PMID- 32215830 OWN - NLM STAT- MEDLINE DCOM- 20210610 LR - 20210610 IS - 1522-1709 (Electronic) IS - 1520-9512 (Linking) VI - 24 IP - 2 DP - 2020 Jun TI - Risk factors for sleep quality disturbances in patients with lumbar spinal stenosis before operation. PG - 669-674 LID - 10.1007/s11325-020-02055-8 [doi] AB - PURPOSE: We aimed to explore the risk factors of preoperative sleep quality in patients with lumbar spinal stenosis (LSS) and the association of sleep-related beliefs with sleep quality in these patients. METHODS: Sleep quality and related risk factors of sleep quality disturbances in patients with LSS preoperatively were assessed by questionnaires. Pittsburgh Sleep Quality Index (PSQI) for sleep quality, Oswestry Disability Index (ODI) for clinical outcomes, Visual Analog Scale for Pain (VAS Pain), Self-Rating Anxiety Scale (SAS) for anxiety level, and Dysfunctional Beliefs and Attitudes about Sleep (DBAS-16) for sleep-related beliefs were assessed. Bivariate logistic regression analysis was used to assess the risk factors of sleep quality disturbances. RESULTS: A total of 227 patients were enrolled, mean age 64 years (SD 13.1), 119 women (52%). The incidence of sleep quality disturbances in patients was 37% (83/227). Increased DBAS-16 scores (OR = 0.781; 95% CI, 0.725-0.841; p < 0.001) significantly decreased the probability of developing sleep quality disturbances, while increased anxiety levels (OR = 1.241; 95% CI, 1.152-1.337; p < 0.001) significantly increased the probability of developing sleep quality disturbances in patients. Factors including educational level, increased age, sex, preoperative length of stay, VAS Pain scores, and ODI scores showed no significant association and were therefore excluded from the model. CONCLUSIONS: High levels of anxiety and mistaken sleep-related beliefs were risk factors of sleep quality disturbances in patients with LSS before surgery. The more mistaken sleep-related beliefs were, the greater the probability of sleep disturbances. FAU - Wang, Yuming AU - Wang Y AD - Department of Orthopedics, China-Japan Friendship Hospital, No.2 Yinghua Dongjie Street, Chaoyang District, Beijing, 100029, People's Republic of China. FAU - Gao, Fuqiang AU - Gao F AD - Department of Orthopedics, China-Japan Friendship Hospital, No.2 Yinghua Dongjie Street, Chaoyang District, Beijing, 100029, People's Republic of China. gaofuqiang@bjmu.edu.cn. FAU - Yi, Ping AU - Yi P AD - Department of Orthopedics, China-Japan Friendship Hospital, No.2 Yinghua Dongjie Street, Chaoyang District, Beijing, 100029, People's Republic of China. dryiping@163.com. FAU - Cao, Hong AU - Cao H AD - Department of Orthopedics, China-Japan Friendship Hospital, No.2 Yinghua Dongjie Street, Chaoyang District, Beijing, 100029, People's Republic of China. FAU - Zou, Haibo AU - Zou H AD - Department of Orthopedics, China-Japan Friendship Hospital, No.2 Yinghua Dongjie Street, Chaoyang District, Beijing, 100029, People's Republic of China. FAU - Zhang, Shuai AU - Zhang S AD - Department of Neurology, The Affiliated Hospital of Yangzhou University, Yangzhou, China. LA - eng PT - Journal Article DEP - 20200325 PL - Germany TA - Sleep Breath JT - Sleep & breathing = Schlaf & Atmung JID - 9804161 SB - IM MH - Adult MH - Aged, 80 and over MH - Case-Control Studies MH - Female MH - Humans MH - Lumbar Vertebrae/surgery MH - Male MH - Middle Aged MH - Risk Factors MH - Sleep Disorders, Intrinsic/*diagnosis/etiology MH - Spinal Stenosis/complications/*diagnosis/surgery OTO - NOTNLM OT - DBAS-16 OT - Lumbar spinal stenosis OT - Risk factors OT - Sleep quality disturbances OT - Sleep-related beliefs OT - Surgery EDAT- 2020/03/28 06:00 MHDA- 2021/06/11 06:00 CRDT- 2020/03/28 06:00 PHST- 2019/11/30 00:00 [received] PHST- 2020/03/10 00:00 [accepted] PHST- 2020/02/19 00:00 [revised] PHST- 2020/03/28 06:00 [pubmed] PHST- 2021/06/11 06:00 [medline] PHST- 2020/03/28 06:00 [entrez] AID - 10.1007/s11325-020-02055-8 [pii] AID - 10.1007/s11325-020-02055-8 [doi] PST - ppublish SO - Sleep Breath. 2020 Jun;24(2):669-674. doi: 10.1007/s11325-020-02055-8. Epub 2020 Mar 25.