中老年血液透析患者的睡眠质量：结构化护理干预计划的影响
Sleep quality in middle-aged and elderly hemodialysis patients: Impact of a structured nursing intervention program.
作者信息
Tao Ling-Ling, Zeng Cai-Hua, Mei Wen-Juan, Zou Yan-Li
机构信息
Blood Purification Room, The First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.
出版信息
World J Clin Cases. 2024 Sep 6;12(25):5713-5719. doi: 10.12998/wjcc.v12.i25.5713.
BACKGROUND
Poor sleep quality is common among hemodialysis patients and can significantly impact their well-being. This study aimed to evaluate the effectiveness of a structured nursing intervention program in improving sleep quality in middle-aged and elderly hemodialysis patients.
AIM
To evaluate the impact of nursing intervention on sleep quality in hemodialysis patients.
METHODS
This cross-sectional study was conducted in a tertiary hospital, the First Affiliated Hospital of Nanchang University, in 2023. This study included 105 middle-aged and elderly hemodialysis patients aged ≥ 45 years who underwent maintenance hemodialysis for at least 3 mo, utilizing the Pittsburgh Sleep Quality Index (PSQI) to identify poor sleepers. Those identified underwent a 12-wk nursing intervention program focusing on education, relaxation techniques, and counseling. Post-intervention, sleep quality was reassessed using the PSQI.
RESULTS
The study found that 68.6% of hemodialysis patients were poor sleepers. Following the 12-wk nursing intervention program, there was a significant decrease in the mean global PSQI score from 8.9 ± 3.2 to 5.1 ± 2.7 ( < 0.001), indicating improved sleep quality. This demonstrated the effectiveness of the structured nursing intervention in enhancing sleep quality for middle-aged and elderly hemodialysis patients.
CONCLUSION
The structured nursing intervention program focusing on sleep hygiene education, relaxation techniques, and counseling effectively improved sleep quality among middle-aged and elderly hemodialysis patients. The significant decrease in the mean global PSQI score post-intervention indicates the positive impact of tailored nursing interventions in addressing poor sleep quality in this patient population. These findings emphasize the importance of implementing targeted nursing interventions to enhance the quality of life for hemodialysis patients by addressing the prevalent issue of poor sleep quality.
背景
睡眠质量差在血液透析患者中很常见，会对他们的健康产生重大影响。本研究旨在评估结构化护理干预方案对改善中老年血液透析患者睡眠质量的有效性。
目的
评估护理干预对血液透析患者睡眠质量的影响。
方法
本横断面研究于2023年在南昌大学第一附属医院这所三级医院进行。本研究纳入了105名年龄≥45岁、接受维持性血液透析至少3个月的中老年血液透析患者，使用匹兹堡睡眠质量指数（PSQI）来识别睡眠不佳者。被识别出的患者接受了为期12周的护理干预方案，该方案侧重于教育、放松技巧和咨询。干预后，使用PSQI重新评估睡眠质量。
结果
研究发现68.6%的血液透析患者睡眠不佳。经过12周的护理干预方案后，PSQI全球平均得分从8.9±3.2显著降至5.1±2.7（<0.001），表明睡眠质量得到改善。这证明了结构化护理干预对提高中老年血液透析患者睡眠质量的有效性。
结论
侧重于睡眠卫生教育、放松技巧和咨询的结构化护理干预方案有效改善了中老年血液透析患者的睡眠质量。干预后PSQI全球平均得分的显著下降表明，针对性的护理干预对解决该患者群体睡眠质量差的问题具有积极影响。这些发现强调了实施针对性护理干预以解决普遍存在的睡眠质量差问题、提高血液透析患者生活质量的重要性。
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