不同腹膜透析模式对睡眠质量影响的多中心调查研究

发布时间：2018-06-01 20:25

本文选题：腹膜透析 + 睡眠障碍　；参考：《医学研究生学报》2016年02期

【摘要】：目的针对持续性非卧床腹膜透析(continues ambulatory peritoneal dialysis,CAPD)模式下的相关影响因素讨论已有文献报道。文中旨在探讨CAPD模式与日间非卧床腹膜透析(daytime ambulatory peritoneal dialysis,DAPD)对睡眠质量影响的对比。方法组织来自于3个省份8家医院的腹膜透析中心经培训合格的透析专职人员,在统一时间段内采用匹兹堡睡眠指数量表(Pittsburgh Sleep Quality Index,PSQI)进行调研。针对调研内容包括一般资料、睡眠质量得分、实验室检查、透析充分性等指标,并对结果进行汇总分析。研究最终纳入来自8家医院的325名腹膜透析患者。其中CAPD与DAPD组分别为177和148例,2组患者的一般资料差异无统计学意义。结果 CAPD及DAPD患者匹兹堡睡眠指数量表得分分别为(6.88±2.43)和(6.71±2.69)分,组间差异无统计学意义(P0.05),且均高于常模(3.88±2.52)分。DAPD患者睡眠潜伏期长,但CAPD患者由于容量负荷更易出现夜间早醒或易醒以及夜间如厕、咳嗽、打鼾等睡眠紊乱症状(P=0.032)。结论腹膜透析患者睡眠质量低于正常成人,且CAPD与DAPD透析模式对患者睡眠质量有着不同程度的影响,医护人员应充分评估患者身体及心理状态,以选择合适的透析模式。
[Abstract]:Objective to discuss the related factors of continuous ambulatory peritoneal dialysis (PD) under the model of continuous ambulatory peritoneal dialysissis (CAPD). The purpose of this study was to investigate the effects of CAPD mode and daytime ambulatory peritoneal dialysis (DAPD) on sleep quality. Methods Peritoneal dialysis centers from 8 hospitals in three provinces were investigated by using Pittsburgh Sleep Quality Index (Pittsburgh Sleep Quality Index) in the same time period. The contents of the investigation include general information, sleep quality score, laboratory examination, dialysis adequacy and so on, and the results are summarized and analyzed. The study included 325 peritoneal dialysis patients from 8 hospitals. There was no significant difference in general data between CAPD group and DAPD group. Results the scores of Pittsburgh Sleep Index scale in CAPD and DAPD patients were 6.88 卤2.43) and 6.71 卤2.69, respectively. However, patients with CAPD were more likely to wake up early or wake up at night due to volume load, and sleep disorders such as toilet, cough, snoring and so on. Conclusion the sleep quality of peritoneal dialysis patients is lower than that of normal adults, and the CAPD and DAPD dialysis modes have different effects on the sleep quality of the patients. Medical staff should fully evaluate the physical and psychological status of the patients in order to select the appropriate dialysis mode.
【作者单位】：南京中医药大学护理学院;南京军区南京总医院干部训练中心;南京军区南京总医院肾脏科国家肾脏疾病临床医学研究中心全军肾脏病研究所;解放军第四五五医院肾内科;苏北人民医院肾内科;兴化市人民医院肾内科;泰兴市人民医院肾内科;安徽医科大学第一附属医院肾内科;南京市第一医院腹膜透析中心;
【分类号】：R459.5

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