腹膜透析患者睡眠障碍状况调查

目的了解腹膜透析患者睡眠障碍状况，分析其影响因素。方法采用肾透析与移植病友专用健康调查表（KDQOL）中的睡眠分量表测评84例腹膜透析患者的睡眠状况，同时收集患者疲乏状况、体力活动状况及抑郁情况等。结果本组患者的睡眠得分为15．0—97．5分，平均（53．12±19．33）分，48．8％的患者存在睡眠问题。单因素及多因素Logistic回归分析发现低体力活动水平（OR=2．172）、医疗费是否自费（OR=1．793）、抑郁（OR=1．367）是睡眠障碍的相关因素，差异具有统计学意义（P〈0．05）。结论应当关注腹膜透析患者的睡眠状况，鼓励患者增加身体活动，采取药物或非药物方法改善睡眠质量，改善患者的心理状态，可减少腹膜透析患者睡眠障碍的出现。

Investigation of sleep disorders status and related factors of patients with peritoneal dialysis

Objective To investigate the sleep disorders status of patients with peritoneal dialysis （PD） ,and analyze the related factors of sleep disorders. Methods The KDQOL sleep sub-scale was used to conducted the sleep investigation in 84 PD patients. Meanwhile, the fatigue, physical activity level and depression were collected. Results The mean score of sleep sub - scale of patients was （53.12 ± 19.33）. The prevalence of sleep disorders was 48.8%. And the logistic regression analysis showed that low physical activity level（ OR = 2. 172, P 〈 0.05 ）, medical expenses （ OR = 1. 793, P 〈 0.05 ） and depression （ OR = 1. 367, P 〈 0.05） were predicted factors of sleep disorders. Conclusions More attention should be paid to sleep disorders in PD patients, promote them to take part in physical activity, take medicine or non-medicine measures to improve their quality of sleep and mental health so as to decrease the incidence of sleep disorders in PD patients.