Otaghi Masoumeh, Bastami Mohamadreza, Borji Milad, Tayebi Ali, Azami Milad
Research Center of Prevention of Psychosocial Damages, Ilam University of Medical Sciences, Ilam, IR Iran; Nursing Department, Ilam University of Medical Sciences, Ilam, IR Iran.
Student Research Committee, Ilam University of Medical Sciences, Ilam, IR Iran.
Nephrourol Mon. 2016 Mar 19;8(3):e35467. doi: 10.5812/numonthly.35467. eCollection 2016 May.
One of the most prevalent problems in hemodialysis patients is sleep disturbance. Poor sleep quality has unpleasant bio-psycho-social outcomes. The positive effects of implementing the continuous care model (CCM) were verified with different variables, including sleep quality. This study was done with different populations, using two groups.
This study aims to identify the sleep quality of hemodialysis patients in the city of Ilam and determine the effects of CCM on sleep quality.
We performed a quasi-experimental research study with 56 hemodialysis patients at the Shahid Mostafa Hospital in Ilam during 2014 and 2015. Pretests and posttests were conducted with the study groups and the control groups. Pretests were conducted over a one-month period, then repeated immediately before the study. Posttests were conducted immediately after the study and then repeated one month later. Participants were selected by census method and randomly divided into two groups. Ethical considerations were observed. Based on the continuous care model, interventions were performed through educational sessions over a three-week period. Consultations for continuous sleep monitoring, controls, and evaluations were conducted with the study group over the next nine weeks. Data were gathered from patient demographics questionnaires and PQSI, then introduced in SPSS 22 and analyzed with descriptive and analytic statistics (t-paired, ANOVA with repeated measures, follow-up tests such as S-N-K, Duncan, Sheffe and Tukey).
One month prior to the study, 94.6% of the participants suffered from poor sleep quality. Immediately before and after the study, 91% complained of poor sleep quality. And one month after intervention, the figure dropped to 82%. Applying the CCM positively affected the sleep quality of hemodialysis patients in Ilam, and was statistically meaningful one month after intervention (P = 0.001).
Hemodialysis patients need a consistent care plan to manage poor sleep quality. This research has proven the effectiveness of implementing CCM as an intervention for improving the sleep quality of hemodialysis patients. CCM provides a comprehensive model for caring for hemodialysis patients, and its executive stages are congruent with the many stages of the nursing process. Practitioners in different domains of nursing care, education, and management can derive great benefit from this valuable care model.
血液透析患者中最普遍的问题之一是睡眠障碍。睡眠质量差会产生不良的生物心理社会后果。实施持续护理模式（CCM）的积极效果已通过包括睡眠质量在内的不同变量得到验证。本研究针对不同人群，采用两组进行。
本研究旨在确定伊拉姆市血液透析患者的睡眠质量，并确定CCM对睡眠质量的影响。
2014年至2015年期间，我们在伊拉姆的沙希德·穆斯塔法医院对56名血液透析患者进行了一项准实验研究。对研究组和对照组进行了前测和后测。前测为期一个月，然后在研究开始前立即重复进行。后测在研究结束后立即进行，然后在一个月后重复进行。采用普查方法选择参与者，并随机分为两组。遵循了伦理考量。基于持续护理模式，通过为期三周的教育课程进行干预。在接下来的九周内，对研究组进行持续睡眠监测、控制和评估的咨询。从患者人口统计学问卷和PQSI收集数据，然后引入SPSS 22并进行描述性和分析性统计分析（配对t检验、重复测量方差分析、后续检验如S-N-K、邓肯、谢弗和图基检验）。
研究前一个月，94.6%的参与者睡眠质量差。研究前和研究后立即有91%的人抱怨睡眠质量差。干预后一个月，这一数字降至82%。应用CCM对伊拉姆血液透析患者的睡眠质量产生了积极影响，干预后一个月具有统计学意义（P = 0.001）。
血液透析患者需要一个一致的护理计划来管理睡眠质量差的问题。本研究证明了实施CCM作为改善血液透析患者睡眠质量干预措施的有效性。CCM为血液透析患者护理提供了一个全面的模式，其实施阶段与护理过程的许多阶段一致。护理、教育和管理不同领域的从业者可以从这个有价值的护理模式中受益匪浅。
