Robert Jank, Alexander Gallee, Markus Boeckle, Sabine Fiegl, Christoph Pieh
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引用次数: 0
摘要
背景：慢性疼痛（CP）和睡眠障碍（SD慢性疼痛（CP）和睡眠障碍（SD）在普通人群中非常普遍。然而，有关初级保健中疼痛和睡眠障碍的患病率和特征的全面数据却很少见：从 N = 578 名患者中，在 8 周内纳入 N = 570 名患者（平均年龄：50.8 ± 18.7 岁，女性：289 名）。记录了社会人口学数据、失眠严重程度指数（ISI）和疼痛自述问卷（德国多维疼痛问卷）的部分内容，并从病历中收集了其他医疗信息（止痛药物、睡眠药物）：在所有样本中，33.2%（n = 189）的患者患有 CP（疼痛≥ 6 个月），29.1%（n = 166）的患者患有 SD。45.5%的 CP 患者患有 SD，26.5%患有临床失眠症（ISI ≥ 15）。SD (β = 0.872, SE = 0.191, t = 4,572, p < 0.001, CI [0.497; 1.246])和年龄（β = 0.025, SE = 0.005, t = 5.135, p < 0.001, CI [0.015; 0.035]）与疼痛体验显著相关：结论：约四分之一的 CP 患者患有临床失眠症。结论：约有四分之一的 CP 患者患有临床失眠症，在对患者进行综合评估和治疗时，应考虑所建议的双向关系。
Background: Chronic pain (CP) and sleep disorders (SD) are highly prevalent in the general population. However, comprehensive data regarding the prevalence and characteristics of pain and SD in primary care are rare.
Methods: From N = 578 patients N = 570 were included within 8 weeks (mean age: 50.8 ± 18.7 years, females: 289). Sociodemographic data, Insomnia Severity Index (ISI), and parts of a self-report questionnaire for pain (Multidimensional German Pain Questionnaire) were recorded and additional medical information (pain medication, sleep medication) was gathered from the patient charts.
Results: Of the total sample, 33.2% (n = 189) suffer from CP (pain ≥ 6 months) and 29.1% (n = 166) from SD. 45.5% of the CP patients suffer from SD and 26.5% from clinical insomnia (ISI ≥ 15). SD (β = 0.872, SE = 0.191, t = 4,572, p < 0.001, CI [0.497; 1.246]) and older age (β = 0.025, SE = 0.005, t = 5.135, p < 0.001, CI [0.015; 0.035]) were significantly associated with pain experience.
Conclusion: About a quarter of CP patients suffer from clinical insomnia. The suggested bidirectional relation should be considered during comprehensive assessment and treatment of patients.
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