADE DO SONO EM PACIENTES ACOMPANHADOS EM UM HOSPITAL UNIVERSITÁRIO DA PARAÍBA

Abstract

Systemic Lupus Erythematosus (SLE) is an important disease that causes inflammation in several organs, specifically in collagen-rich connective tissue. It is, therefore, a multisystemic inflammatory pathology and has autoimmunity as its main pathophysiological basis. Patients' well-being is a major concern in SLE, as patients experience a variety of symptoms, such as joint pain and swelling, stiffness, fatigue, and functional disability, which affect their quality of life. That's why it's common for these patients to have sleep disorders too, further aggravating the disease. Some studies already show a strong association between sleep quality and repeated disease activity in SLE, in addition to the poor quality of life that negatively influences the quality of sleep of patients, according to the literature. Materials and methods: This is a cross-sectional study, carried out in a University Hospital, where 2 questionnaires were applied: SLICC/ACR-DI (to assess disease damage) and the Epworth Scale (to assess sleep quality). The inclusion criteria for the group were patients aged over 16 years, of both genders, with a previous diagnosis of SLE made by a physician and who are being followed up at the HULW rheumatology outpatient clinic. The chi-square test was used to compare discrete quantitative variables. Results and discussions: A positive relationship was observed between the presence of SLE damage and worse sleep quality, suggesting the influence of one factor over the other. It is worth mentioning the fact that patients with few damages related to SLE (at most 3), have great difficulties in maintaining an adequate sleep pattern, highlighting the need to address this issue in this group in order to increase the quality of life for these patients. sick. Keywords: Lupus, Sleep, Quality.