睡眠卫生不足作为系统性硬化症睡眠质量差的一个关键因素:一个观察性,横截面研究
Neslihan Gokcen1, Andac Komac2, Fatma Tuncer Kuru2
1Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Kocaeli University, Kocaeli, Turkey. drngokcen@hotmail.com.
Rheumatology international
|January 31, 2025
概括
与类风性关节炎患者和健康人群相比,全身性硬化症患者的睡眠质量和卫生状况明显差. 改善睡眠卫生对于改善系统性硬化症患者的睡眠质量至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 睡眠医学 睡眠医学
- 精神病体医学是一种精神病体医学.
背景情况:
- 睡眠障碍在自身免疫性类风湿性疾病中很常见.
- 系统性硬化症 (SSc) 患者经常经历睡眠质量受损,但睡眠卫生的作用尚未完全理解.
- 通过比较SSc,类风湿性关节炎 (RA) 和健康对照 (HC) 的睡眠,可以阐明疾病特异性睡眠问题.
研究的目的:
- 调查SSc患者的睡眠卫生和睡眠质量之间的关系.
- 为了比较SSc患者,RA患者和HC患者之间的睡眠卫生和睡眠质量.
- 确定与SSc.睡眠质量差相关的因素.
主要方法:
- 观察性,横截面,并行组研究.
- 包括SSc患者,RA患者和HC患者.
- 评估睡眠质量 (匹兹堡睡眠质量指数) 和睡眠卫生 (睡眠卫生指数),以及疾病特异性变量,心理因素 (抑郁,焦虑),身体功能,生活质量,疼痛和疲劳.
主要成果:
- 与RA患者和HC患者相比,SSc患者的匹兹堡睡眠质量指数和睡眠卫生指数得分显著更高.
- 在SSc患者中,疲劳,吸烟,所有SF-36领域,抑郁和焦虑得分与较差的睡眠卫生有关.
- 与RA患者和HC患者相比,SSc患者的睡眠不良概率是4.50倍以上. 睡眠卫生指数得分的每一次增加都与睡眠质量差的概率高1.15倍相关.
结论:
- 在SSc患者中,睡眠卫生和睡眠质量明显恶化.
- 睡眠卫生不充分是导致SSc.睡眠质量受损的一个重要因素.
- 旨在改善睡眠卫生实践的干预措施可能对于提高SSc人口的睡眠质量至关重要.
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