| Summary: | 碩士 === 美和科技大學 === 護理系健康照護碩士班 === 107 === Background: Poor sleep quality is a very distressing problem for patients on dialysis for chronic renal disease. Both physical symptoms and social support may affect the sleep quality of patients, which, in turn, affects quality of life. Past research on chronic renal disease sufferers has been limited to exploring either the factors related to sleep quality or the physical symptoms of patients on dialysis; it is rare that anyone has explored the relationships between social support and the sleep quality of patients on dialysis. Therefore, this study will look at these relationships as it explores chronic renal disease sufferers’ physical symptoms, social support, sleep quality and their related factors.
Objective: To explore chronic renal disease sufferers’ physical symptoms, social support, sleep quality and their related factors.
Method: For this study, purposive sampling was done to select 216 renal disease patients from a teaching hospital in southern Taiwan. Research tools included the “Pittsburgh Sleep Quality Indicator Scale” (PSQI), a physical symptom scale and a social support scale. Medical records were used to examine disease properties and biomedical values recorded within the preceding month of the study.
Results: The results showed that the proportion of poor sleep quality in hemodialysis patients was 61.6%. This study has discovered that participant’s ages; those who are with educational level between literate and college level; those who have cardiovascular disease; the levels of the creatinine and those who have higher levels of distress about physical symptoms all have poorer sleep quality. Each extra age increase will increase 0.61 points in the sleep quality. Participants with with educational level between literate and college level would gain 2.879 points more in sleep quality compared with those of illiterate. And participants with education level higher than college level would gain 3.293 points in the sleep quality scale than those of illiterate. Participants with cardiovascular diseas would have 1.368 points higher in sleep quality compared with those participants without cardiovascular disease, and was 0.18 points lower in sleep quality for every 1 (mg/dl) increase in creatinine. Distress of physical symptoms increased in each additional point will gain an additional 3.477 points in the sleep quality scale.
Conclusion: It is worthwhile for healthcare personnel to pay attention to the sleep quality of hemodialysis patients and provide them with related consultations, encouraging them to be proactive with treatment and to learn self-care so as to reduce physical comorbidities, anxiety about symptoms and anxiety about sleep quality.
|
|---|
