Choudhry Ayesha A, Shahzeen Fnu, Choudhry Sara A, Batool Narjis, Murtaza Fatir, Dilip Anum, Rani Murk, Chandnani Aakash
Medicine, Fatima Jinnah Medical University, Lahore, PAK.
Internal Medicine, Jinnah Sindh Medical University, Karachi, PAK.
Cureus. 2021 Sep 22;13(9):e18182. doi: 10.7759/cureus.18182. eCollection 2021 Sep.
Some studies have highlighted the effect of COVID-19 infection on the quality of sleep; however, the data is limited. In this study, we investigated the prevalence of insomnia in patients who recently recovered from the COVID-19 infection to evaluate the prevalence and extent of its impact.
This longitudinal study was conducted from January 2021 to March 2021. A total of 500 patients admitted to the intensive care unit or isolation unit of COVID-19 were included in the study at the time of their discharge. The pre-COVID-19 sleep quality of the participants was inquired using the Pittsburgh Sleep Quality Index (PSQI). Post-COVID sleep quality was assessed at a 30-day follow-up. Sleep quality was considered poor if the global score was ≥5. Participants that failed to follow up were not included in the study.
The mean PSQI score was significantly higher in the post-COVID-19 group compared to the pre-COVID-19 group (6.28 ± 2.11 vs. 3.22 ± 0.80; p-value <0.0001). The percentage of participants with a PSQI score of ≥5 was significantly higher in the post-COVID-19 group compared to the pre-COVID-19 group (45.1% vs. 12.1%; p-value <0.0001).
Insomnia has a significant prevalence in recovered COVID-19 patients after 30 days of follow-up. Hence, patients need to be counseled to follow up in case they experience poor sleep. To avoid the long-term negative impact on patients experiencing insomnia, timely identification and treatment are important.
一些研究强调了新冠病毒感染对睡眠质量的影响;然而,数据有限。在本研究中,我们调查了近期从新冠病毒感染中康复的患者的失眠患病率,以评估其患病率及其影响程度。
本纵向研究于2021年1月至2021年3月进行。共有500名入住新冠病毒重症监护病房或隔离病房的患者在出院时纳入研究。使用匹兹堡睡眠质量指数(PSQI)询问参与者新冠病毒感染前的睡眠质量。在30天随访时评估新冠病毒感染后的睡眠质量。如果总体评分≥5,则认为睡眠质量差。未进行随访的参与者不纳入研究。
与新冠病毒感染前组相比,新冠病毒感染后组的平均PSQI评分显著更高(6.28±2.11对3.22±0.80;p值<0.0001)。与新冠病毒感染前组相比,PSQI评分≥5的参与者百分比在新冠病毒感染后组显著更高(45.1%对12.1%;p值<0.0001)。
在随访30天后,失眠在康复的新冠病毒感染患者中患病率显著。因此,需要建议患者如果睡眠不佳应进行随访。为避免对失眠患者产生长期负面影响,及时识别和治疗很重要。