Malek Farhad, Khalil Sayah Shokufe, Kia Naim Sadat, Ghods Elahe
Internal Medicine, Kosar Hospital, Semnan University of Medical Sciences, Semnan, IRN.
Community Medicine, Research Center for Social Determinants of Health, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, IRN.
Cureus. 2022 Mar 22;14(3):e23402. doi: 10.7759/cureus.23402. eCollection 2022 Mar.
Background and objective Asthma is a chronic recurring respiratory disease, and its prevalence is on the rise. A drop in the quality of life (QoL), as well as sleep problems, has been reported in asthmatic patients in the literature. This study was conducted to determine the relationship between QoL and sleep quality in asthmatic patients. Methods This cross-sectional study recruited 76 diagnosed asthmatic outpatients from our university clinic. The subjects completed the self-administered 36-Item Short-Form Health Survey QoL questionnaire (SF-36) and the Pittsburgh Sleep Quality Index (PSQI) assessment. Results The study results revealed poor sleep quality in 55 (72.4%) of the subjects. The total sleep quality scores significantly and negatively correlated with the physical and mental components of QoL (moderate, p=0.00). All QoL subscales were significantly higher in patients with good sleep quality (PSQI: <5, p<0.00). Logistic regression analysis showed that good sleep quality (modified) could predict a mental component score (MCS) of more than 64. Conclusion Poor sleep quality can bring down the scores of all QoL components in asthma patients and is the best predictor of their QoL. Therefore, sleep quality and QoL indicators could be applied as part of a better approach to classification, management, and control of asthma.
背景与目的 哮喘是一种慢性复发性呼吸道疾病,其患病率呈上升趋势。文献报道哮喘患者的生活质量(QoL)下降以及存在睡眠问题。本研究旨在确定哮喘患者的生活质量与睡眠质量之间的关系。方法 这项横断面研究从我校诊所招募了76名确诊的哮喘门诊患者。受试者完成了自行填写的36项简短健康调查生活质量问卷(SF - 36)和匹兹堡睡眠质量指数(PSQI)评估。结果 研究结果显示,55名(72.4%)受试者的睡眠质量较差。睡眠质量总分与生活质量的身体和心理成分显著负相关(中等程度,p = 0.00)。睡眠质量良好(PSQI:<5)的患者所有生活质量子量表得分均显著更高(p<0.00)。逻辑回归分析表明,良好的睡眠质量(修正后)可预测心理成分得分(MCS)超过64。结论 睡眠质量差会降低哮喘患者所有生活质量成分的得分,并且是其生活质量的最佳预测指标。因此,睡眠质量和生活质量指标可作为哮喘分类、管理和控制更好方法的一部分应用。