肾移植患者术后早期睡眠质量及影响因素研究

Study on the early sleep quality and influencing factors of post-operation kidney transplantation patients

目的了解肾移植术后患者早期睡眠质量现况及其影响因素。方法应用一般资料调查表、匹斯堡睡眠质量指数量表(Pittsburgh Sleep Quality Index,PSQI)及非精神科住院患者心理评定量表,调查180例肾移植术后患者。结果肾移植术后患者PSQI得分总分为(7.08±3.59)分,高于常模。女性患者入睡时间较男性长(P<0.05),发生移植肾功能延迟恢复(delayed graft function,DGF)患者入睡时间也较未发生DGF患者长(P<0.05)。抑郁及年龄是影响肾移植术后患者早期睡眠质量的主要因素(均P<0.05)。结论肾移植术后患者早期睡眠型态较紊乱,睡眠质量不高,睡眠质量与性别、年龄、是否发生DGF及负性情绪抑郁有关。

Objective To investigate the early sleep quality of patients who underwent kidney transplantation and analyze influencing factors.Methods A total of 180 post-operation kidney transplantation patients were investigated by general data questionnaire,Pittsburgh sleep quality index(PSQI)and psychological evaluation scale for non-psychiatric patients.Results The average PSQI score was higher than the norm in the patients after kidney transplantation(7.08±3.59).Women had longer time to fall sleep than men(P<0.05),and patients with DGF had longer time to fall sleep than those without DGF P<0.05).Depression and age were the main factors influencing the sleep quality of patients in the early stage after kidney transplantation(all P<0.05).Conclusion There are many post-operation patients with early sleep pattern disorder after kidney transplantation,and their sleep quality were not good.The sleep quality of inpatients in the early stage after renal transplantation were related to gender,age,the occurrence of DGF and depression.