维持性血液透析患者睡眠障碍原因分析及护理对策探讨

Causes of Sleep Disorders in Patients with Maintenance Hemodialysis and Nursing Countermeasures

目的:探讨维持性血液透析患者睡眠障碍原因分析及护理对策。方法:选取2017年9月至2018年8月福建省龙岩市人民医院收治的存在睡眠障碍的血液透析患者60例作为研究对象,对其睡眠障碍的因素进行分析,并提出相应的护理对策。结果:透析失衡的综合征、皮肤瘙痒、胸闷气促、透析性的骨关节病、低氧以及心理的因素等,都是引发患者睡眠出现障碍的可能原因。结论:对透析进行护理并进行充分的透析,对皮肤的瘙痒问题,应采取减轻或者消除的措施,对透析性的骨关节病、睡眠呼吸的暂停进行加强护理,使胸闷气促的症状得到缓解,对其心理进行疏导工作,使患者不良的睡眠状态得到改善,使其生命质量得到提高。

Objective:To explore the causes of sleep disorders in patients with maintenance hemodialysis and nursing countermeasures.Methods:A total of 60 cases of hemodialysis patients with sleep disorders admitted to longyan people′s hospital of fujian province from September 2017 to August 2018 were selected as the research objects,the factors of their sleep disorders were analyzed,and corresponding nursing countermeasures were put forward.Results:The syndrome of dialysis imbalance,skin pruritus,chest shortness of breath,dialytic osteoarthrosis,hypoxia and psychological factors were the possible causes of sleep disturbance.Conclusion:To care and adequate dialysis,dialysis itching of skin problems,measures should be taken to reduce or eliminate,the dialysis sexual osteoarthropathy,intensive care,sleep-related breathing pauses to ease the symptoms of chest short breath,its psychological counseling work,make the patients with poor sleep improved,the quality of life was improved.