与睡眠相关的健康问题如何根据性别影响功能状态？
How Do Sleep-Related Health Problems Affect Functional Status According to Sex?
作者信息
Boccabella Allegra, Malouf John
机构信息
The SleepGP, Coolangatta, Australia Study.
出版信息
J Clin Sleep Med. 2017 May 15;13(5):685-692. doi: 10.5664/jcsm.6584.
STUDY OBJECTIVES
To measure differences in functional status between men and women presenting with sleep-related health problems.
METHODS
A retrospective clinical audit of 744 Australian patients across 7 private general practices between April 2013 and January 2015 was conducted. Patients completed an electronic survey as part of their routine consultation, which included the Epworth Sleepiness Scale (ESS), the Functional Outcomes of Sleep Questionnaire 10 (FOSQ-10), and other questions relating to the effect of their sleep problem. The proportion of males and females with ESS and FOSQ-10 scores associated with disorders of daytime sleepiness and burden of symptoms due to sleepiness, respectively, were compared, as well as reported differences between the sexes in memory, concentration, issues with relationships, feeling depressed, and trouble sleeping.
RESULTS
On presentation, females were more likely to have sleeping disorders associated with daytime sleepiness (median ESS score of 9 for females versus 8 for males, = .038; proportion ESS > 9 was 49.0% for females versus 36.9% for males, = .003). Women were also more likely to report an increased burden of symptoms due to sleepiness compared to men, as shown by lower FOSQ-10 scores ( < .001). Secondary outcome measures showed that females were more likely to feel excessively tired and depressed, have difficulties with memory and concentration, and have trouble sleeping at night. Snoring kept partners awake in roughly the same proportion of males and females, and a larger proportion of the partners of males were forced out of the room.
CONCLUSIONS
Sleep-related health issues both manifest in and affect the lives of males and females differently. Sleep health professionals should recognize these differences on all levels of disease prevention and health promotion from patient education, to diagnosis and management to improve quality of life for those with sleep-related health problems.
研究目的
测量存在与睡眠相关健康问题的男性和女性在功能状态上的差异。
方法
对2013年4月至2015年1月期间7家私立全科诊所的744名澳大利亚患者进行了回顾性临床审计。患者在常规会诊时完成了一项电子调查，其中包括爱泼华嗜睡量表（ESS）、睡眠问卷功能结果10项（FOSQ - 10）以及其他与睡眠问题影响相关的问题。比较了ESS和FOSQ - 10得分分别与白天嗜睡障碍和嗜睡症状负担相关的男性和女性比例，以及两性在记忆、注意力、人际关系问题、感到抑郁和睡眠困难方面报告的差异。
结果
就诊时，女性更有可能患有与白天嗜睡相关的睡眠障碍（女性ESS中位数得分为9，男性为8，P = 0.038；ESS>9的比例女性为49.0%，男性为36.9%，P = 0.003）。与男性相比，女性也更有可能报告因嗜睡导致的症状负担增加，FOSQ - 10得分较低表明了这一点（P<0.001）。次要结果指标显示，女性更有可能感到过度疲劳和抑郁，在记忆和注意力方面有困难，并且夜间睡眠有问题。打鼾使伴侣醒来的男性和女性比例大致相同，而被迫离开房间的男性伴侣比例更大。
结论
与睡眠相关的健康问题在男性和女性中表现不同，对他们生活的影响也不同。睡眠健康专业人员应在从患者教育到诊断和管理的疾病预防和健康促进的各个层面认识到这些差异，以改善有睡眠相关健康问题者的生活质量。
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