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三甲医院功能性胃肠病患者的睡眠质量:中国天津的一项横断面研究。

Sleep Quality of Functional Gastrointestinal Disorder Patients in Class-Three Hospitals: A Cross-Sectional Study in Tianjin, China.

机构信息

Department of Digestive Diseases, General Hospital of Tianjin Medical University, Tianjin 300052, China.

Department of Gastroenterology, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou, Zhejiang 310016, China.

出版信息

Biomed Res Int. 2018 Jun 7;2018:3619748. doi: 10.1155/2018/3619748. eCollection 2018.

Abstract

BACKGROUND

Functional gastrointestinal disorder (FGID) patients are influenced by anxiety, depression, and low sleep quality, which reduce the quality of their life. However, epidemiological data on the quality of sleep in FGID patients were lacking. This study aims to explore the sleep quality and influencing factors of the sleep quality in FGID patients.

METHODS

1200 subjects, diagnosed as FGID in one of the six class-three hospitals in Tianjin, China, from January to December 2014, were recruited. The information about demographic information, the severity of clinical symptoms, psychological status (Zung self-rating depression scale), and sleep quality (evaluated with Pittsburgh sleep quality index) was gathered.

RESULTS

The questionnaires from 1117 participants were collected including 920 of functional dyspepsia (FD) patients, 77 of irritable bowel disease (IBS) patients, 26 of functional constipation (FC) patients, and 94 other FGID patients. The results showed that morbidity rate for FD patients who had sleep disorders was higher than those who suffered from IBS or FC ( < 0.001). The proportion of elderly patients suffering from low sleep quality was higher than that of middle-aged and young patients ( < 0.001). The binary logistic regression analysis showed that age, education, and the severity of FGID symptom were influencing factors for poor sleep quality in FGID patients.

CONCLUSION

The issue of poor sleep quality in FGID patients in Tianjin area is prominent, and elderly patients suffer lower sleep quality than other FGID patients. Age, education, and the severity of FGID symptoms are critical influencing factors which result in a drop-in sleep quality.

摘要

背景

功能性胃肠病(FGID)患者受焦虑、抑郁和睡眠质量低下的影响,生活质量降低。然而,FGID 患者睡眠质量的流行病学数据却缺乏。本研究旨在探讨 FGID 患者的睡眠质量及其影响因素。

方法

2014 年 1 月至 12 月,我们从中国天津的 6 家三级医院中招募了 1200 名被诊断为 FGID 的患者。收集了人口统计学信息、临床症状严重程度、心理状态(Zung 自评抑郁量表)和睡眠质量(匹兹堡睡眠质量指数评估)的信息。

结果

共收集了 1117 名参与者的问卷,包括 920 名功能性消化不良(FD)患者、77 名肠易激综合征(IBS)患者、26 名功能性便秘(FC)患者和 94 名其他 FGID 患者。结果表明,有睡眠障碍的 FD 患者的发病率高于 IBS 或 FC 患者(<0.001)。中老年患者睡眠质量差的比例高于中青年患者(<0.001)。二元逻辑回归分析显示,年龄、教育程度和 FGID 症状严重程度是 FGID 患者睡眠质量差的影响因素。

结论

天津地区 FGID 患者睡眠质量问题突出,老年患者睡眠质量较其他 FGID 患者差。年龄、教育程度和 FGID 症状严重程度是导致睡眠质量下降的关键影响因素。

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