KMID : 0358320100510110757
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Korean Journal of Urology 2010 Volume.51 No. 11 p.757 ~ p.762
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Correlation between Nocturia and Sleep: A Questionnaire Based Analysis
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Yoo Seok-Seon
Shim Bong-Suk Lee Dong-Hyeon Lee Hyang-Woon Yoon Ha-Na
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Abstract
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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.
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KEYWORD
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Nocturia, Quality of life, Sleep disorders
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