论文部分内容阅读
目的对老年维持性血液透析患者的睡眠状况进行调查,且对影响其睡眠质量的因素进行探讨。方法 70例接受维持性血液透析的老年患者,按血液透析的时间分成甲组(≥36个月,40例)与乙组(<36个月,30例);同时再依据睡眠质量评分分成A组(>5分,41例)与B组(≤5分,29例)。采取匹兹堡睡眠质量指数量表(PSQI)对其睡眠质量进行评估,比较不同透析时间患者的睡眠情况,及对影响睡眠质量的因素进行分析。结果甲组患者睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物以及日间功能障碍评分与乙组相比,差异均具有统计学意义(P<0.05);A组患者的透析时间、血红蛋白、白蛋白以及1周总尿素清除指数与B组相比,差异均具有统计学意义(P<0.05)。结论老年维持性血液透析患者的睡眠质量较差,而透析时间长、贫血以及血液透析不充分等因素会对其睡眠质量造成影响。
Objective To investigate the sleep conditions of elderly patients with hemodialysis, and to explore the factors affecting the quality of sleep. Methods Seventy elderly patients undergoing maintenance hemodialysis were divided into group A (≥36 months, 40 cases) and group B (≤36 months, 30 cases) according to the hemodialysis time. At the same time, the patients were divided into A (> 5 points and 41 cases) and group B (≤5 points and 29 cases). The Pittsburgh Sleep Quality Index Scale (PSQI) was used to evaluate the quality of sleep, and the sleep conditions of patients at different dialysis times were compared, and the factors affecting sleep quality were analyzed. Results Compared with group B, the scores of sleep quality, sleep time, sleep time, sleep efficiency, sleep disorders, hypnotic drugs and daytime dysfunction score in group A were all significantly different (P <0.05). In group A, Time, hemoglobin, albumin and 1 week total urea clearance index compared with the B group, the difference was statistically significant (P <0.05). Conclusion The quality of sleep in elder patients with maintenance hemodialysis is poor, and the factors such as long dialysis time, anemia and inadequate hemodialysis may affect their sleep quality.