摘要
目的探讨维持性血液透析患者症状困扰和睡眠质量之间的相关性。方法选择2015年1月至2016年10月长期进行维持性血液透析治疗的患者120例作为研究对象,采用透析症状调查量表(DSI)评定症状困扰发生情况、匹兹堡睡眠质量指数(PSQI)评定睡眠质量,分析患者症状困扰与PSQI各因子间的相关性。结果维持性血液透析患者各种症状的发生率为17.50%~74.17%,症状发生频率评分最高的3项依次为瘙痒、易醒、皮肤干燥,症状困扰严重程度评分最高的3项为易醒、瘙痒、性欲减退。睡眠障碍发生率为74.17%,其中睡眠时间、入睡时间及睡眠质量评分较高,提示患者存在入睡困难、易醒、睡眠质量低下等问题。Pearson相关分析显示,症状困扰程度与PSQI总分及各因子间均呈正相关(P<0.05)。结论维持性血液透析患者症状困扰及睡眠障碍较为常见,而且存在相关关系,应采取积极的应对措施,减少症状困扰,改善睡眠质量。
Objective To explore the correlation between symptomatic distress and sleep quality in patients with maintenance hemodialysis. Methods To select 120 patients with long-term maintenance hemodialysis from January 2015 to October 2016 as the study subjects. We analyzed the correlation between symptom distress and Pittsburgh sleep quality index(PSQI) factors by dialysis symptom index(DSI) assessment of the occurrence of symptomatic distress and sleep quality assessment by PSQI. Results The incidence of various symptoms in maintenance hemodialysis patients was 17.50%~74.17%. The three highest scores of symptom frequency were pruritus, easy to wake up, and dry skin. The three highest scores of symptom severity were easy to wake up, itching, and loss of libido. The incidence of sleep disorder was 74.17%, among which the three highest scores were from length of sleep, sleep time and sleep quality, suggesting that patients had some difficulties in falling asleep,festless sleep and poor sleep quality. Pearson correlation analysis showed that the degree of symptomatic distress was positively correlated with the total score of PSQI and each factor( P <0.05). Conclusion Symptomatic distress and sleep disorders in patients with maintenance hemodialysis are more common, and there is correlation between them. Therefore, we should take active countermeasures to reduce symptoms and improve sleep quality.
出处
《护理实践与研究》
2019年第14期24-26,共3页
Nursing Practice and Research
关键词
维持性血液透析
症状困扰
睡眠质量
相关性
Maintenance hemodialysis
Symptomatic distress
Sleep quality
Correlation
