医学新知2024,Vol.34Issue(3) :260-266.DOI:10.12173/j.issn.1004-5511.202312151

维持性血液透析患者睡眠质量的异质性与影响因素:基于潜在剖面分析

Heterogeneity and influencing factors of sleep quality in patients receiving maintenance hemodialysis:a latent profile analysis

范慧 易香 王国庆
医学新知2024,Vol.34Issue(3) :260-266.DOI:10.12173/j.issn.1004-5511.202312151

维持性血液透析患者睡眠质量的异质性与影响因素:基于潜在剖面分析

Heterogeneity and influencing factors of sleep quality in patients receiving maintenance hemodialysis:a latent profile analysis

范慧 1易香 2王国庆2
扫码查看

作者信息

  • 1. 武汉大学人民医院内科(武汉 430060)
  • 2. 武汉大学人民医院血液透析中心(武汉 430060)
  • 折叠

摘要

目的 探讨维持性血液透析患者睡眠质量潜在分类并分析不同分类患者睡眠质量的影响因素.方法 采用阿森斯失眠量表、家庭关怀度指数问卷以及Herth希望量表,对武汉市 2 所三甲医院维持性血液透析患者进行问卷调查,运用潜在剖面分析进行异质性检验,采用二元Logistic分析评估不同睡眠质量潜在类型的影响因素.结果 共调查 227 例维持性血液透析患者,其睡眠质量分为无或轻睡眠障碍型(67.0%)和显著睡眠障碍型(33.0%).二元Logistic回归分析结果显示家庭功能[OR=0.785,95%CI(0.688,0.895),P<0.001]和希望水平[OR=0.855,95%CI(0.807,0.906),P<0.001]是维持性血液透析患者睡眠质量潜在分类的影响因素.结论 维持性血液透析患者睡眠质量存在 2 种潜在类别,医护人员应注重不同患者的睡眠质量特征及其影响因素,进行针对性临床指导及干预,从而改善其睡眠质量.

Abstract

Objective To explore the potential classification of sleep quality in patients with maintenance hemodialysis and analyze the influencing factors of sleep quality in patients with different characteristics.Methods Patients with maintenance hemodialysis from two Grade 3A hospitals were investigated by using Athens Insomnia Scale,Family APGAR Index and Herth Hope Index.Latent profile analysis was used to test heterogeneity,and binary Logistic analysis was used to evaluate the influencing factors of different types of sleeping quality.Results 277 patients with maintenance hemodialysis were included in the research.The sleep quality of patients was classified into two potential categories,no or light sleep disorder(67.0%)and significant sleep disorder(33.0%).Binary Logistic regression analysis results showed that family function[OR=0.785,95%CI(0.688,0.895),P<0.001]and hope[OR=0.855,95%CI(0.807,0.906),P<0.001]were the factors influencing the potential classification of sleep quality in patients with maintenance hemodialysis.Conclusion There were two potential categories of sleep quality in patients with maintenance hemodialysis.Medical staff should pay attention to the characteristics of sleep quality and its influencing factors of different patients,and carry out targeted clinical guidance and intervention to improve their sleep quality.

关键词

维持性血液透析/睡眠质量/潜在剖面分析/家庭功能/希望

Key words

Maintenance hemodialysis/Sleep quality/Latent profile analysis/Family function/Hope

引用本文复制引用

基金项目

湖北省重点实验室开放基金护理专项(2022KFH028)

出版年

2024
医学新知
武汉大学中南医院,中国农工民主党湖北省委医药卫生工作委员会

医学新知

CSTPCD
影响因子:0.243
ISSN:1004-5511
参考文献量20
段落导航相关论文