腹膜透析患者睡眠障碍状况调查

Investigation of sleep disorders status and related factors of patients with peritoneal dialysis

目的了解腹膜透析患者睡眠障碍状况，分析其影响因素。方法采用肾透析与移植病友专用健康调查表（KDQOL）中的睡眠分量表测评84例腹膜透析患者的睡眠状况，同时收集患者疲乏状况、体力活动状况及抑郁情况等。结果本组患者的睡眠得分为15．0—97．5分，平均（53．12±19．33）分，48．8％的患者存在睡眠问题。单因素及多因素Logistic回归分析发现低体力活动水平（OR=2．172）、医疗费是否自费（OR=1．793）、抑郁（OR=1．367）是睡眠障碍的相关因素，差异具有统计学意义（P〈0．05）。结论应当关注腹膜透析患者的睡眠状况，鼓励患者增加身体活动，采取药物或非药物方法改善睡眠质量，改善患者的心理状态，可减少腹膜透析患者睡眠障碍的出现。

Objective To investigate the sleep disorders status of patients with peritoneal dialysis （PD） ,and analyze the related factors of sleep disorders. Methods The KDQOL sleep sub-scale was used to conducted the sleep investigation in 84 PD patients. Meanwhile, the fatigue, physical activity level and depression were collected. Results The mean score of sleep sub - scale of patients was （53.12 ± 19.33）. The prevalence of sleep disorders was 48.8%. And the logistic regression analysis showed that low physical activity level（ OR = 2. 172, P 〈 0.05 ）, medical expenses （ OR = 1. 793, P 〈 0.05 ） and depression （ OR = 1. 367, P 〈 0.05） were predicted factors of sleep disorders. Conclusions More attention should be paid to sleep disorders in PD patients, promote them to take part in physical activity, take medicine or non-medicine measures to improve their quality of sleep and mental health so as to decrease the incidence of sleep disorders in PD patients.