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首页> 外文期刊>European journal of neurology: the official journal of the European Federation of Neurological Societies >Sleep matters in Parkinson's disease: Use of a priority list to assess the presence of sleep disturbances
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Sleep matters in Parkinson's disease: Use of a priority list to assess the presence of sleep disturbances

机译：睡眠对帕金森氏病至关重要：使用优先级列表评估睡眠障碍的存在

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Background and purpose: Despite their high prevalence and clinical impact, sleep disorders in Parkinson's disease appear to receive insufficient attention in clinical practice. We compared the importance of sleep disorders relative to other symptoms and daily issues. Furthermore, we determined whether relevance as perceived by patients correlated with the subjective presence of sleep disruption scored with a rating scale. Methods: We studied a cohort of 153 consecutive patients (95 men) who were referred for problems other than sleep to our referral center. Prior to their visit, patients ranked their individual top five clinical priorities (of 23 items), indicating the most problematic domains for which they requested medical attention. Additionally, nocturnal sleep quality and excessive daytime sleepiness (EDS) were assessed with validated questionnaires. Results: The top three important domains according to the patient were movement (79.9%), medication (73.2%), and physical condition (63.4%). Sleep was the sixth most frequently reported item, marked by 37.9% of the patients. Amongst the patients who scored sleep as a priority, 47 (81%) had a poor sleep quality (Pittsburgh Sleep Quality Index > 5). Although EDS was present in almost 30% of patients, a minority of them put it on their priority list. Conclusion: A priority list can be used to prioritize patient-centered quality of life issues. Our results show that sleep is a clinical priority for about one-third of patients. Surprisingly, EDS was usually not prioritized by patients during the consultation, underscoring the need to use ratings scales alongside subjective priorities.
机译：背景与目的：尽管帕金森氏病的患病率很高且具有临床影响，但在临床实践中似乎并未引起足够的重视。我们比较了睡眠障碍相对于其他症状和日常问题的重要性。此外，我们确定了患者感知的相关性是否与以评分量表评分的主观睡眠障碍相关。方法：我们研究了队列中连续153例患者（95例男性），这些患者因除睡眠外的其他问题转诊至我们的转诊中心。在就诊之前，患者将其个人最高的临床优先事项（共23项）排名为前5位，表明他们需要就医的问题最多的领域。此外，还使用经过验证的问卷对夜间睡眠质量和白天过度嗜睡（EDS）进行了评估。结果：依患者而定的前三个重要领域是运动（79.9％），药物治疗（73.2％）和身体状况（63.4％）。睡眠是最常报告的第六项，占37.9％的患者。在优先考虑睡眠的患者中，有47位（81％）的睡眠质量较差（匹兹堡睡眠质量指数> 5）。尽管EDS出现在近30％的患者中，但少数患者将其列为优先事项。结论：优先级列表可用于优先考虑以患者为中心的生活质量问题。我们的结果表明，睡眠是约三分之一患者的临床优先事项。出乎意料的是，患者在会诊期间通常不对EDS进行优先处理，这突显了需要使用评分量表和主观优先级。

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