维持性血液透析患者营养状况与睡眠关系研究

Relationship between Nutritional Status and Sleep Quality in Maintenance Hemodialysis Patients

目的探讨维持性血液透析患者营养状况与睡眠的关系,为临床治疗护理提供依据,从而提高患者的生存质量。方法采用便利取样法,使用匹兹堡睡眠质量指数量表、综合主观性营养评估量表及自设的一般情况调查表调查中山大学附属第一医院等7家医院424例维持性血液透析患者的营养及睡眠状况。结果有93.2%的患者匹兹堡睡眠质量指数总分≥5分,33.0%存在中重度营养不良。多重线性回归显示:除了睡眠效率及使用催眠药物外,营养状况得分与睡眠指数得分呈负相关且有统计学意义(P<0.05)。结论血液透析患者营养状况越好,睡眠质量越好,所以加强营养的监控及做好饮食的护理是必不可少的。

Objective To explore the relationship between the nutriture and sleep quality of maintenance hemodialysis patients, to provide evidence for clinical care. Methods With convenience sample method, uremia patients living on hemodialysis were taken as subjects. A set of questionnaires were used in this investigation, including demographic data form, Pittsburgh Sleep Quality Index （PSQI）, Subjective Global Assessment （SGA）. Results Of the total, 93.2% of the patients PSQI score was 5 and above and 67.0% of the subjects suffered from normal or mild malnutrition, while 33.0% case moderate or severe malnutrition. Correlation analysis showed malnutrition was negatively correlated with sleep quality （P〈0.05）. Conclusion Hemodialysis patients＇ malnutrition is negatively correlated with sleep quality and nutrition monitoring and diet care are indispensible for patients.