血液透析患者的睡眠质量、抑郁及其与其他因素的关联
Sleep Quality and Depression and Their Association with Other Factors in Hemodialysis Patients.
作者信息
Firoz Masomeh Norozi, Shafipour Vida, Jafari Hedayat, Hosseini Seyed Hamzeh, Charati Jamshid Yazdani
机构信息
Student of M.S Nursing, School of Nursing and Midwifery, Mazandaran University of Medical Science, Sari, Iran.
出版信息
Glob J Health Sci. 2016 Aug 1;8(8):53485. doi: 10.5539/gjhs.v8n8p121.
BACKGROUND
Sleep disorders and depression, accompanied by reduced quality of life and increased mortality are the most common psychological problems in dialysis patients. This study was conducted with the aim to investigate depression and sleep quality and their association with some demographic and clinical factors in hemodialysis patients.
METHOD
This descriptive-correlative study was conducted on 310 patients undergoing hemodialysis in 8 centers in educational hospitals in Mazandaran University of Medical Sciences. Data collection tools included a demographic questionnaire, Beck Depression Inventory, and Pittsburg Sleep Quality Index (PSQI). Statistical analysis was conducted using Chi-Square test and regression model.
RESULTS
Results obtained showed 44.8% depression in patients. Significant relationships were found between depression and increased blood phosphorus (P=0.002) and urea (P=0.001). Poor sleep quality was observed in 73.5% of hemodialysis patients, which was found significantly related to aging (P=0.048), female (P=0.04), and reduced frequency of weekly hemodialysis (P=0.035).
CONCLUSION
Depression and poor sleep quality are two common factors in hemodialysis patients, but patients do not overtly show symptoms of these disorders.
背景
睡眠障碍和抑郁症伴随着生活质量下降和死亡率上升，是透析患者最常见的心理问题。本研究旨在调查血液透析患者的抑郁状况和睡眠质量，以及它们与一些人口统计学和临床因素的关联。
方法
这项描述性相关性研究对马赞德兰医科大学教学医院8个中心的310例血液透析患者进行。数据收集工具包括一份人口统计学调查问卷、贝克抑郁量表和匹兹堡睡眠质量指数（PSQI）。采用卡方检验和回归模型进行统计分析。
结果
结果显示患者中有44.8%患有抑郁症。发现抑郁与血磷升高（P = 0.002）和尿素升高（P = 0.001）之间存在显著关系。73.5%的血液透析患者睡眠质量较差，发现其与年龄增长（P = 0.048）、女性（P = 0.04）以及每周血液透析频率降低（P = 0.035）显著相关。
结论
抑郁和睡眠质量差是血液透析患者的两个常见因素，但患者并未明显表现出这些疾病的症状。
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