谢立寒, 陈文莉, 黎妮, 李伟男. 单中心维持性血液透析患者睡眠质量调查及分析[J]. 临床肾脏病杂志, 2018, 18(11): 678-681. DOI: 10.3969/j.issn.1671-2390.2018.11.004
    引用本文: 谢立寒, 陈文莉, 黎妮, 李伟男. 单中心维持性血液透析患者睡眠质量调查及分析[J]. 临床肾脏病杂志, 2018, 18(11): 678-681. DOI: 10.3969/j.issn.1671-2390.2018.11.004
    shu
    XIE Li-han, CHEN Wen-li, LI Ni, LI Wei-nan. Investigation and analysis of sleep quality in maintenance hemodialysis patients[J]. Journal of Clinical Nephrology, 2018, 18(11): 678-681. DOI: 10.3969/j.issn.1671-2390.2018.11.004
    Citation: XIE Li-han, CHEN Wen-li, LI Ni, LI Wei-nan. Investigation and analysis of sleep quality in maintenance hemodialysis patients[J]. Journal of Clinical Nephrology, 2018, 18(11): 678-681. DOI: 10.3969/j.issn.1671-2390.2018.11.004
    shu

    单中心维持性血液透析患者睡眠质量调查及分析

    Investigation and analysis of sleep quality in maintenance hemodialysis patients

      摘要
    • 摘要: 目的 调查维持性血液透析（MHD）患者睡眠质量，并分析影响其睡眠质量的因素，为进一步研究相应的预防措施及干预手段提供思路和依据。方法 采用匹茨堡睡眠质量指数（PSQI）量表调查150名MHD患者的睡眠情况，并统计患者的年龄、性别、婚姻状况、透析时间、透析频率、平均超滤量、血红蛋白、甲状旁腺素（PTH）、白蛋白、尿素清除指数（Kt/V）。计算PSQI评分后进行分组，将PSQI评分≤ 5分者归为睡眠质量好组，PSQI评分>5分者归为睡眠质量差组，并进行各因素、各维度的比较。结果 结果150名MHD患者中82名（54.66%）患者PSQI总分大于5分。睡眠质量差组与睡眠质量好组在年龄、透析时间、血红蛋白、PTH、Kt/V等指标方面差异有显著性（P<0.05）。而在白蛋白、平均超滤量指标方面无显著差异（P>0.05）。60岁以上患者与60岁以下患者PSQI量表中PSQI总分、睡眠效率、催眠药物方面比较差异有统计学意义（P<0.05），在睡眠质量、睡眠时间、入睡时间、睡眠障碍及日间功能障碍方面比较差异无统计学意义（P>0.05）；透析时间3年以上和透析时间3年以下的患者在PSQI量表中总分及各项评分比较差异均有统计学意义（P<0.05）。结论 MHD患者的睡眠质量普遍较差。高龄、透析时间长、血红蛋白降低、PTH升高、Kt/V降低更易导致睡眠质量差。

       

      Abstract: Objective To investigate the quality of sleep in maintenance hemodialysis patients and analyze the influencing factors of sleep disorders. Methods A total of 150 hemodialysis patients were investigated by Pittsburgh sleep quality index (PSQI) to assess the sleep quality. Global scores of these questionnaires were analyzed. A comparison between "good" (global PSQI ≤ 5) and "bad" (global PSQI >5) sleepers was done to analyze the reasons for sleep disturbances. Results 54.66% maintenance hemodialysis patients were "bad" sleepers (global PSQI >5). Age, dialysis vintage, hemoglobin, PTH and Kt/V showed significant differences between two groups (P<0.05). There was no significant difference in albumin and UF between two groups (P>0.05). Conclusions Sleep problem is common in maintenance hemodialysis patients. Older age, longer dialysis vintage, anemia and higher PTH, lower Kt/V are risk factors for poor sleep quality.

       

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