睡眠质量差,COPD严重程度和生存率根据CASIS和匹兹堡调查问卷
Júlia Sampol1,2,3, Marc Miravitlles4,5,6, María Sáez1
1Respiratory Department, Vall d'Hebron University Hospital, Barcelona, Spain.
Scientific reports
|November 1, 2023
概括
睡眠质量差在COPD患者中很常见. 慢性肺炎和喘睡眠影响量表 (CASIS) 比匹兹堡睡眠质量指数 (PSQI) 更好地反映疾病严重程度,尽管这项研究中没有预测死亡率.
科学领域:
- 肺部病理学 肺部病理学
- 睡眠医学 睡眠医学
- 临床研究 临床研究
背景情况:
- 慢性阻塞性肺病 (COPD) 患者的睡眠质量较差,与不良健康结果相关.
- 准确评估睡眠质量对于了解其对COPD管理和患者预后的影响至关重要.
- 现有的通用睡眠质量工具可能无法完全捕捉到COPD等呼吸系统疾病的睡眠障碍.
研究的目的:
- 为了比较COPD和喘睡眠影响量表 (CASIS) 与匹兹堡睡眠质量指数 (PSQI) 在评估COPD患者睡眠质量的有效性.
- 调查CASIS和PSQI评估的睡眠质量与COPD临床特征之间的关系.
- 确定睡眠质量测量和稳定的COPD患者队列中的生存率之间的关联.
主要方法:
- 200名稳定的COPD患者的前性评估.
- 数据收集包括人类学,社会人口统计学,并发病,肺功能和治疗细节.
- 患者填写了CASIS,PSQI,mMRC,CAT,STOP-Bang和HADS问卷;生存数据是在平均3.7年的随访期间收集的.
主要成果:
- 50% (PSQI) 和42% (CASIS) 的患者报告睡眠质量差,其中63%的患者在工具之间达成一致.
- 两份调查问卷都将睡眠不足与女性性别联系起来,呼吸障碍增加,BODEx,HADS和CAT的分数更差.
- 与PSQI相比,CASIS与COPD严重性标志物 (恶化,6分钟步行测试距离,口服皮质类固醇/氧气使用) 的相关性更强,与慢性疼痛等并发症相关.
结论:
- 与PSQI相比,CASIS与COPD严重程度更紧密地结合,并且受到伴随性疾病的影响较小.
- 虽然睡眠质量不佳在COPD中很常见,但这项研究发现,在观察到的队列中,睡眠质量不佳与死亡率增加无关.
- CASIS成为评估COPD患者睡眠质量的潜在更具体的工具,提供了超越一般睡眠评估的见解.
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