中国轻度复发性口腔炎患者的睡眠质量和感知压力水平:一项横断面问卷调查。

Postgraduate medicine Pub Date : 2024-09-01 Epub Date: 2024-09-05 DOI:10.1080/00325481.2024.2399500
Xiuhua Gao, Peiqiang Chen, Jing Liu, Xiaoyu Fan, Zhongyin Wu, Huiqing Fang, Zichuan Zhang
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引用次数: 0

摘要

研究目的这项横断面研究旨在评估中国轻度复发性口腔炎(MiRAS)活动性病变患者的睡眠质量和感知压力水平,并探讨睡眠质量和感知压力水平与MiRAS发作风险之间的潜在关系:研究对象包括2022年3月至2023年8月期间接受体检和口腔检查的中国人。所有参与者都填写了一套统一的匿名问卷,其中包括社会人口学特征、临床信息、匹兹堡睡眠质量指数(PSQI)、失眠严重程度指数(ISI)和感知压力量表(PSS-14)。统计分析采用独立样本 t 检验、曼-惠特尼 U 检验、皮尔逊卡方检验和皮尔逊相关分析。在调整了潜在的混杂因素(年龄、性别、婚姻状况和教育水平)后,进行了多变量逻辑回归分析,以评估睡眠质量和感知压力水平与 MiRAS 发作风险的关联。此外,还构建了限制性三次样条曲线,以直观显示这些相关性:共有329名符合条件的志愿者参与了研究,其中包括122名中国MiRAS患者和207名未患MiRAS的健康对照者。与健康参与者相比,MiRAS 患者的 PSQI 和 ISI 分数明显更高(p = 0.000)。然而,两组患者的 PSS-14 评分及其两个分量表在统计学上没有明显差异(P > 0.05)。多元回归分析表明,较低的睡眠质量与 MiRAS 发作风险的增加有显著相关性(p = 0.000),而感知压力水平与 MiRAS 发作风险之间没有统计学意义上的显著关系(p > 0.05):结论:保持规律的就寝时间和改善睡眠质量可能有助于降低米粒吸虫病的发病率和复发率,而心理干预对米粒吸虫病患者可能无效。
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Sleep quality and perceived stress levels in Chinese patients with minor recurrent aphthous stomatitis: a cross-sectional questionnaire-based survey.

Objectives: This cross-sectional study aimed to evaluate sleep quality and perceived stress levels in Chinese patients with active minor recurrent aphthous stomatitis (MiRAS) lesions, as well as to investigate the potential relationship between sleep quality and perceived stress levels and the risk of MiRAS episodes.

Methods: The study population consisted of individuals recruited from a Chinese cohort who underwent medical and oral examinations from March 2022 to August 2023. All participants completed a set of uniform anonymous questionnaires, which included sociodemographic characteristics, clinical information, the Pittsburgh Sleep Quality Index (PSQI), the Insomnia Severity Index (ISI) and the Perceived Stress Scale (PSS-14). Statistical analysis was conducted using the independent sample t test, Mann-Whitney U test, Pearson's chi-square test and Pearson's correlation analysis. After adjusting for potential confounders (age, gender, marital status, and education level), multivariate logistic regression analyses were performed to assess the associations of sleep quality and perceived stress levels with the risk of MiRAS episodes. Additionally, restricted cubic spline curves were constructed to visualize these correlations.

Results: A total of 329 eligible volunteers participated in the study, comprising 122 Chinese MiRAS patients and 207 healthy controls without MiRAS. Compared to healthy participants, MiRAS patients exhibited significantly higher PSQI and ISI scores (p = 0.000). However, no statistically significant difference was observed between the two groups regarding PSS-14 scores or its two subscales (p > 0.05). Multiple regression analysis indicated that lower sleep quality was significantly associated with an increased risk of MiRAS episodes (p = 0.000), whereas no statistically significant relationship was found between perceived stress levels and the risk of MiRAS episodes (p > 0.05).

Conclusion: Maintaining a regular bedtime and improving sleep quality may contribute to reducing the incidence and recurrence of MiRAS, while psychological intervention may be ineffective for MiRAS patients.

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