Josip Juraj Strossmayer University of Osijek. Faculty of Medicine.
Abstract
Ciljevi istraživanja: Cilj istraživanja bio je utvrditi postoje li razlike u obrascu smetnji spavanja između skupina bolesnika oboljelih od Parkinsonove bolesti i fokalne distonije na temelju čega bi se moglo pretpostaviti da je etiopatogeneza smetnji sna ista ili različita. Ustroj studije: Presječna studija. Ispitanici i metode: U istraživanju je sudjelovalo 32 ispitanika s Parkinsonovom bolesti i 26 ispitanika s fokalnom distonijom, koji se liječe na Klinici za neurologiju KBC-a Osijek. Kao instrumenti istraživanja korišteni su sociodemografski upitnik, Pittsburgova skala kvalitete sna (PSQI), Epworthova skala dnevne pospanosti (ESS), upitnik kvalitete života (SF-36), Beckov registar anksioznosti (BAI) i Beckov registar depresije (BDI-II). Rezultati:Većina ispitanika u obje grupe nije se bitno razlikovala u sociodemografskim karakteristikama, komorbiditetu, pridruženim navikama, prisutnosti anksioznosti i depresije. Jedine razlike bile su u dobnoj distribuciji te uzimanju terapije. Smetnje spavanja analizirane PSQI skalom ukazale su na lošiju kvalitetu sna u 78 % ispitanika s Parkinsonovom bolesti i 65% ispitanika sa fokalnom distonijom, dok je prekomjerna dnevna pospanost bila jače izražena u ispitanika s Parkinsonovom bolesti, ali u obje grupe nije pokazala patološki značaj. Latencija usnivanja bila je statistički značajno duža u ispitanika sa fokalnom distonijom (p < 0,006). U obje grupe ispitanika smetnje sna su utjecale negativno na kvalitetu života. Zaključak: Smetnje spavanja učestale su kod obje grupe ispitanika. Ispitanici sa fokalnom distonijom značajno teže usnivaju. Smetnje prekomjerne dnevne pospanosti češće su izražene u ispitanika s Parkinsonovom bolesti. Postoji negativna veza između ukupnog PSQI i ESS rezultata za obje grupe i kvalitete zdravlja.Objective: The main objective of the research was to determine whether there are any differences in patterns of sleep disturbance between patients with Parkinson's disease and focal dystonia, which suggests that etiopathogenesis is the same or a different disturbance. Study design: Cross-sectional study. Participants and methods: The research included 32 patients diagnosed with Parkinson's disease and 26 patients diagnosed with focal dystonia hospitalized at the Clinic of Neurology, Clinical Hospital Center Osijek. As a research tool, the socio-demographic survey, the Pitts5*-burgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), Short Form Health Survey-36 (SF-36), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI – II) were used. Results: Most of the patients in both groups did not significantly differ in sociodemographic characteristics, comorbidity, associated habits, presence of anxiety and depression. The only differences were in age distribution and in taking therapy. Sleep disturbances analyzed by PSQI showed a poorer quality of sleep in 78% of Parkinson's and 65% of patients with focal dystonia, while excessive daily fatigue was more expressed in Parkinson's disease patients but did not show pathological significance in both groups. Sleep latency was significantly longer in patients with focal dystonia (p <0.006). In both groups, sleep disturbances had a negative impact on the quality of life. Conclusion: Sleep disturbances were common in both groups of patients. Patients with focal dystonia had severe problems with falling asleep. Excessive daily fatigue disturbances are more commonly reported in Parkinson's disease patients. There is a negative link between the overall PSQI and ESS results for both groups of patients and the quality of health
