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目的探讨维持性血液透析患者睡眠质量与抑郁状况的现状及相关性,为临床护理提供依据。方法应用匹兹堡睡眠质量指数(POSI)及自评抑郁量表(SDS)对维持性血透患者100例进行睡眠质量及抑郁状况进行调查,与100例健康人群进行对比。结果 100例维持性血液透析患者睡眠质量及抑郁程度与健康人相比有显著差异(p<0.01),睡眠障碍与其抑郁状况呈正相关(r=0.78,P<0.01)。多元线性回归显示维持性血液透析患者睡眠质量与抑郁程度、透析年限和年龄密切相关,与性别无关。结论睡眠质量差与抑郁程度高是血透患者面临的主要问题,需要血液净化专业人员的高度重视,而且需要个体化干预。
Objective To investigate the status quo and the correlation between sleep quality and depression status in maintenance hemodialysis patients and provide the basis for clinical nursing. Methods Pittsburgh Sleep Quality Index (POSI) and Self-Rating Depression Scale (SDS) were used to investigate sleep quality and depression in 100 cases of maintenance hemodialysis patients, compared with 100 healthy people. Results The sleep quality and depression of 100 hemodialysis patients were significantly different from those of healthy people (p <0.01). There was a positive correlation between sleep disorders and depression (r = 0.78, P <0.01). Multivariate linear regression showed that the quality of sleep in patients with maintenance hemodialysis was closely related to the degree of depression, dialysis age and age, and had nothing to do with gender. Conclusion The poor quality of sleep and the high degree of depression are the main problems in hemodialysis patients. Hemophilia requires a high degree of attention and requires individualized intervention.