摘要
目的探究肾移植受者衰弱与睡眠质量的相关性,为临床预防和干预肾移植受者衰弱提供借鉴。方法纳入2019年6-10月北京市首都医科大学附属北京朝阳医院就诊的200例肾移植受者进行问卷调查,睡眠质量采用匹兹堡睡眠质量量表(PSQI)测量,衰弱情况使用Tilburg衰弱指数量表测量。采用非参数检验比较衰弱与非衰弱肾移植受者的睡眠特点,运用spearman相关分析的方法分析肾移植受者睡眠质量与衰弱的相关关系。结果肾移植受者衰弱发生率为41%,衰弱总得分中位数为3(2,6)分,以躯体衰弱得分最高。20%的肾移植受者睡眠质量较差,最常见的睡眠问题为日间功能障碍、入睡时间延长以及主观睡眠质量差,分别占总人数的39.50%、35.50%和22.50%。与衰弱肾移植受者相比,非衰弱受者睡眠质量显著较好(Z=-5.745,P<0.001)。肾移植受者的衰弱评分与睡眠质量评分相关,相关系数r=0.452(P<0.001),躯体衰弱和心理衰弱与多种睡眠问题有关。在PSQI各成分中,日间功能障碍与衰弱程度相关性最高(r=0.491,P<0.001)。结论肾移植受者衰弱发生率较高,存在多种睡眠问题,大部分受者睡眠时间充足,衰弱发生可能与夜间睡眠质量差有关,睡眠质量越差的受者其衰弱程度可能越重,提示应关注肾移植受者夜间睡眠质量,及时识别睡眠障碍,对出现作息时间紊乱、夜间觉醒频繁、睡眠呼吸障碍等问题的受者,采取适当的干预措施帮助受者提高睡眠质量。
Objective To explore the association between frailty and sleep quality in order to provide evidence for the prevention and treatment of frailty in kidney transplant recipients.Methods A questionnaire survey was conducted a-mong 200 renal transplant recipients.Sleep quality was measured using the Pittsburgh Sleep Quality Index(PSQI),and frailty was measured using the Tilburg frailty indicator.Non-parametric tests were used for comparing the differences of sleep quality between frail and non-frail recipients.Spearman correlations were used to analyse the relationship between sleep quality and frailty in kidney transplant recipients.Results The rate of frailty was 41%,with medianscores of 3(2,6).The highest score was recorded in the area of physical frailty.Twenty percent of recipients had poor sleep quality,with common sleep problems such as daytime dysfunction(39.50%),sleep latency(35.50%)and subjective sleep quality(22.50%).The results of non-parametric tests suggested that the sleep quality was significantly better in non-frail renal transplant recipients than in frail recipients(Z=-5.745,P<0.001).The PSQI score of kidney transplant recipients was positively correlated with the TFI score,with a correlation coefficient of r=0.452(P<0.001).Physical and psychological frailty were related to several sleep problems.Amongst the components of the PSQI,daytime dysfunction and frailty had the strongest correlation(r=0.491,P<0.001).Conclusion The incidence of frailty in kidney transplant recipients is high,and some of them face multiple sleep problems.Poor night-time sleep quality rather than inadequate sleep duration may be related to frailty.Recipients with poor sleep quality may experience frailty,suggesting that nurses should pay more attention to identifying sleep disorders,especially sleep irregularity,frequent nocturnal awakenings and sleep breathing disorders,so as to provide effective interventions and improve sleep quality in kidney transplant recipients.
作者
彭复聪
王晗
胡树菁
李鑫
郭雪洁
刘红霞
PENG Fu-cong;WANG Han;HU Shu-jing;LI Xin;GUO Xue-jie;LIU Hong-xia(School of Nursing,Beijing University of Chinese Medicine,Beijing 102488,China;不详)
出处
《中华全科医学》
2021年第10期1755-1759,共5页
Chinese Journal of General Practice
基金
国家自然科学基金面上项目(81572235)。
关键词
肾移植受者
衰弱
睡眠质量
Kidney transplant recipients
Frailty
Sleep quality
