血液透析患者睡眠障碍和情绪状态对生命质量的影响

Sleep Disorders,Related Factors and Their Impact on Quality of Life in Maintenance Hemodialysis Patients

目的:探究维持性血液透析患者的睡眠障碍以及其他因素对患者生命质量产生的影响。方法:选取2016年8月至2019年3月禹城市中医院收治的接受血液透析治疗的患者180例作为研究对象,根据患者是否出现睡眠障碍,将其分为对照组(睡眠障碍)与观察组(无睡眠障碍),每组90例患者。对2组患者分别应用焦虑症自评量表(SDS)和抑郁症自评量表(SAS)进行情绪状态评价,同时评估2组患者的匹兹堡睡眠质量指数量表(PSQI)评分,比较2组患者的生命质量差异。结果:对照组患者的SDS、SAS评分高于观察组,观察组患者的生命质量评分高于对照组,2组比较差异均有统计学意义(均P<0.05)。结论:相较于具有睡眠障碍的维持性血液透析患者来说,无睡眠障碍的患者心理状态更为良好,生命质量更高,提示心理因素以及睡眠障碍均会在一定程度上影响血液透析患者的生命质量,临床中应该引起应高度重视。

Objective:To explore the influence of sleep disorders.Methods:The study period was set from August 2016 to March 2019.180 patients who received hemodialysis treatment in Yucheng Hospital of Traditional Chinese Medicine were selected as the experimental objects.According to whether the patients had sleep disorders,contained 90 patients.SDS and SAS were used to evaluate the emotional state of the two groups,and the Pittsburgh sleep quality index(PSQI)results of all patients were recorded,and the quality of life difference between the two groups was analyzed.Results:Compared with the observation group,the SDS and SAS scores of the control group(P<0.05).Conclusion:Compared with maintenance hemodialysis patients with sleep disorders,patients without sleep disorders have better mental state,and patients without sleep disorders have higher quality of life.