fa بررسی کیفیت خواب در بیماران مبتلا به یبوست عملکردی در بیماران مراجعه‌کننده به بیمارستان شهید مصطفی خمینی شهر ایلام دستگاه گوارش Digestive System پژوهشي Original <span style="font-size:12pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#1f4e79">زمینه:</span></span></span></span></b> <span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">یبوست یک اختلال بسیار شایع در بزرگسالان است، هدف از این مطالعه تعیین ارتباط بین ساعت خواب در طول هفته و آخر هفته با یبوست در افراد است.<b><span style="letter-spacing:-.2pt"></span></b></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#1f4e79">مواد و روش‌ها:</span></span></span></span></b><b> </b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">این مطالعه کارآزمایی بالینی/</span></span></span></span><i> </i><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">تجربی است و بر روی بیماران سرپایی که به بخش گوارش بیمارستان شهید مصطفی شهر ایلام مراجعه کرده‌ بودند، انجام شد. پرسشنامه‌های مورد استفاده در مطالعه ما شامل ابزارهای جمع‌آوری اطلاعات در مورد مشخصات دموگرافیک و علائم یبوست، شاخص کیفیت خواب پیتسبورگ، مقیاس سیستم یبوست، ارزیابی بیمار </span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#002060">، مقیاس </span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">ارزیابی کیفیت زندگی فرد دارای یبوست بود.</span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#1f4e79">یافته‌ها:</span></span></span></span></b> <span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">از 97 بیمار مبتلا به یبوست مزمن، 47 بیمار اختلال خواب و 50 بیمار خواب نرمال داشتند. شدت یبوست بر اساس گروه خواب گرو‌ه‌های اختلال خواب و خواب نرمال در نمرات</span></span></span></span></span><i> </i><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">CSS</span></span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt"> خود تفاوت معنی‌داری داشتند (0/03=</span></span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">P</span></span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">)، علامت رکتوم (</span></span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">0/47=</span></span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">P</span></span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">) و علائم شکمی (0/000</span></span></span></span></span><i><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">=</span></span></span></span></span></i><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">P</span></span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">) نیز بین دو گروه به‌طور قابل‌توجهی متفاوت بود. برای علائم مدفوع تفاوت معنی‌داری مشاهده نشد. ضریب همبستگی اختلال خواب با علائم جسمی یبوست مزمن در بیماران به‌طور معناداری مثبت و مستقیم گزارش شد.</span></span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt"></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#1f4e79"><span style="letter-spacing:-.2pt">نتیجه‌گیری:</span></span></span></span></span></b> <span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.2pt">شدت یبوست در بیماران دارای اختلال خواب بیشتر بود و با افزایش شدت یبوست کیفیت زندگی بیماران دارای اختلال خواب کاهش یافت. بهبود علائم یبوست و کیفیت زندگی در بیماران مبتلا به یبوست مزمن پس از رفع اختلال خواب برای پیگیری و همچنین ارزیابی دقیق مورد نیاز است.</span></span></span></span></span><b><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.2pt"></span></span></span></span></span></b></span></span></span></span></span><br> &nbsp; <span style="font-size:12pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#002060">Background:</span></span></span></span></b> <span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#404040">Constipation is a very common disorder in adults. The aim of this study is to determine the relationship between sleep hours during the week and weekends with constipation in individuals.</span></span></span></span><span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#404040"></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#002060"><span style="letter-spacing:.1pt">Materials and Methods:</span></span></span></span></span></b> <span lang="X-NONE" style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#404040"><span style="letter-spacing:.1pt">This study is a clinical/experimental trial and was conducted on outpatients who referred to the gastroenterology department of Shahid Mustafa Hospital in Ilam. The questionnaires used in our study included tools to collect information about demographic characteristics and constipation symptoms, Pittsburgh Sleep Quality Index, Constipation System Scale, Patient Assessment of Constipation Symptoms, and Constipation Quality of Life Assessment Scale<b>. </b></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#002060">Results:</span></span></span></span></b> <span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#404040">Of the 97 patients with chronic constipation, 47 patients had sleep disorders and 50 patients had normal sleep. Constipation severity based on sleep group The sleep disorder and normal sleep groups had a significant difference in their CSS scores (P = 0.03), rectal symptoms (P = 0.047) and abdominal symptoms (P = 0.000) were also significantly different between the two groups. No significant difference was observed for stool symptoms. The correlation coefficient of sleep disturbance with physical symptoms of chronic constipation in patients was reported to be significantly positive and direct.</span></span></span></span><span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#404040"></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#002060"><span style="letter-spacing:-.1pt">Conclusion:</span></span></span></span></span></b> <span lang="X-NONE" style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#404040"><span style="letter-spacing:-.1pt">The severity of constipation was higher in patients with sleep disturbance, and with increasing severity of constipation, the quality of life of patients with sleep disturbance decreased. Improvement of constipation symptoms and quality of life in patients with chronic constipation after resolving sleep disturbance is required for follow-up and also for accurate evaluation<b>.</b></span></span></span></span></span></span></span></span><br> &nbsp; کیفیت خواب, یبوست عملکردی, بیماران, بزرگسالان sleep quality, functional constipation, ptients, Adult 542 553 http://ismj.bpums.ac.ir/browse.php?a_code=A-10-1115-48&slc_lang=fa&sid=1 Gholamreza Nouri غلامرضا نوری 5700319475328460018576 5700319475328460018576 No Department of Internal Medicine, School of Medicine, Ilam University of Medical Sciences, Ilam, Iran گروه داخلی، دانشکده پزشکی، دانشگاه علوم پزشکی ایلام، ایلام، ایران Niloufar Hosseini نیلوفر حسینی hosseinin168@gmail.com 5700319475328460018577 0009-0003-4828-4145 Yes Internal Medicine, School of Medicine, Ilam University of Medical Sciences, Ilam, Iran گروه داخلی، دانشکده پزشکی، دانشگاه علوم پزشکی ایلام، ایلام، ایران Hossein Seyedkhani حسین صیدخانی 5700319475328460018578 5700319475328460018578 No Department of Biostatistics, School of Medicine, Ilam University of Medical Sciences, Ilam, Iran گروه آمار، دانشکده پزشکی، دانشگاه علوم پزشکی ایلام، ایلام، ایران Noorallah Yadegari نورالله یادگاری 5700319475328460018579 5700319475328460018579 No Department of Psychiatrist, School of Medicine, Ilam University of Medical Sciences, Ilam, Iran گروه روانپزشکی، دانشکده پزشکی، دانشگاه علوم پزشکی ایلام، ایلام، ایران