Endometriosis Research Center, Iran University of Medical Sciences, Tehran, Iran.
Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran.
BMC Womens Health. 2024 Jun 14;24(1):340. doi: 10.1186/s12905-024-03185-x.
Endometriosis affects 10-15% of women of reproductive age and is considered a critical gynecological problem. Endometriosis causes pain and infertility, both of which can impair the patient's quality of life. Sleep disorders account for the most bothersome presentation of impaired quality of life. This study investigated the frequency and severity of sleep disorders in women with endometriosis.
In this analytical cross-sectional study, 665 women referred to three hospitals in Tehran, Rasool-e-Akram, Pars, and Nikan, were included (463 patients with endometriosis and 202 women without endometriosis). All of them were informed about the study design and the aim of the research, and then they were asked to sign the consent form and complete the Pittsburgh Sleep Quality Index (PSQI). After data gathering and entering, they were analyzed by SPSS version 22 and were considered significant with P < 0.05.
The study population's mean age was 35.4 ± 7.9 years. The mean global PSQI score in the case group (endometriosis patients) was higher than in the control group (non-endometriosis patients) (10.6 vs. 7.1; P < 0.001). Patients with dyspareunia, dysuria, pelvic pain, and dyschezia had a significantly higher PSQI score (P < 0.05).
According to the findings of the present study, the sleep quality in endometriosis patients is low, and there is a need to pay greater attention to these patients. This may result in some changes in the therapeutic strategies for this disease.
子宫内膜异位症影响 10-15%的育龄妇女，被认为是一个严重的妇科问题。子宫内膜异位症会引起疼痛和不孕，这两者都会降低患者的生活质量。睡眠障碍是生活质量受损最令人困扰的表现。本研究调查了子宫内膜异位症患者睡眠障碍的频率和严重程度。
在这项分析性横断面研究中，共纳入了 665 名来自德黑兰的 Rasool-e-Akram、Pars 和 Nikan 三家医院的妇女（463 名子宫内膜异位症患者和 202 名非子宫内膜异位症患者）。所有患者均被告知了研究设计和研究目的，并签署了知情同意书，然后填写匹兹堡睡眠质量指数（PSQI）。数据收集和录入后，采用 SPSS 22 版本进行分析，P 值<0.05 认为有统计学意义。
研究人群的平均年龄为 35.4±7.9 岁。病例组（子宫内膜异位症患者）的平均 PSQI 总分高于对照组（非子宫内膜异位症患者）（10.6 分比 7.1 分；P<0.001）。有性交困难、尿痛、盆腔痛和排便困难的患者 PSQI 评分显著更高（P<0.05）。
根据本研究的结果，子宫内膜异位症患者的睡眠质量较低，需要更加关注这些患者。这可能会导致对这种疾病的治疗策略发生一些变化。
