湖北医药学院学报2012,Vol.31Issue(6):485-488,4.
社会心理因素对维持性血液透析患者睡眠质量的影响
Effects of Psychosocial Factors on Sleep Quality in Patients with Maintenance Hemodialysis
干艳捷 1田少江2
作者信息
- 1. 湖北医药学院附属人民医院心血管内科,湖北十堰442000
- 2. 湖北医药学院附属人民医院肾内科,湖北十堰442000
- 折叠
摘要
Abstract
Objective To investigate the factors that contribute to sleep disorders in patients with maintenance hemodialysis. Methods The clinical data of 72 patients with maintenance hemodialysis were collected. The sleep quality of all patients were evaluated with Pittsburgh Sleep Quality Index(PSQI). The degree of depression and anxiety was assessed with Beck Depression Inventory( BDI) and Self-rating Anxiety Scale(SAS),respectively. Results The BDI and SAS scores were significantly increased in patients with maintenance hemodialysis, up to 76.4% of patients were in depression state and 52.7% of patients were in anxiety state. The PSQI of patients was higher than normal level and 84.7% of patients obviously manifested sleep disorders. The serum hs-CRP level,depressive index,anxious index and rate of divorce was significantly higher in patients with sleep disorders than those of patients without sleep disorders. Multiple regression analysis showed that hs-CRP level,divorce state and depression state were the independent correlative factors. Conclusion The sleep disorder in patients with maintenance hemodialysis is not only correlated with inflammation,but also correlated with psychosocial factors, therefore the state of social psychology should pay more attetion.关键词
血液透析/睡眠障碍/抑郁/焦虑/社会心理因素Key words
Hemodialysis/Sleep disorder/Depression/Anxiety/Psychosocial factors分类
医药卫生引用本文复制引用
干艳捷,田少江..社会心理因素对维持性血液透析患者睡眠质量的影响[J].湖北医药学院学报,2012,31(6):485-488,4.