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慢性疼痛患者睡眠与压力水平评估

Assessment of sleep and stress level in individuals with chronic pain.

作者信息

Cavalcante Marcela, Daltro Carla, Kraychete Durval, Castro Martha Cavalcante

机构信息

Professor at EBMSP, Salvador, Bahia, Brazil.

Professor at the Federal University of Bahia, Salvador, Bahia, Brazil.

出版信息

Sleep Sci. 2022 Apr-Jun;15(2):210-215. doi: 10.5935/1984-0063.20220043.

DOI:10.5935/1984-0063.20220043
PMID:35755915
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9210553/
Abstract

INTRODUCTION

The experience of living with chronic pain allows for the appearance of changes in sleep patterns, mood, and stress levels.

OBJECTIVE

To describe the phases of stress and the quality of sleep in patients with chronic pain.

MATERIAL AND METHODS

Cross-sectional study carried out at the pain clinic of the HUPES Complex, Salvador-Bahia. Data collection between March 2016 and November 2017. Instruments: Sociodemographic questionnaire, Numerical Pain Scale (EVN), Mini-Sleep Questionnaire (MSQ), and Stress Symptoms Inventory for LIPP adults (ISSL). Categorical variables were expressed by absolute and relative frequency and quantitative variables by means and standard deviation (SD). The comparison of categorical variables was performed using the chi-square test. Values of <0.05 were considered statistically significant.

RESULTS

Mean age (standard deviation) of 50.0 (10) years, 89.6% of whom were female. Predominance of people with a partner, with religion, high school, and unemployed or removed by the INSS. They have severe sleep disorders, severe pain, and the presence of stress in the resistance phase. Most subjects reveal that they have improved with the treatment and have moderate self-esteem and personal satisfaction, despite the presence of anxious and depressive symptoms.

CONCLUSION

Chronic pain has a very significant impact on life, increasing the level of stress, compromising and limiting daily activities, and showing more presence of anxious and depressive symptoms in people who suffer from chronic pain.

摘要

引言

慢性疼痛患者的生活经历会导致睡眠模式、情绪和压力水平出现变化。

目的

描述慢性疼痛患者的压力阶段和睡眠质量。

材料与方法

在巴伊亚州萨尔瓦多市胡佩斯综合医院疼痛门诊进行的横断面研究。2016年3月至2017年11月收集数据。工具:社会人口学问卷、数字疼痛量表(EVN)、迷你睡眠问卷(MSQ)和LIPP成人压力症状量表(ISSL)。分类变量用绝对频率和相对频率表示,定量变量用均值和标准差(SD)表示。分类变量的比较采用卡方检验。P<0.05的值被认为具有统计学意义。

结果

平均年龄(标准差)为50.0(10)岁,其中89.6%为女性。有伴侣、有宗教信仰、高中学历、失业或领取国家社会保障局津贴的人占多数。他们存在严重的睡眠障碍、剧烈疼痛,且处于抵抗阶段时存在压力。大多数受试者表示治疗后有所改善,尽管存在焦虑和抑郁症状,但自尊和个人满意度中等。

结论

慢性疼痛对生活有非常显著的影响,会增加压力水平,损害并限制日常活动,且在慢性疼痛患者中焦虑和抑郁症状更为常见。