症状困扰对腹膜透析患者睡眠质量和自我管理能力的影响  

Effect of symptom distress on sleep quality and self-management competency of peritoneal dialysis patients

作　　者：何彦芳[1] 胡丽萍[1] 陈婷[1] 龚妮容[1] 易枝秀[1] 王璐[1] 杨聪[1] 蒋建平[1] 

机构地区：[1]南方医科大学南方医院肾内科,广东广州510515

出　　处：《中国医药导报》2017年第11期103-106,共4页China Medical Herald

基　　金：国家自然科学基金面上项目(81470995);南方医科大学南方医院院长基金(2014H004)

摘　　要：目的探讨症状困扰对腹膜透析患者睡眠质量和自我管理能力的影响。方法选取2014年5月~2016年2月在南方医科大学南方医院接受腹膜透析治疗的患者72例,评估患者的症状困扰严重程度、睡眠质量及自我管理能力,并进行相关性分析。结果腹膜透析患者的症状困扰发生率为22.22%~100%,得分最高的症状依次为瘙痒、口干、皮肤干燥、疲乏或精力不足。腹膜透析患者的睡眠质量总分为(11.22±3.82)分,其中,日间功能障碍得分最高,其次为入睡时间、睡眠时间及主观睡眠质量,催眠药物得分最低。腹膜透析患者的自我管理能力总分为(54.85±10.28)分,其中,执行自我护理得分最高,其次为问题解决、伙伴关系,情绪处理得分最低。腹膜透析患者的睡眠质量总分与症状困扰严重程度呈明显正相关(r=0.652,P=0.004),自我管理能力总分与症状困扰严重程度呈明显负相关(r=-0.598,P=0.042)。结论腹膜透析患者的睡眠质量和自我管理能力与症状困扰严重程度呈明显相关性,临床上应进行对症治疗,以改善患者的睡眠和自我管理情况。Objective To investigate the effect of symptom distress on sleep quality and self-management competency of peritoneal dialysis patients. Methods 72 cases of patients with peritoneal dialysis treatment from May 2014 to February 2016 in Nanfang Hospital of Southern Medical University were selected. The severity of symptoms distress, sleep quality and self-management competency were evaluated, and the correlation was analyzed. Results The inci- dence rate of symptom distress in peritoneal dialysis patients was 22.22%-100%, the highest score of the symptoms were pruritus, thirsty, dry skin, fatigue Or lack of energy. The total score of sleep quality of patients with peritoneal dialysis was （11.22±3.82） points, of which the daytime dysfunction had the highest score, followed by sleep latency, sleep time and subjective sleep quality, hypnotic drugs had the lowest score. The total score of self-management competency of patients with peritoneal dialysis was （54.85±10.28） points, of which the self-care had the highest score, followed by problem solving, partnership, the emotional processing had the lowest score. There was a significantly positive correlation in peritoneal dialysis patients between the total score of sleep quality and symptom distress severity （r=0.652, P=0.004）; while there was a significantly negative correlation between the total score of self-management competency and symptom distress severity （r=-0.598, P=0.042）. Conclusion The sleep quality and self-management ability of pa- tients with peritoneal dialysis are significantly correlated with the severity of symptom distress, and symptomatic treat- ment should be carried out in order to improve sleep and self-management.

关 键 词：症状困扰 腹膜透析 睡眠质量 自我管理能力 

分 类 号：R459.5[医药卫生—治疗学]