慢性病病人日间过度嗜睡影响因素的Meta分析

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Influencing factors of excessive daytime sleepiness in patients with chronic diseases： a Meta-analysis

FAN Yinyin，XU XiuqunNantong University，Jiangsu 226001 China

Corresponding Author XU Xiuqun，E-mail：tyxiuqun@126.com

Abstract Objective：To systematically evaluate the influencing factors of excessive daytime sleepiness in patients with chronic diseases.Methods：The case-control studies on influencing factors of excessive daytime sleepiness in patients with chronic diseases were retrieved from PubMed，EMbase，Web of Science，the Cochrane Library，CNKI，VIP，WanFang，and CBM.The search time limit was from database establishment to December 1，2023.Two researchers independently performed literature screening，data extraction，and literature quality evaluation.The RevMan 5.3 software was used for Meta-analysis.Results：A total of 15 articles were included in this study，involving 2 453 patients.Meta-analysis results showed that the influencing factors of excessive daytime sleepiness in patients with chronic diseases included higher body mass index（BMI）（OR=1.19，95%CI 1.03-1.38，P=0.02），apnea-hypopnea index（AHI）（OR=1.90，95%CI 1.06-3.41，P=0.03），male（OR=3.92，95%CI 2.03-7.56，P<0.000 1），Pittsburgh Sleep Quality Index（PSQI）（OR=1.09，95%CI 1.04-1.15，P=0.000 3），Hamilton Depression Scale（HAMD）（OR=1.14，95%CI 1.06-1.23，P=0.000 4），percentage of oxygen saturation below 90%（CT90%）（OR=2.67，95%CI 1.58-4.53，P=0.000 3），and Hoehn-Yahr staging score（H-Y staging）（OR=2.08，95%CI 1.26-3.44，P=0.000 4）.Conclusions：Existing evidence show， that BMI，AHI，male，PSQI，HAMD，CT90%，and H-Y staging influence excessive daytime sleepiness in patients with chronic diseases.

Keywords chronic disease;excessive daytime sleepiness;influencing factors;Meta-analysis;evidence-based nursing

摘要 目的：系统评价慢性病病人日间过度嗜睡的影响因素。（剩余11188字）