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医学临床研究  2019, Vol. 36 Issue (5): 869-872    DOI: 10.3969/j.issn.1671-7171.2019.05.012
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维持性血液透析对终末期尿毒症患者生活及睡眠质量影响的相关因素分析
胡芳, 冯婉娟, 方娇
蚌埠市第一人民医院血液净化中心,安徽 蚌埠 233000
Analysis of Quality of Life and Sleep in Patients with End-stage Uremia after Maintenance Hemodialysis
HU Fang, FENG Wan-juan, FANG Jiao
Blood Purifying Center,Bengbu First People's Hospital,Anhui 233000 China
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摘要 【目的】探讨维持性血液透析(MHD)对终末期尿毒症患者生活及睡眠质量影响的相关因素。【方法】选择本院2015年6月至2018年12月接诊的200例终末期尿毒症患者作为研究对象,患者均接受MHD治疗。采用匹兹堡睡眠质量指数(PSQI)评价患者的睡眠质量,采用健康调查简表(SF-36)评价患者的生活质量,收集患者的一般资料以及相关疾病因素,采用logistic多元回归分析方法分析患者生活质量的睡眠质量的相关影响因素。【结果】本研究200例患者中,138例睡眠不良,其发生率为69.00%;经单因素分析,睡眠不良与睡眠良好患者在性别构成、年龄、婚姻、工作、白蛋白水平、是否喝茶、是否服用安眠药、是否焦虑、抑郁方面存在明显差异(均P<0.05),其中服用安眠药、喝茶、焦虑以及抑郁是患者睡眠质量的独立影响因素;患者SF-36评分为(53.58±10.97)分,其中不同年龄、不同文化程度、不同血管通路患者的生活质量评分存在显著差异(P<0.05),且患者年龄和血管通路情况是其生活质量的独立影响因素(P<0.05)。【结论】MHD对终末期尿毒症患者生活、睡眠质量产生不良影响,临床上应针对其相关影响因素,采取有效的干预措施,以改善患者的睡眠以及生活质量。
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胡芳
冯婉娟
方娇
关键词 尿毒症/治疗肾透析    
Abstract【Objective】To explore the related factors of the effect of maintenance hemodialysis (MHD) on the quality of life and sleep of end-stage uremic patients.【Methods】Two hundred patients with end-stage uremia in our hospital from June 2015 to December 2018 were selected as the study subjects. All patients received MHD treatment. Pittsburgh Sleep Quality Index (PSQI) was used to evaluate the sleep quality of patients, SF-36 was used to evaluate the quality of life of patients, general data of patients and related disease factors were collected, and logistic multiple regression analysis was used to analyze the related factors of sleep quality of patients.【Results】Among 200 patients in this study, 138 had poor sleep, the incidence of which was 69.00%. By univariate analysis, there were significant differences in sex composition, age, marriage, work, albumin level, whether to drink tea, whether to take sleeping pills, whether to take anxiety and depression (all P<0.05). Among them, taking sleeping pills, drinking tea, anxiety and depression were significant differences. The SF-36 score of patients was (53.58±10.97). There were significant differences in the quality of life of patients with different ages, educational levels and vascular access (P<0.05). Age and vascular access were independent factors influencing the quality of life of patients (P<0.05).【Conclusion】MHD has adverse effects on the quality of life and sleep of end-stage uremia patients. Effective interventions should be taken clinically to improve the quality of sleep and life of patients.
Key wordsUremia/TH    Renal Dialysis
收稿日期: 2019-04-11     
PACS:  R692.5  
引用本文:   
胡芳, 冯婉娟, 方娇. 维持性血液透析对终末期尿毒症患者生活及睡眠质量影响的相关因素分析[J]. 医学临床研究, 2019, 36(5): 869-872.
HU Fang, FENG Wan-juan, FANG Jiao. Analysis of Quality of Life and Sleep in Patients with End-stage Uremia after Maintenance Hemodialysis. JOURNAL OF CLINICAL RESEARCH, 2019, 36(5): 869-872.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2019.05.012     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2019/V36/I5/869
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