持续非卧床腹膜透析患者睡眠质量及其相关因素分析

目的调查持续非卧床腹膜透析患者的睡眠质量状况并分析其相关因素。方法对117例持续非卧床腹膜透析患者进行问卷调查。结果 117例患者的匹兹堡睡眠指数总分为(7.45±4.58),52例(44.44%)患者睡眠质量较好,65例(55.56%)患者睡眠质量较差,其中33例(28.20%)睡眠质量极差。不同性别患者在入睡时间方面的差异具有统计学意义(P0.05);血白蛋白水平和睡眠效率及睡眠障碍因子得分呈负相关;综合营养评分不同的患者在入睡时间、催眠药物方面的差异具有统计学意义(P0.05)。日总体力活动能量消耗与睡眠障碍、匹兹堡睡眠指数总分之间呈负相关(P0.05)。结论持续非卧床腹膜透析患者睡眠质量较差,与睡眠质量相关的因素可能有性别、营养状况、体力活动。

The status and related factors of the sleep quality in continuous ambulatory peritoneal dialysis patients

Objective To investigate the sleep quality of patients with Continuous Ambulatory Peritoneal Dialysis （CAPD） and analyze its related factors. Methods A total of 117 CAPD patients were investigated with Pittsburgh Sleep Quality Index（PSQI） ,International Physical Activity Questionnaire（IPAQ） and Subject Global Assessment （SGA）. Results The PSQI score of 117 patients was 7.45 ±4.58. Fifty - two patients （44. 44% ） were ＂ well sleepers＂ （ PSQI ≤5 ） ,65 patients（55.56% ） were ＂ poor sleepers＂ （ PSQI 〉 5 ） , of which 33 patients（28.21% ） were ＂the poorest sleepers＂ （ PSQI 〉 10）. The sleep latency was significantly different between male and female patients （ P 〈 0.05 ）. Patients with different SGA scores were significantly different in sleep latency and use of sleep medication （P 〈 0.05 ）. Correlation analysis showed that the level of serum albumin had negative correlations with the score of sleep efficiency and sleep disturbance factors, and the energy expenditure of daily physical activity had negative correlations with sleep disturbance and the tota score of PSQI （ P 〈 0.05 ）. Conclusion Sleep complaints are very common in CAPD patients. The gender, nutritional status, physical activity may be associated with the quality of sleep.