系统性硬化症患者的睡眠质量:临床变量、抑郁症状、功能状态和生活质量之间的关系。
Sleep quality in patients with systemic sclerosis: relationship between the clinical variables, depressive symptoms, functional status, and the quality of life.
机构信息
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Dicle University, Diyarbakır, Turkey.
出版信息
Rheumatol Int. 2013 Aug;33(8):1973-9. doi: 10.1007/s00296-013-2680-9. Epub 2013 Jan 31.
The aim of this study is to evaluate the relationship between the sleep quality and the disease-related variables, functional status, quality of life, and depressive symptoms in patients with systemic sclerosis (SSc). Forty-eight patients diagnosed with SSc and 42 healthy control subjects were enrolled in the study. The demographic and clinical characteristics of the patients such as the Raynaud's phenomenon, SSc subtype, digital ulcers, gastrointestinal and lung involvement, and disease activity were recorded. All patients were assessed using the short form 36 (SF-36) quality of life scale, the health assessment questionnaire and the beck depression inventory. Generalized pain and fatigue were assessed with the Visual Analoge Scale. For the evaluation of the sleep disturbance, the SSc and control groups were assessed with the help of the Pittsburgh Sleep Quality Index (PSQI). The patients with SSc had significantly higher scores in the subjective sleep quality, sleep latency, habitual sleep efficiency, sleep disturbance, daytime dysfunction domains, and in terms of the total PSQI score compared to the healthy control group (p < 0.05). According to the results of spearman's analysis, there was a significantly higher correlation between the generalised pain, fatigue, depressive symptoms, functional status, and physical score of the SF-36 and the sleep disturbance (p < 0.01). There was also a significantly lower correlation between the menopause status, dyspnoea, gastroesophageal reflux, dysphagia, the mental score of the SF-36, and the sleep disturbance (p < 0.05). The sleep quality is disturbed in patients with SSc. The lower quality of sleep is especially associated with the pain, fatigue, depressive symptoms, and functional status.
本研究旨在评估系统性硬化症(SSc)患者的睡眠质量与疾病相关变量、功能状态、生活质量和抑郁症状之间的关系。纳入了 48 名确诊为 SSc 的患者和 42 名健康对照者。记录了患者的人口统计学和临床特征,如雷诺现象、SSc 亚型、指溃疡、胃肠道和肺部受累以及疾病活动度。所有患者均采用简明 36 项健康调查量表(SF-36)、健康评估问卷和贝克抑郁量表进行评估。使用视觉模拟量表评估一般疼痛和疲劳。为评估睡眠障碍,使用匹兹堡睡眠质量指数(PSQI)对 SSc 组和对照组进行评估。与健康对照组相比,SSc 患者的主观睡眠质量、入睡潜伏期、习惯性睡眠效率、睡眠障碍、日间功能障碍以及 PSQI 总分的评分显著更高(p < 0.05)。根据 Spearman 分析的结果,一般疼痛、疲劳、抑郁症状、功能状态和 SF-36 的生理评分与睡眠障碍之间存在显著更高的相关性(p < 0.01)。绝经状态、呼吸困难、胃食管反流、吞咽困难、SF-36 的心理评分与睡眠障碍之间也存在显著较低的相关性(p < 0.05)。SSc 患者的睡眠质量受到干扰。睡眠质量较差尤其与疼痛、疲劳、抑郁症状和功能状态有关。