成年慢性病患者的睡眠质量差以及相关因素
Yibeltal Yismaw Gela1, Liknaw Workie Limenh2, Wudneh Simegn3
1Department of Physiology, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Frontiers in medicine
|May 16, 2024
概括
几乎一半的慢性病 (CKD) 患者睡眠质量差. 常见的精神障碍,贫血,功能下降,年龄较大和疾病持续时间较长是相关因素. 建议在CKD患者中定期对睡眠问题进行查.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 慢性病 (CKD) 患者的睡眠质量差很普遍,影响疾病进展,生活质量和死亡率.
- 在CKD中睡眠障碍会影响免疫功能,认知和情绪健康,可能导致治疗不遵守.
- 没有先前的研究调查了埃塞俄比亚CKD患者睡眠质量差的流行率和相关因素.
研究的目的:
- 为了确定慢性病 (CKD) 患者睡眠质量差的患病率.
- 确定与CKD患者睡眠质量差相关的因素.
- 为改善埃塞俄比亚CKD患者睡眠的有针对性的干预提供数据.
主要方法:
- 在两个埃塞俄比亚医院进行了一项横截面研究,涉及424名CKD患者.
- 匹兹堡睡眠质量指数 (PSQI) 用于评估睡眠质量,得分>5表示睡眠不良.
- 使用系统的随机抽样和多变量逻辑回归来确定相关因素.
主要成果:
- 42.9%的CKD患者报告睡眠质量不佳 (95%CI:38%至47%).
- 睡眠质量差的独立预测因素包括常见的精神障碍,贫血,降低估计质过率 (eGFR) 水平,50岁以上的年龄和更长的疾病持续时间.
- 发现了具体的关联:常见的精神障碍[AOR=1.8],贫血[AOR=2.7],降低了eGFR[AORs从1.6到3.8不等],年龄>50岁[AOR=1.7],和疾病持续时间[AOR=2.9].
结论:
- 睡眠质量不佳是影响近一半CKD患者的重要问题.
- 患有精神健康问题,贫血,功能下降,年龄较大和疾病持续时间较长的CKD患者有较高的睡眠不良风险.
- 定期对睡眠质量差的查对CKD患者至关重要,特别是那些具有已确定的风险因素的患者,以改善整体健康结果.
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