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Sleep Complaints and Sleep Quality in Spinal Cord Injury: A Web-Based Survey

机译:脊髓损伤中的睡眠投诉和睡眠质量:基于网络的调查

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Study Objectives:The purpose of this study was to determine sleep quality and presence of sleep disorders in participants with spinal cord injury (SCI).Methods:A web-based survey, available online from February 2011 to July 2013, using validated sleep questionnaires, advertised via the internet and locally through SCI consumer organizations in the United States, Australia, New Zealand, and Canada, was designed to evaluate sleep in adults with self-reported SCI. Demographic characteristics and medical history were obtained from participant self-report.Results:In our study population, 70% of the 304 participants were male with a mean age of 45 13 years. The mean duration of injury was 16 12 years. Cervical injuries were reported by 49% and thoracic injuries noted in 40% of participants. Increased sleep apnea risk was noted in 31% of participants, with 66% reporting snoring. Insomnia symptoms were reported by 54% of the respondents. Almost 40% of participants ranked their sleep quality as fairly bad to very bad in the previous month, 29% reported often or almost always waking up because of pain, and 22% had difficulty falling asleep because of leg cramps. In the past year, 27% of the respondents reported daily uncomfortable leg sensations and 28% found these leg symptoms to be moderately to extremely distressing.Conclusions:This study increases the awareness that insomnia, sleep apnea, and poor sleep quality are common in individuals with chronic SCI; often coexisting. There is a need for increased screening for sleep problems by healthcare providers taking care of individuals living with SCI.
机译:研究目标:这项研究的目的是确定脊髓损伤(SCI)参与者的睡眠质量和睡眠障碍的存在。方法:基于网络的调查,使用经验证的睡眠问卷,于2011年2月至2013年7月在线提供,通过互联网以及在美国,澳大利亚,新西兰和加拿大的SCI消费者组织在本地刊登的广告来评估自我报告为SCI的成年人的睡眠。结果:从我们的参与者的自我报告中获得了人口统计学特征和病史。结果:在我们的研究人群中,304名参与者中有70%是男性,平均年龄为45 13岁。平均受伤时间为16 12年。 49%的人报告了颈椎损伤,40%的受试者报告了胸椎损伤。 31%的参与者发现睡眠呼吸暂停风险增加,有66%的人打。 54%的受访者报告了失眠症状。上个月,将近40%的参与者将他们的睡眠质量评为“非常差”或“非常差”,有29%的参与者报告由于疼痛而经常或几乎总是醒来,而有22%的患者由于腿抽筋而难以入睡。在过去的一年中,有27%的受访者每天都出现不适的腿部感觉,而28%的人发现这些腿部症状属于中度至极度困扰。结论:这项研究使人们认识到失眠,睡眠呼吸暂停和不良睡眠质量在个人中很普遍。患有慢性脊髓损伤通常并存。需要由医疗保健提供者来照顾患有SCI的个体来增加对睡眠问题的筛查。

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