护理干预对维持性血液透析发生睡眠障碍患者的研究

Effect of nursing intervention on treatment of maintenance hemodialysis patients with sleep disorders

目的探讨护理干预对维持性血液透析发生睡眠障碍患者的睡眠质量和生活质量的影响。方法选择本院接受血液透析且有失眠状况的ESRD患者80例,随机分为对照组与观察组各40例。对照组施行常规护理,观察组在常规护理的基础上施行多方位的护理干预措施,评价护理结果。结果陌生环境(77.50%)、医药费负担(87.50%)、贫血(82.50%)是严重影响患者睡眠质量的因素;2组患者在干预前的生存质量分值均低于一般人群且2组差异不显著(P>0.05);2组患者在干预后生存质量的评分高于干预前(P<0.05),观察组患者干预后的生存质量评分高于对照组患者(P<0.05)。结论多方位的护理干预措施可以引导患者养成正确的生活习惯,增强患者的遵医依从性,提高患者睡眠质量,在一定程度上提升透析患者的生活质量。

Objective To explore the effect of nursing intervention on the sleep quality and quality of life in maintenance hemodialysis patients with sleep disorders. Methods A total of ESRD patients with sleep disorder by treatment of hemodialysis were randomly divided into observation group and control group,40 cases in each group. Patients in the control group were given routine nursing,and the observation group was given nursing intervention measures on the basis of routine nursing.Nursing outcomes were evaluated in both groups. Results Strange environment（ 77. 50%）,medical expenses burden（ 87. 50%） and anemia（ 82. 5%） were severe influencing factors for quality of sleep. Before the intervention,the scores of quality of life in both groups were significantly lower than those in the normal people（ P〈0. 05）,but there was no significant difference between observation group and control group. After the intervention,the survival quality scores in both group were significantly higher than those before the intervention（ P〈0. 05）,and survival quality score in the observation group was significantly higher than the control group（ P〈0. 05）. Conclusion Multi direction nursing interventions can lead patients to develop the right habits,enhance the compliance of patients,improve the quality of life and improve the quality of life in dialysis patients.