SLEEP DISORDERS IN PATIENTS WITH ARTERIAL HYPERTENSION
Abstract
Introduction. Sleep disorders are associated with an increased risk of mortality among the general population, this is due to an increased risk of developing diseases such as diabetes mellitus, anxiety and depressive disorder, coronary heart disease, hypertension, obesity. The aim is to study the characteristics of sleep in patients with arterial hypertension. Materials and methods. The study included 54 patients with hypertension who received emergency care in connection with an uncomplicated hypertensive crisis. An original questionnaire was used to assess dissomnic manifestations in patients. Statistical processing was carried out using SPSS Statistics 23.0 application software packages. Results. As a result of the analysis, it was revealed that 27.8% of patients with hypertension are satisfied with the quality of their sleep, however, a larger percentage of patients (72.2%) note dissatisfaction with sleep of varying degrees. Difficulty in falling asleep was experienced by 37% of patients — in this group of patients, the process of falling asleep lasts from 3 to 5 hours; 29.6% of patients are disturbed by sudden awakenings during the night — 13% of them wake up 2–3 times, 16.7% — more than 5 times. In addition, patients subjectively assessed their condition after waking up, and only 33.3% noted normal well-being, most often patients feel drowsiness (53.7%), fatigue (9.3%) and irritability (3.7%). Conclusions. Lower satisfaction with sleep is associated with higher usual blood pressure values in hypertensive patients. Greater physical activity is directly correlated with a faster onset of sleep, while the duration of sleep hours is inversely correlated with the patient’s usual diastolic blood pressure values.
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