肾移植患者术后睡眠质量的相关影响因素及其护理干预对策

Related influencing factors of sleep quality in patients with renal transplantation and nursing intervention strategies

目的:探讨肾移植患者术后睡眠质量的相关影响因素及其护理干预对策。方法:回顾性分析2018年3月至2021年3月海军军医大学附属第二医院收治的肾移植术后患者130例的临床资料,予以临床资料调查表、匹兹堡睡眠质量指数量表(PSQI)、非精神科住院患者心理评定量表(MSSNS)调查其睡眠质量,并予以Pearson相关性分析法分析肾移植术后患者MSSNS各维度与PSQI总分的相关性,予以多因素Logistic回归分析法分析影响肾移植术后患者睡眠质量的危险因素。结果:年龄35~49岁、肾功能延迟恢复的肾移植术后患者PSQI评分高于年龄18~34岁、肾功能未延迟恢复的患者,差异有统计学意义(P<0.05)。肾移植术后患者MSSNS总分为(54.28±15.69)分,PSQI总分为(7.25±3.50)分。Pearson相关性分析结果显示,肾移植术后患者MSSNS各维度与PSQI总分均呈正相关(r=0.313、0.412、0.255、0.409,P<0.05)。多因素Logistic回归分析结果显示,年龄35~49岁、肾功能延迟恢复、抑郁是影响肾移植术后患者睡眠质量的危险因素(OR=3.881、4.787、3.384,P<0.05)。结论:肾移植患者术后睡眠质量较差,且年龄、肾功能延迟恢复、抑郁是影响患者睡眠质量的主要因素,临床可据此给予患者针对性护理干预,以改善患者睡眠质量。

Objective:To explore the related influencing factors of sleep quality in patients with kidney transplantation and the nursing intervention strategies.Methods:The clinical data of 130 patients after kidney transplantation admitted to the hospital from March 2018 to March 2021 were retrospectively analyzed.Clinical data questionnaire,pittsburgh sleep quality index(PSQI)and mental state assessment scale for non-psychiatric inpatients(MSSNS)were used to investigate their sleep quality.Pearson correlation analysis was used to analyze the correlation between the dimensions of MSSNS and the total score of PSQI in patients after kidney transplantation.Multivariate Logistic regression analysis was performed to analyze the risk factors affecting the sleep quality of patients after kidney transplantation.Results:The PSQI score of renal transplantation patients aged 35~49 years old,delayed renal function recovery was higher than that of patients aged 18~34 years old,without delayed renal function recovery,and the difference was statistically significant(P<0.05).The total score of MSSNS and PSQI after renal transplantation was(54.28±15.69)and(7.25±3.50).Pearson correlation analysis showed that all dimensions of MSSNS after renal transplantation were positively correlated with the total score of PSQI(r=0.313、0.412、0.255、0.409,P<0.05).Multivariate Logistic regression analysis showed that age 35~49 years old,delayed recovery of renal function and depression were the risk factors affecting sleep quality of patients after renal transplantation(OR=3.881、4.787、3.384,P<0.05).Conclusions:Patients with renal transplantation have poor sleep quality after surgery,and age,delayed recovery of renal function and depression are the main factors affecting the sleep quality of patients.Therefore,targeted nursing intervention can be given to patients to improve the sleep quality of patients.