Recep Tayyip Erdoğan University Health Services Vocational High School, Rize, Turkey.
Karadeniz Technical University Health Sciences Faculty, Trabzon, Turkey.
Clin Nurs Res. 2024 Nov;33(8):638-647. doi: 10.1177/10547738241276342. Epub 2024 Sep 20.
Although there are many sleep-related complaints in chronic obstructive pulmonary disease (COPD) patients, nocturnal leg cramps have not been adequately and extensively studied. This study fills a significant gap in the literature by determining the prevalence and influencing factors of nocturnal leg cramps in COPD patients. However, our findings also underscore the need for further research, inspiring future studies and interventions in this area. This study was conducted with a rigorous methodology, employing a comprehensive approach to evaluate the probability of experiencing nocturnal leg cramps in 215 COPD and 215 control group patients matched for age and gender. Logistic regression analysis was used, supplemented by artificial neural networks, to identify the influencing factors. This robust methodology ensures the reliability and validity of our findings. The findings of this study are not only significant but also enlightening, shedding light on the prevalence and influencing factors of nocturnal leg cramps in COPD patients. The frequency of experiencing these cramps was found to be 40.9% in chronic obstructive pulmonary patients and 21.9% in the control group ( < .05). In COPD patients, factors such as milk group food consumption, blood erythrocyte level, the cover used while sleeping, blood creatinine level, the presence of coronary artery disease, the diagnosis of diabetes mellitus, the upper mid-arm muscle area, and use of drugs with methylxanthine active ingredient methylxanthine were found to affect the occurrence of these cramps. Our findings not only call for further research but also have immediate practical implications. They highlight the crucial role of nurses in managing nocturnal leg cramps in COPD patients. By controlling patients' cold stress, the bed covers they use, and their dairy product consumption, nurses can significantly contribute to managing these cramps, thereby improving the quality of life for these patients. This underscores the importance of their role in patient care and management.
尽管慢性阻塞性肺疾病（COPD）患者有许多与睡眠相关的抱怨，但夜间腿部痉挛并未得到充分和广泛的研究。本研究通过确定 COPD 患者夜间腿部痉挛的患病率和影响因素，填补了文献中的一个重要空白。然而，我们的发现也强调了进一步研究的必要性，为该领域的未来研究和干预措施提供了启示。本研究采用了严格的方法学，采用综合方法评估了 215 例 COPD 患者和 215 例年龄和性别匹配的对照组患者发生夜间腿部痉挛的概率。采用逻辑回归分析，并辅以人工神经网络，确定影响因素。这种稳健的方法学确保了我们研究结果的可靠性和有效性。本研究的发现不仅具有重要意义，而且具有启发性，揭示了 COPD 患者夜间腿部痉挛的患病率和影响因素。在 COPD 患者中，这些痉挛的发生频率为 40.9%，而在对照组中为 21.9%（<0.05）。在 COPD 患者中，影响这些痉挛发生的因素包括食用奶类食物、血红细胞水平、睡眠时使用的被子、血肌酐水平、是否患有冠状动脉疾病、是否诊断为糖尿病、上臂中部肌肉面积以及使用含有甲基黄嘌呤活性成分的药物等。我们的研究结果不仅呼吁进一步研究，而且具有直接的实际意义。它们强调了护士在管理 COPD 患者夜间腿部痉挛中的关键作用。通过控制患者的冷应激、他们使用的床罩和乳制品的摄入，护士可以显著有助于管理这些痉挛，从而提高这些患者的生活质量。这凸显了他们在患者护理和管理中的重要作用。
