复发缓解型多发性硬化症患者的生活质量和睡眠状况

Shewikar Elbakry, S. Kasem, S. Abd-Elmaksoud, Ayatulla AbdElhameed
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引用次数: 0

摘要

:背景:多发性硬化症(MS)是影响中枢神经系统(CNS)的最常见的脱髓鞘自身免疫性疾病,可表现为各种神经系统症状,包括视力障碍、麻木和刺痛、局灶性乏力、膀胱和大便失禁以及认知功能障碍。多发性硬化症患者对健康相关生活质量(HRQOL)的评价低于普通人群,也低于癫痫和糖尿病等其他慢性疾病患者。多发性硬化症(MS)患者经常报告睡眠不佳,与健康人群相比,多发性硬化症患者的睡眠障碍更为常见。工作目的本研究旨在评估复发性缓解型多发性硬化症(RRMS)患者的生活质量和睡眠状况。方法:本研究为描述性比较病例对照研究,包括 40 名患者和 40 名对照组;使用阿拉伯语版多发性硬化症生活质量-54 问卷评估 RRMS 患者的 HRQOL。使用阿拉伯语版匹兹堡睡眠质量指数评估患者和对照组的睡眠质量。为了测量患者的残疾程度,采用了残疾状况扩展量表(EDSS)。结果显示结果显示,RRMS 患者的身体和精神综合评分均值较低。结果还显示,RRMS 患者的总体睡眠指数较高,表明睡眠质量较差。结论:多发性硬化症患者除了睡眠质量差外,身体和认知功能也受到限制,导致与健康相关的生活质量低下。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Quality of life and sleep profile in relapsing remitting multiple sclerosis patients
: Background: Multiple sclerosis (MS) is the most common demyelinating autoimmune disease affecting the central nervous system (CNS) which can present by various neurological symptoms including visual impairment, numbness and tingling, focal weakness, bladder and bowel incontinence and cognitive dysfunction. Patients with MS rate their health-related quality of life (HRQOL) to be lower than that of the general populations and also lower than patients with other chronic diseases such as epilepsy and diabetes. Patients with multiple sclerosis (MS) frequently report poor sleep, and sleep disorders are more common in MS patients compared to the healthy group. Aim of the work: The aim of the current study was to assess the quality of life and sleep profile in patients with relapsing remitting multiple sclerosis (RRMS). Methods : The study was descriptive comparative case control study which included 40 patients and 40 controls; HRQOL was assessed using the Arabic version of the Multiple Sclerosis Quality of Life-54 questionnaire in RRMS patients. Sleep quality was assessed for both patients and control group using the Arabic version of The Pittsburgh Sleep Quality Index. To measure patients’ degree of disability, the Expanded Disability Status Scale (EDSS) was used. Results: The results showed that RRMS patients have low mean physical and mental composite score. The results also showed that RRMS patients have high global sleep index indicating poor sleep quality. Conclusion: MS patients have limitations as regard physical and cognitive functions in addition to poor sleep quality, which lead to low health related quality of life.
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