在患有阻塞性睡眠呼吸暂停综合征的患者中,主观和客观睡眠质量的比较
Fatemeh Kashaninasab1, Mahboobeh Khoozan1, Mir Farhad Ghalebandi2
1Mental Health Research Center, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Brain and behavior
|August 12, 2025
概括
大多数阻塞性睡眠呼吸暂停 (OSA) 患者报告主观睡眠质量差,尽管有客观措施. 这凸显了在OSA管理中需要进行全面的睡眠健康评估的需要.
科学领域:
- 睡眠医学 睡眠医学
- 肺部病理学 肺部病理学
- 心脏病学 心脏病学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种影响整体健康的普遍睡眠障碍.
- 睡眠质量是患者幸福感的关键组成部分,但在OSA患者中经常难以准确评估.
研究的目的:
- 为了比较被诊断患有阻塞性睡眠呼吸暂停 (OSA) 的患者的主观和客观睡眠质量.
- 调查在OSA队列中影响睡眠质量的因素.
主要方法:
- 纳入了195名患有OSA (呼吸暂停下指数≥5) 的个人.
- 用匹兹堡睡眠质量指数 (PSQI) 评估主观睡眠质量.
- 客观的睡眠质量由睡眠效率从多睡眠学决定.
主要成果:
- 显著多数 (64.1%) 的OSA患者通过PSQI报告了主观睡眠质量差.
- 只有12.8%的人基于睡眠效率的客观睡眠质量较差.
- 客观睡眠效率和主观PSQI得分之间没有发现显著的相关性.
- 肥胖与睡眠效率有负相关性 (ρ = -0.168,p = 0.019).
- 男性的性别与更好的客观睡眠质量相关 (aOR = 0.314).
- 经常使用安眠药与更好的主观睡眠质量相关 (aOR = 0.077).
结论:
- 主观报告表明,OSA患者的睡眠质量普遍不佳.
- 主观和客观测量之间的差异强调了在OSA中睡眠健康评估的复杂性.
- 综合评估工具对于管理这一群体的睡眠健康至关重要.
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