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SLEEP QUALITY IN PATIENTS IN THE REHABILITATION PHASE AFTER COVID-19 DIAGNOSIS.
The inflammatory process and multisystemic manifestation caused by Covid-19 infection can envolve multiple sequelae with damage on physical, cognitive, psychological, and biological aspects. These condiction results on poor quality of live, fatigue, dispnea and sleep difficulties. The foccus on sleep difficulties, the most common symptoms is related to night drowsiness and insomnia, but little is known about the clinical characteristics of these patients who develop this complication.
- Evaluate the main complaints and clinical signs in patients after COVID-19.
- Rate the quality of sleep in Post-COVID-19 Syndrome patients who have had mild, moderate and/or severe symptoms of the disease.
Observational study and descriptive, with a quantitative approach to data. A general and a specific sleep quality questionnaire were applied to patients undergoing rehabilitation after the diagnosis of COVID-19, who did or did not need to be hospitalized, with symptoms that had started at least 5 weeks before the questionnaire response date. Participants who were unable to answer the questionnaires due to a deficit in understanding the questions asked, or who gave up on completing the questionnaires without finishing, were excluded.
177 participants participated in the research, 124 men (70%) and 53 women (30%). 62.7% of participants reported at least one comorbidity and only 23 people (12.9%) were not vaccinated with any dose until participation in this study. With regard to hospital admission, 109 participants (61.6%) required admission to the ICU and of these, 57.8% (63) required orotracheal intubation, with prolonged hospital stay for more than 12 days. The most common symptoms after covid-19 were: muscle fatigue (78.3%), excessive daytime sleepiness (51.4%), persistent cough (47.4%) and headache (47.1%). 81.4% of participants reported that they felt their sleep quality had worsened after the diagnosis of COVID-19. And after applying a specific questionnaire (PSQI), 93.7% of participants were classified as poor sleepers. There was a very strong correlation (r>0.9) with participants who assessed hospitalized and in invasive mechanical ventilation, with bad sleep quality.
The post-COVID-19 Syndrome, associated with age, comorbidities, length of stay and use of invasive mechanical ventilation, were factors that are associated with a higher prevalence of sleep disorders.
COVID-19; sleep quality; rehabilitation; Post-COVID-19 Syndrome.
Universidade Anhembi Morumbi - São Paulo - Brasil
Ana Carolina Vaz dos Santos, Natália Nazário de Souza Landin, Luciana Caglione Martins, Caroline Teixeira Graf Nunes, Sarah Sanders Silveira, Marcela Maria Carvalho da Silva, Luciana Gonzalez Auad Viscardi, Flavia Maria Pirola Pelá