摘要
目的:探究并分析血液透析患者的疲劳及衰弱状况与睡眠的相关性情况,为临床开展针对性护理,改善患者睡眠质量并提高其自理能力提供理论依据.方法:采用疲劳量表-14(FS-14)、衰弱筛查量表、自理能力Barthel指数评定量表以及匹兹堡睡眠质量指数量表(pSQI)对本中心接受维持性血液透析患者268例进行调查统计.结果:根据FS-14总得分,本研究患者非疲劳26例,疲劳242例.疲劳患者衰弱状况、睡眠质量、入睡时间、睡眠效率、睡眠障碍以及日间功能障碍得分均高于非疲劳患者,差异均有统计学意义(P＜0.05).Spearman相关分析结果显示,血液透析患者各疲劳因子与衰弱总分、自理能力总分、匹兹堡睡眠质量、入睡时间、睡眠效率、睡眠障碍以及日间功能障碍得分呈正相关(P＜0.05).结论:血液透析患者普遍存在疲劳状况,疲劳状况会降低患者自理能力,加重其衰弱状况,并且会降低其睡眠状况从而导致生存质量下降.
Abstract
Objective:To explore and analyze the correlation between symptoms of fatigue and frailty in hemo-dialysis patients and their sleep situation,in order to provide theoretical basis for targeted nursing in clinical practice,improve patients'sleep quality,and enhance their self-care ability.Methods:A total of 268 patients undergoing maintenance hemodialysis in our hospital were investigated and statistically analyzed using the fa-tigue scale-14(FS-14),weakness screening scale,self-care ability Barthel index assessment scale,and Pitts-burgh sleep quality index(pSQI).Results:According to the total score of FS-14,there were 26 non-fatigue pa-tients and 242 fatigue patients in this study.Fatigue patients had higher scores in terms of frailty,sleep quali-ty,sleep latency,sleep efficiency,sleep disorders,and daytime dysfunction compared to non-fatigue patients,with statistical significance(P＜0.05).The Spearman correlation analysis results showed that each fatigue factor in hemodialysis patients was positively correlated with the total score of weakness,total score of self-care ability,Pittsburgh sleep quality,sleep latency,sleep efficiency,sleep disorders,and daytime dysfunction scores(P＜0.05).Conclusion:Hemodialysis patients generally experience fatigue.which can reduce their self-care abili-ty,exacerbate their frailty,and lower their sleep status,leading to a decrease in quality of life.
基金项目
中日友好医院护理部课题(ZRHL-LCFC-22-03)
NETL
NSTL
万方数据