摘要
目的了解腹膜透析患者睡眠障碍状况,分析其影响因素。方法采用肾透析与移植病友专用健康调查表(KDQOL)中的睡眠分量表测评84例腹膜透析患者的睡眠状况,同时收集患者疲乏状况、体力活动状况及抑郁情况等。结果本组患者的睡眠得分为15.0—97.5分,平均(53.12±19.33)分,48.8%的患者存在睡眠问题。单因素及多因素Logistic回归分析发现低体力活动水平(OR=2.172)、医疗费是否自费(OR=1.793)、抑郁(OR=1.367)是睡眠障碍的相关因素,差异具有统计学意义(P〈0.05)。结论应当关注腹膜透析患者的睡眠状况,鼓励患者增加身体活动,采取药物或非药物方法改善睡眠质量,改善患者的心理状态,可减少腹膜透析患者睡眠障碍的出现。
Objective To investigate the sleep disorders status of patients with peritoneal dialysis (PD) ,and analyze the related factors of sleep disorders. Methods The KDQOL sleep sub-scale was used to conducted the sleep investigation in 84 PD patients. Meanwhile, the fatigue, physical activity level and depression were collected. Results The mean score of sleep sub - scale of patients was (53.12 ± 19.33). The prevalence of sleep disorders was 48.8%. And the logistic regression analysis showed that low physical activity level( OR = 2. 172, P 〈 0.05 ), medical expenses ( OR = 1. 793, P 〈 0.05 ) and depression ( OR = 1. 367, P 〈 0.05) were predicted factors of sleep disorders. Conclusions More attention should be paid to sleep disorders in PD patients, promote them to take part in physical activity, take medicine or non-medicine measures to improve their quality of sleep and mental health so as to decrease the incidence of sleep disorders in PD patients.
出处
《中华现代护理杂志》
2012年第26期3139-3142,共4页
Chinese Journal of Modern Nursing
关键词
腹膜透析
睡眠障碍
影响因素
Peritoneal dialysis
Sleep disorders
Related factors