血液透析病患睡眠障礙、憂鬱程度及其生活品質的分析探討

Analysis of Sleep Disturbance, Depression, and Quality of Life in Maintenance Hemodialysis Patients

盧素真(Su-Chen Lu) ； 陳世宜(Shih-I Chen) ； 黃淑珍(Shwu-Jen Huang) ； 蘇玲華(Ling-Hwa Su)

《護理暨健康照護研究》 6卷1期 (2010/03) Pp. 33-43

https://doi.org/10.6225/JNHR.6.1.33

摘要

Background: This study was designed to analyze relationships among blood test results, sleep disturbance, depression and quality of life in hemodialysis patients. A total of 114 hemodialysis patients treated at a local teaching hospital in Central Taiwan participated.
Methods: Using a cross-sectional descriptive correlational approach, the researcher employed several questionnaires, including WHOQOL-BREF, Beck depression inventory-Ⅰ, Pittsburgh sleep quality index and PSQI to obtain study data. Statistical analysis was performed using SAS 9.0.
Results: Sleep quality: female and diabetic patients suffered from relatively more severe sleep disturbance. Patient hematocrit, calcium, cholesterol, sodium, ferritin, parathyroid hormone and uric acid levels were all highly correlated to sleeping disorders. Depression severity: 60% of hemodialysis patients suffered from depression. HDL, TG, Na and UA serum levels correlated positively to depression severity (p＜.05). Quality of life: participants earned the highest scores in the environmental profile and lowest scores in the social profile. Lower levels of education, diabetes and blood test result abnormalities were found to relate positively to patient quality of life. Severity of participant sleep disturbance and depression were highly related to life quality (p＜.05).
Conclusions: Participant variables and blood test result abnormalities were found to affect sleep quality, depression severity and life quality. Life quality was also found to affect sleep quality and depression severity. This research was intended to provide guidance to nursing staff to adjust doctors' orders and diet, weight control and daily care recommendations in order to improve nursing care quality and patient life quality during hemodialysis treatment.

關鍵字

血液透析 ； 睡眠障礙 ； 憂鬱 ； 生活品質

並列摘要

Background: This study was designed to analyze relationships among blood test results, sleep disturbance, depression and quality of life in hemodialysis patients. A total of 114 hemodialysis patients treated at a local teaching hospital in Central Taiwan participated.
Methods: Using a cross-sectional descriptive correlational approach, the researcher employed several questionnaires, including WHOQOL-BREF, Beck depression inventory-Ⅰ, Pittsburgh sleep quality index and PSQI to obtain study data. Statistical analysis was performed using SAS 9.0.
Results: Sleep quality: female and diabetic patients suffered from relatively more severe sleep disturbance. Patient hematocrit, calcium, cholesterol, sodium, ferritin, parathyroid hormone and uric acid levels were all highly correlated to sleeping disorders. Depression severity: 60% of hemodialysis patients suffered from depression. HDL, TG, Na and UA serum levels correlated positively to depression severity (p＜.05). Quality of life: participants earned the highest scores in the environmental profile and lowest scores in the social profile. Lower levels of education, diabetes and blood test result abnormalities were found to relate positively to patient quality of life. Severity of participant sleep disturbance and depression were highly related to life quality (p＜.05).
Conclusions: Participant variables and blood test result abnormalities were found to affect sleep quality, depression severity and life quality. Life quality was also found to affect sleep quality and depression severity. This research was intended to provide guidance to nursing staff to adjust doctors' orders and diet, weight control and daily care recommendations in order to improve nursing care quality and patient life quality during hemodialysis treatment.

並列關鍵字

hemodialysis ； sleep disturbance ； depression ； quality of life