Análise da qualidade do sono em pacientes com angioedema hereditário

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Tatielly Kruk
Lucas Marques Fortunato
Caroline Guth de Freitas Batista de Moraes
Charles Francisco Ferreira
Laura Baccule Brandão
João Guilherme Fiorani Borgio
Herberto José Chong-Neto
Lilian Pereira Ferrari
Nelson Augusto Rosário Filho

Resumo

Introdução: O sono desempenha um papel crucial na saúde humana, tanto fisiologicamente quanto mentalmente, sendo responsável pela reparação e regeneração do corpo. Isso pode ser afetado em pacientes com Angioedema Hereditário (AEH), uma doença genética rara e grave do sistema imunológico. Objetivo: Analisar a qualidade do sono em pacientes com AEH. Métodos: Um estudo transversal envolvendo 31 pacientes, com idade média de 43 anos, sendo 25 mulheres e 6 homens. As análises utilizaram o Índice de Qualidade do Sono de Pittsburgh (PSQI) e a Escala de Sonolência de Epworth (ESS). As análises estatísticas foram realizadas usando o software SPSS. Os dados foram expressos como médias ± DP, medianas e intervalos interquartis ([IQR]), ou frequências absolutas e relativas. As associações entre variáveis foram avaliadas usando testes qui-quadrado, t de amostras independentes ou Mann-Whitney, com um nível de significância estabelecido em 5%. Resultados: As análises do PSQI mostraram que aproximadamente 80% dos pacientes apresentaram qualidade de sono ruim ou muito ruim, caracterizada por vários distúrbios do sono, como sono inadequado, frequência e eficiência do sono prejudicadas. As principais dificuldades de sono relatadas incluíram acordar no meio da noite, levantar-se para usar o banheiro, tossir, ronco alto e sensação de calor. As análises do ESS indicaram que cerca de 77% dos pacientes experimentaram sonolência diurna média ou anormal. Conclusão: Este é o primeiro estudo brasileiro a caracterizar o sono em pacientes com AEH. Na amostra, houve associação aos distúrbios do sono, como provável consequência do AEH.

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Kruk, T., Fortunato, L. M., Moraes, C. G. de F. B. de, Ferreira, C. F., Brandão, L. B., Borgio, J. G. F., … Rosário Filho, N. A. (2025). Análise da qualidade do sono em pacientes com angioedema hereditário. ABCS Health Sciences, 50, e025224. https://doi.org/10.7322/abcshs.2024174.2913
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