Department of Nephrology, Taoyuan Branch of Taipei Veterans General Hospital, Taoyuan, Taiwan.
Department of Healthcare Information and Management, Ming Chuan University, Taoyuan, 33348, Taiwan.
Lasers Med Sci. 2024 Jul 3;39(1):169. doi: 10.1007/s10103-024-04114-y.
The quality of life (QoL) and sleep quality are closely linked to the physical and psychological health of end-stage renal disease (ESRD) patients, especially those underwent hemodialysis (HD) therapy. This study aims to investigate the impact of 830 nm laser treatment on improving QoL and sleep quality in HD patients. Forty ESRD patients participated in this study. 830 nm laser was used to radiate on the palm (at dose of 256.10 J/cm), ST 36 and KI 1 acupoints (at dose of 109.76 J/cm) of HD patients, and QoL and sleep quality questionnaires were utilized to assess changes following the treatment. After 830 nm laser radiation, lower global Pittsburgh Sleep Quality Index and Athens Insomnia Scale scores were observed, accompanied by higher physical and mental component summary scores in MOS 36-item short-form health survey version 2 and a global World Health Organization Quality of Life Brief Version score. The laser group also showed significant improvements in QoL and sleep quality indicators. Additionally, pain levels decreased on the third day and after one month according to visual analogue scale. This study revealed the positive effects of 830 nm laser on palm, KI 1 and ST 36 acupoints for improving the QoL and sleep quality in ESRD patients underwent HD treatment. The results suggest that 830 nm laser applied to specific targets could be used as a complementary and alternative approach to increase the QoL and sleep quality in ESRD patients.
生活质量（QoL）和睡眠质量与终末期肾病（ESRD）患者的身心健康密切相关，尤其是接受血液透析（HD）治疗的患者。本研究旨在探讨 830nm 激光治疗对改善 HD 患者生活质量和睡眠质量的影响。四十名 ESRD 患者参与了本研究。采用 830nm 激光辐射手掌（剂量为 256.10J/cm）、ST36 和 KI1 穴位（剂量为 109.76J/cm），采用生活质量和睡眠质量问卷评估治疗前后的变化。830nm 激光辐射后，匹兹堡睡眠质量指数和雅典失眠量表的全球评分均降低，MOS36 项简短健康调查问卷 2 版和世界卫生组织生活质量简表的身心成分总分更高。激光组在生活质量和睡眠质量指标方面也有显著改善。此外，根据视觉模拟量表，疼痛水平在第三天和一个月后降低。本研究揭示了 830nm 激光对手掌、KI1 和 ST36 穴位的积极影响，可改善接受 HD 治疗的 ESRD 患者的生活质量和睡眠质量。结果表明，针对特定靶点的 830nm 激光可作为一种补充和替代方法，提高 ESRD 患者的生活质量和睡眠质量。
