Effectiveness of Sleep Hygiene Measures on Sleep Quality, Activity of Daily Living and Disease Severity Among Patients with Psoriasis

Document Type : Original Article

Authors

1 Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Mansoura University

2 Fellow of Medical Surgical Nursing, Student Hospital, Mansoura University

3 Fellow of Medical Surgical Nursing, Student Hospital, Mansoura University and lecturer of Medical Surgical Nursing, Faculty of Nursing, Misr University for Science and Technology.

Abstract

Background: Psoriasis is a chronic autoimmune skin condition with long-term impairment and is
considered as one of the five diseases that the World Health Organization (WHO) identified as
having an enormous burden on patients’ sleep quality and impacts on daytime functioning and
health status (Tas, et al., 2020). Aim of the study: Was to evaluate the effectiveness of sleep
hygiene measures on quality of sleep, activities of daily living and disease severity among patients
with psoriasis. Research design: A quasi-experimental design was utilized to conduct the current
study. Setting: The study was conducted at Dermatology, Venereology and Andrology Unit,
Specialized Medical Building, Main Mansoura University hospital, Egypt. Method: A purposive
sample of 60 adult patients were randomly classified into two equal groups 30 patients for each
group. Tools of data collection: Four tools were used for data collection: Patients' Interviewing
Questionnaire, Sleep Quality Scale (SQS), Psoriasis Area Severity Index (SPASI) and Katz Index of
Independence in Activities of Daily Living. Results: Revealed a statistically significant relationship
(p 0.05) between the Katz Index of Independence with the study group's scores on the sleep quality
scale and the patients' psoriasis area severity index. Furthermore, there was an inverse correlation
between sleep quality scale and Katz Index of Independence with psoriasis area severity index (-
0.437) and a positive correlation between sleep quality (0.453) and Katz Index of Independence. (-
0.398). Conclusion: The sleep hygiene measures had a positive effect on enhancing the level of
sleep quality with reducing the severity of the disease and improving the performance of daily living
activities among the study group's patients. Recommendation: The sleep hygiene measures should
be involved in the routine nursing management plane for patients with psoriasis.

Keywords

Egyptian Journal of Health Care
Volume 13, Issue 4
December 2022
Pages 1626-1639

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