Karatas A, Canakci E, Turkmen E
Nephrology Division, Department of Internal Medicine, Ordu University, School of Medicine, Ordu, Turkey.
Department of Anesthesiology and Reanimation, Ordu University, School of Medicine, Ordu, Turkey.
Niger J Clin Pract. 2018 Nov;21(11):1461-1467. doi: 10.4103/njcp.njcp_146_18.
Chronic kidney disease (CKD) is a serious health problem due to high mortality and morbidity, negative impact on the patients' quality of life (QOL), high diagnostic and therapeutic cost, and the burden on society. Sleep, which is one of the main needs of the human body, is important regarding the health and QOL in all ages. The objective of our study was to plan the quality of sleep and life quality in adults with CKD.
Total 240 cases (91 healthy volunteers, 75 predialysis patients, and 74 hemodialysis (HD) patients) were included in our study. Our study was designed as a prospective survey with a face-to-face interview method. The sleep quality was evaluated with Pittsburgh Sleep Quality Index (PSQI). The WHO Quality of Life-short version (BREF) survey questions were used for QOL, and scoring was performed.
The analysis showed that the results of PSQI scores, QOL scores, and evaluation of the age variable were statistically significant (P = 0.001, P < 0.001, P < 0.001, respectively). Likewise, the PSQI scores were low in healthy volunteers but were the highest in predialysis patients. The scores of the HD patients were between the scores of predialysis and healthy volunteers. The score of the QOL increased with educational level. There was a positive correlation between Modification of Diet in Renal Disease (MDRD) level and QOL (P < 0.001; r = 0.260) and a negative correlation between MDRD level and PSQI score (P < 0.001, r = -0.202).
Like in HD patients, close follow-up of predialysis patients with CKD is critical considering the resolution of the encountered problems. We believe that the increase in QOL and sleep in patients with CKD may decrease the morbidity.
慢性肾脏病(CKD)是一个严重的健康问题,因其具有高死亡率和发病率、对患者生活质量(QOL)产生负面影响、诊断和治疗成本高昂以及社会负担沉重。睡眠是人体的主要需求之一,对所有年龄段的健康和生活质量都很重要。我们研究的目的是规划CKD成年患者的睡眠质量和生活质量。
本研究共纳入240例患者(91名健康志愿者、75名透析前患者和74名血液透析(HD)患者)。我们的研究设计为采用面对面访谈方法的前瞻性调查。采用匹兹堡睡眠质量指数(PSQI)评估睡眠质量。采用世界卫生组织生活质量简表(BREF)调查问卷评估生活质量并进行评分。
分析表明,PSQI评分结果、生活质量评分以及年龄变量评估具有统计学意义(分别为P = 0.001、P < 0.001、P < 0.001)。同样,健康志愿者的PSQI评分较低,而透析前患者的评分最高。HD患者的评分介于透析前患者和健康志愿者之间。生活质量评分随教育水平提高而增加。肾脏病饮食改良(MDRD)水平与生活质量呈正相关(P < 0.001;r = 0.260),与PSQI评分呈负相关(P < 0.001,r = -0.202)。
与HD患者一样,考虑到所遇到问题的解决,对CKD透析前患者进行密切随访至关重要。我们认为,CKD患者生活质量和睡眠的改善可能会降低发病率。