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总睡眠时间误解在阻塞性睡眠呼吸暂停的多夜家庭评估,有或没有失眠症状
Jasmin Kuhn1,2, Laura R B Schiphorst1,2, Bernice M Wulterkens1,2
1Department of Electrical Engineering, Eindhoven University of Technology, 5612AP Eindhoven, The Netherlands.
Clocks & sleep
|December 27, 2024
概括
患有失眠症状的阻塞性睡眠呼吸暂停 (OSA) 患者往往低估了他们的总睡眠时间 (TST),而具有较高呼吸暂停-低睡眠指数 (AHI) 患者则高估了TST. 可穿戴设备在家里多个晚上揭示了这些睡眠感知差异.
科学领域:
- 睡眠医学 睡眠医学
- 可穿戴技术可穿戴技术
- 呼吸系统医学 呼吸系统医学
背景情况:
- 误解总睡眠时间 (TST) 是阻塞性睡眠呼吸暂停 (OSA) 的已知问题.
- 关于TST误解预测因子的先前研究产生了不一致的结果,通常使用单个夜间的多睡眠学,这可能会影响睡眠感知.
- 家庭环境和多个夜晚的睡眠监测提供了更自然的睡眠感知评估.
研究的目的:
- 通过使用多个夜晚的家庭睡眠监测,调查OSA患者TST误解的预测因素.
- 为了利用可穿戴睡眠分期技术进行客观的TST测量.
- 为了区分有或没有失眠症状的OSA患者之间的TST误解模式.
主要方法:
- 研究了141名患有OSA的患者,分为OSA组 (n=75) 和患有失眠症状的OSA组 (OSA-I,n=66).
- 目标TST是在多个晚上使用经过验证的手腕佩戴的光电显微镜和加速度计装置测量的.
- 通过数字睡眠日记收集自我报告的TST,并使用误解指数 (MI) 量化TST误解.
主要成果:
- 在OSA和OSA-I组之间观察到MI的显著差异 (p < 0.001).
- 失眠症状 (β = 0.070,p < 0.001) 和较低的睡眠质量报告 (β = -0.229,p < 0.001) 预测了更高的MI (TST低估).
- 较高的呼吸暂停-呼吸暂停指数 (AHI) 预测了较低的MI (TST高估;β = -0.001,p = 0.006).
结论:
- 失眠症状和AHI是OSA患者TST误解的重要预测因素,作用在相反的方向上.
- 这些关联在家庭环境中的多个晚上都成立,被可穿戴技术验证.
- 了解这些明显的误解模式对于管理OSA患者至关重要,特别是那些患有并发性失眠患者.
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