脊髓损伤患者的睡眠和白天功能
Amira N Badr1, Salam Zeineddine2,3, Anan Salloum2,3
1Department of Physical and Occupational Therapy, Boston Children's Hospital, Boston, Massachusetts.
概括
对于脊髓损伤 (SCI) 的退伍军人来说,失眠症状和睡眠质量差显著影响白天功能和生活质量. 然而,睡眠障碍的呼吸严重程度没有显示出这种关联. 解决失眠是改善该人口功能的关键.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 康复医学 康复医学 康复医学
背景情况:
- 脊髓损伤 (SCI) 显著影响退伍军人的日常生活.
- 在SCI患者中,睡眠障碍很常见.
- 了解睡眠问题对功能的影响对于退伍军人护理至关重要.
研究的目的:
- 研究睡眠呼吸障碍 (SDB),失眠症状和睡眠质量与SCI退伍军人的白天功能和生活质量之间的关系.
- 为了确定与睡眠相关的特定因素,这些因素会影响这一群体的功能结果.
主要方法:
- 一项涉及38名患有SCI的男性退伍军人的横截面队列研究在VA医疗中心进行.
- 参与者完成了SDB严重性 (呼吸暂停-呼吸暂停指数),失眠症状 (失眠严重性指数),睡眠质量 (匹茨堡睡眠质量指数),白天嗜睡 (爱普沃思嗜睡量表),疲劳,抑郁,功能 (脊髓独立度) 和生活质量 (WHOQOL-BREF) 的评估.
- 两变相关性被用来分析睡眠参数和功能结果之间的关系.
主要成果:
- 在睡眠障碍呼吸严重程度和功能性措施之间没有发现显著的关联.
- 更糟糕的失眠症状严重程度与较差的抑郁症得分,生活质量下降和功能下降相关.
- 自我报告的睡眠质量较差与疲劳增加,抑郁和生活质量下降有关.
结论:
- 失眠症状和睡眠质量差,但不是SDB严重程度,与SCI的退伍军人的白天功能和生活质量恶化有关.
- 失眠和睡眠质量差是可修改的因素,可以针对改善功能结果.
- 对SCI患者的基于证据的失眠治疗方法进行进一步的研究是有必要的.
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