Sezgin Melek, Hasanefendioğlu Ebru Zeliha, Sungur Mehmet Ali, Incel Nurgül Arıncı, Çimen Özlem Bölgen, Kanık Arzu, Şahin Günşah
Department of Physical Medicine and Rehabilitation, Medical Faculty, Mersin University, Mersin, Turkey.
Department of Physical Medicine and Rehabilitation, Mus State Hospital, Muş, Turkey.
J Back Musculoskelet Rehabil. 2015;28(3):433-41. doi: 10.3233/BMR-140537.
The aim of this study was to investigate sleep quality in patients with chronic low back pain (CLBP) and its relationship with pain, functional status, and health-related quality of life (HRQOL).
Two hundred patients with CLBP aged 20-78 years (mean: 50.2 years) and 200 sex- and age-matched pain-free healthy controls (HCs) aged 21-73 years (mean: 49.7 years) were included in this study. After lumbar region examination, in patients, pain was evaluated with the Short Form-McGill Pain Questionnaire (SF-MPQ), functional capacity with the Functional Rating Index (FRI), and health-related quality of life with the Short Form-36 (SF-36). The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate sleep quality of both groups.The sleep quality was compared between the patients and HCs. In patients with CLBP, its relations with pain, functional status and HRQOL were also investigated.
The patients had significantly higher total scores (8.1 ± 4.3, 4.6 ± 3.4, P< 0.001, respectively) and subscale scores (P< 0.001) for PSQI compared to HCs. The groups were only similar in use of sleeping medication (P> 0.05) Among the patients, sleep quality was worse in women, in the patients with complaints more than 11 years, in the patients with low back and two leg pain (P< 0.05). Mean scores of the FRI, SF-MPQ, and visual analog scale in the patients were 8.5 ± 3.0, 16.7 ± 8.0, 6.9 ± 1.2, respectively. The PSQI total scores of patients were positively related with both SF-MPQ and FRI scores (P< 0.001). Also, there were negative relationships between the physical component summary score of the SF-36 and all subscale scores of the PSQI, without sleep duration of PSQI (P< 0.001).
The sleep quality of patients with CLBP was worse compared to HCs, and there were positive relations between the sleep quality with pain and functional status. Also, the poor sleep quality had negative effect on the physical component of quality of life.
本研究旨在调查慢性下腰痛（CLBP）患者的睡眠质量及其与疼痛、功能状态和健康相关生活质量（HRQOL）的关系。
本研究纳入了200例年龄在20 - 78岁（平均50.2岁）的CLBP患者和200例年龄和性别匹配的无疼痛健康对照者（HCs），年龄在21 - 73岁（平均49.7岁）。在进行腰椎检查后，对患者采用简短麦吉尔疼痛问卷（SF - MPQ）评估疼痛，采用功能评定指数（FRI）评估功能能力，采用简短健康调查量表（SF - 36）评估健康相关生活质量。使用匹兹堡睡眠质量指数（PSQI）评估两组的睡眠质量。比较患者和HCs的睡眠质量。在CLBP患者中，还研究了睡眠质量与疼痛、功能状态和HRQOL的关系。
与HCs相比，患者的PSQI总分（分别为8.1±4.3、4.6±3.4，P<0.001）和各分量表得分（P<0.001）显著更高。两组仅在使用睡眠药物方面相似（P>0.05）。在患者中，女性、主诉超过11年的患者、伴有腰腿痛的患者睡眠质量较差（P<0.05）。患者的FRI、SF - MPQ和视觉模拟量表的平均得分分别为8.5±3.0、16.7±8.0、6.9±1.2。患者的PSQI总分与SF - MPQ和FRI得分均呈正相关（P<0.001）。此外，SF - 36的身体成分总结得分与PSQI的所有分量表得分（不包括PSQI的睡眠时间）之间呈负相关（P<0.001）。
与HCs相比，CLBP患者的睡眠质量较差，睡眠质量与疼痛和功能状态之间存在正相关。此外，睡眠质量差对生活质量的身体成分有负面影响。
