Full
Outline
To explore the development trajectory and influencing factors of sleep quality in patients with chronic rhinosinusitis(CRS).
A total of 236 CRS patients admitted to our hospital from February 2023 to February 2025 were selected.The Pittsburgh Sleep Quality Index(PSQI) was used to assess sleep quality at baseline and after 1 month,3 months,6 months of treatment.Growth mixture modeling identified distinct trajectory classes.Clinical data were collected for univariate and correlation analyses,and multiple Logistic regression identified independent influencing factors.
The sleep quality of CRS patients presented three heterogeneous trajectories:rapid improvement type(44.92%),slow improvement type(35.17%),and limited improvement type(19.92%).Regression analysis showed that body mass index(BMI),nasal polyps,combined asthma/allergy,combined obstructive sleep apnea(OSA),Lund-Mackay CT score,Visual Analogue Scale(VAS) score,22-item Sinonasal Outcome Test(SNOT-22),and Hospital Anxiety and Depression Scale-Anxiety subscale(HADS-A) score were the influencing factors of their latent categories(all P<0.05).
There is significant heterogeneity in sleep quality among patients with CRS.Medical staff should implement early identification and stratified intervention based on the influencing factors of different trajectories.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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