Fatima Waheed, Roohi Abass, Fareeha Arshad, Khadija Arbab, Amna Masood, Eshal Asad.
Sleep Quality in Asthmatic patients with Obstructive Sleep Apnea Syndrome; a Descriptive Case Series.
Healer J Physiotherap Rehab Jan ;3(9):833-9.

Background: Asthma is known as a chronic lung disease that results in airway blockages. Asthma includes the symptoms of dyspnea, wheezing and cough which worsen in the morning and at night and result in the production of excess mucus which results in the reduction of expiratory airflow. Various studies have shown a strong association of asthma being a risk factor for the onset of obstructive sleep apnea. Objective: To assess and evaluate the sleep quality in asthmatic patients with obstructive sleep apnea syndrome. Methods: This is a descriptive case series that was conducted in Gulab Devi Hospital, Sheikh Zayed Hospital and Ghurki Teaching Hospital, Lahore, Pakistan. A non-probability convenient sampling technique was employed. The sample size was calculated by using World Health Organization software. Patients who were diagnosed with asthma and obstructive sleep apnea, both males and females ages between 18 and 55 were recruited in this study. Pittsburgh sleep quality index was employed to assess the patients. Patients were subjectively rated regarding their sleep quality and were inquired about their usual sleeping habits and their scores were recorded using a Likert scale ranging from zero to three. Data was analyzed by using Statistical Package for Social Sciences version 23. The variable of the study was represented in the form of descriptive statistics using graphs, percentages and graphs. Results: The results of this study show us that moderate difficulty of sleep apnea lies between 57.6% and severe difficulty of sleep apnea lies between 42.4%. The results of this study also show us that age affects the global Pittsburgh sleep quality index score. Results show that middle-aged adults reported suffering more from moderate and severe sleeping difficulty due to sleep apnea as compared to young and older adults. Conclusion: This study concludes that patients who have asthma with obstructive sleep apnea have a disturbed sleep cycle, especially in middle age. It concludes that asthmatic patients with obstructive sleep apnea have moderate to severe difficulty in their sleep cycle.

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