بررسي ارتباط شاخص خواب آلودگي اپوورث وقفه تنفسي انسدادي خواب با تصادفات جاده اي

Relationship between Epworth Sleepiness Scale and obstructive sleep apnea with road accidents

مطالعه حاضر با هدف بررسي نقش شاخص گرايش به خواب آلودگي درطول روز (ESS) و وقفه تنفسي هنگام خواب در ايجاد تصادفات جاده‌اي رانندگان حرفه اي شهرستان شاهرود انجام شد. روش بررسي: در اين مطالعه مقطعي تحليلي تعداد 312 نفر از رانندگان حرفه‌ اي عضو انجمن پايانه هاي شهرستان شاهرود در سال 1392 مورد مطالعه قرار گرفتند. ابزار‌هاي مورد استفاده در اين مطالعه پرسشنامه دموگرافيك، پرسشنامه استاندارد كيفيت خواب پيتزبورگ (PSQI) با 7 مقياس، پرسشنامه خواب آلودگي اپوورث (ESS) با 8 سوال و پرسشنامه استاپ بنگ (STOP BANG) با 8 سوال بودند. تجزيه و تحليل داده ها با استفاده از نرم افزار آماري SPSS ويرايش 18 انجام شد. نتيجه گيري: در اين مطالعه ارتباط معني داري بين مقصر بودن رانندگان و سابقه حادثه و تصادف با خواب آلودگي مشاهده گرديد. ولي بين آسيب يا مرگ در تصادف با خواب آلودگي اين ارتباط ديده نشد. بيش از 10 درصد رانندگان با اختلال وقفه تنفسي حين خواب كانديد ارجاع به كلينيك اختلالات خواب شدند.

Background and aims: The present study was conducted to assess the role of sleepiness during the day (ESS) and sleep apnea in road accidents in Shahroud drivers. Methods: In this cross-sectional study, 312 drivers of members of Shahroud's terminals were studied in 2013. Demographic, Pittsburgh Sleep Quality Index (PSQI) standard questionnaire with seven scales, Epworth Sleepiness Scale (ESS) questionnaire with 8 items and STOP BANG questionnaire with 8 questions were used. Data analysis was performed using SPSS statistical software version 18. Results: Nearly 16% of drivers had accident history in the past five years. The mean ± SD total score of sleep quality (PSQI) in drivers was 4/5 ± 2/85 and 27/5% of them had poor sleep quality. 5/6% of drivers had Epworth sleepiness scale over 10, which is clinically significant. 11/5% of drivers with STOP BANG> 3 were diagnosed in terms of respiratory disorders. ESS in drivers who had accident history in the past year (p= 0.004) and past five years (p= 0.003) and also perpetrate in accident (p= 0.012) was more than other drivers. Conclusion: Significant relationships were observed between ESS and perpetrate in accident and accident history in this study. However, this relationship between ESS and injury or death in accident was not observed. More than 10% of drivers with sleep apnea disorder were candidates for referral to sleep clinic.