针对性干预对血液透析患者睡眠质量的改善效果研究  

Study on the Improvement Effect of Targeted Intervention on Sleep Quality of Hemodialysis Patients

作　　者：王殷 吕华丽[1] WANF Yin;LYU Huali(Hemodialysis Room,Department of Nephrology,The First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院肾内科血透室,厦门361000

出　　处：《世界睡眠医学杂志》2024年第6期1377-1379,共3页World Journal of Sleep Medicine

摘　　要：目的:观察血液透析患者接受针对性干预对睡眠质量改善效果。方法:选取2022年9月至2023年9月厦门大学附属第一医院肾内科血透室收治的血液透析患者110例作为研究对象。按照随机数字表法分为对照组和观察组,每组55例。对照组实施常规护理模式,观察组实施针对性干预。评价2组干预前后情绪、日间嗜睡、主观睡眠质量。结果:干预后,观察组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分、匹兹堡睡眠质量指数(PSQI)各维度得分、Epworth日间嗜睡量表(ESS)评分较对照组有更显著下降趋势,差异有统计学意义(P<0.05)。结论:血液透析患者接受针对性干预可改善情绪状态,减轻日间嗜睡症状,提高睡眠质量。Objective:To observe the effect of targeted intervention on sleep quality in hemodialysis patients.Methods:A total of 110 hemodialysis patients were enrolled in the hemodialysis room of the Department of Nephrology in the First Affiliated Hospital of Xiamen University from September 2022 to September 2023.All patients were divided into two groups according to the random number table method,55 cases respectively.The control group implemented routine nursing mode,and the observation group implemented targeted intervention.Mood,daytime sleepiness and subjective sleep quality were evaluated before and after intervention.Results:After the intervention,the scores of Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),Pittsburgh Sleep Quality Index(PSQI)and Epworth Daytime sleepiness Scale(ESS)in the observation group were significantly decreased compared with the control group,the difference was statistically significant(P<0.05).Conclusion:Targeted intervention can improve emotional state,reduce daytime sleepiness and improve sleep quality in hemodialysis patients.

关 键 词：血液透析 针对性干预 肾内科 血透室 睡眠质量 焦虑 抑郁 日间嗜睡 

分 类 号：R338.63[医药卫生—人体生理学] R459.5[医药卫生—基础医学]