Correlation between Nocturia and Sleep: A Questionnaire Based Analysis
유석선, 심봉석, 이동현, 이향운, 윤하나,
소속 상세정보
유석선 ( Yoo Seok-Seon )
이화여자대학교 의학전문대학원 비뇨기과학교실
심봉석 ( Shim Bong-Suk )
이화여자대학교 의학전문대학원 비뇨기과학교실
이동현 ( Lee Dong-Hyeon )
이화여자대학교 의과대학 신경과학교실
이향운 ( Lee Hyang-Woon )
이화여자대학교 의과대학 신경과학교실
윤하나 ( Yoon Ha-Na )
이화여자대학교 의학전문대학원 비뇨기과학교실
KMID : 0358320100510110757
Abstract
Purpose This study evaluated the effectiveness and quality of sleep (QoS) in adult patients with nocturnal lower urinary tract symptoms (LUTS) including nocturia and nocturnal polyuria.
Materials and Methods A total of 102 patients with nocturia and daytime LUTS were enrolled in this study. All patients completed a questionnaire that included the International Prostate Symptom Score (IPSS), quality of life score (QoL), overactive bladder questionnaire (OABq), and a sleepiness index. The sleepiness index was measured with the Korean Beck Depression Inventory (K-BDI), Insomnia Severity Index (ISI), Epworth Sleepiness Scale (ESS), Berlin Questionnaire (BQ), and the International Restless Legs Syndrome Study Group (IRLSSG). Statistical analyses included the Student’s t-test and chi-square test. Differences were considered significant at a p-value of less than 0.05.
Results Nocturia during sleep was experienced by 68 (66.7%) out of 102 patients. There was no significant association between the nocturia- and the sleep-related scales, but with multiple regression analysis for sex and age, the K-BDI score (p=0.05), IPSS score (p=0.05), and OABq (p=0.02) were significantly higher in patients who woke up to void during sleep. A total of 57 (55.9%) patients diagnosed with overactive bladder with nocturia had severe daytime sleepiness on the ESS questionnaire (p=0.019) and more urgency symptoms on the IPSS questionnaire (p=0.007).
Conclusions Patients with nocturia had a greater risk of being depressive and felt sleepier during the daytime. LUTS including nocturia and sleep quality closely affected each other. Therefore, clinicians should consider patients’ LUTS and sleep problems or QoS as well to provide more satisfying outcomes.
키워드
Nocturia; Quality of life; Sleep disorders
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