血液透析患者睡眠质量的测定及其与各种人口统计学和生化因素的关系

S. Etesami, M. Tarrahi, H. Nasri
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摘要

睡眠障碍是血液透析患者中最常见的障碍之一,与血液透析患者的人口学和实验室因素有关。目的:探讨血透患者的睡眠质量及其与一些人口统计学和生化因素的关系。患者和方法:本研究对伊斯法罕Amin医院接受定期和持续血液透析的终末期肾病(ESRD)患者进行横断面研究。匹兹堡睡眠质量指数(PSQI)是面对面完成的。其他数据包括年龄、血红蛋白和红细胞压积、血液透析充分性、血清碱性磷酸酶、铁蛋白、铁、钙、磷、甲状旁腺激素和体重指数。结果:本研究共调查了110例血液透析患者(男性71例)。在这项研究中,41.8%的患者有睡眠障碍。我们发现,有无睡眠障碍患者的人口学和实验室因素无差异(所有参数P>0.05)。男女在睡眠障碍方面差异无统计学意义(P>0.05)。糖尿病患者与非糖尿病患者在睡眠障碍方面差异无统计学意义(P>0.05)。然而,我们的研究表明,年龄和睡眠障碍之间存在显著的直接关系(P=0.026),尤其是在女性中(P=0.011)。结论:睡眠障碍在血液透析患者中较为常见,且与患者年龄有直接关系;然而,在这一领域进行更大规模的研究是必要的。
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Determining sleep quality and investigating its relationship with various demographic and biochemical factors in hemodialysis patients
Introduction: Sleep disorders are one of the most common disorders among hemodialysis patients which is associated with the demographic and laboratory factors of such patients. Objectives: The present study aims to investigate the quality of sleep and its relationship with some demographic and biochemical factors in a group of hemodialysis patients. Patients and Methods: This study is cross-sectional conducted on end-stage renal disease (ESRD) patients who underwent regular and continuous hemodialysis in Amin hospital of Isfahan. The Pittsburgh Sleep Quality Index (PSQI) was completed face-to-face for each individual. Other data included age, hemoglobin and hematocrit, adequacy of hemodialysis, serum alkaline phosphatase, ferritin, iron, calcium, phosphorus, parathyroid hormone and body mass index were receded too. Results: In this study, 110 hemodialysis patients were investigated (71 men). In this study, 41.8% of the patients had sleep disorder. We found, no difference between demographic and laboratory factors of patients with and without sleep disorder (P>0.05 for all parameters). No significant difference was detected among men and women regarding sleep disorder (P>0.05). Accordingly, no significant difference in sleep disorder between patients with and without diabetes was found too (P>0.05). However, our study showed a significant direct relationship between age and sleep disorder (P=0.026) particularly in women (P=0.011). Conclusion: Sleep disorder is common in patients undergoing hemodialysis and is directly related to the patients’ age; however, larger studies in this field are necessary.
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