腹腔透析和血液透析患者的睡眠质量比较:一个横截面研究
Ergun Parmaksiz1, Elif Torun Parmaksiz2
1Ergun Parmaksiz Associate Professor, Department of Nephrology, Health Sciences University, Kartal Dr. Lutfi Kırdar City Hospital, Istanbul Turkiye.
Pakistan journal of medical sciences
|September 22, 2025
概括
睡眠质量是透析患者的一个重要问题. 虽然血液透析 (HD) 和腹腔透析 (PD) 之间整体睡眠质量没有差异,但HD患者报告睡眠延迟和白天功能障碍更大.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 睡眠医学 睡眠医学
- 生活质量研究 研究 生命质量研究
背景情况:
- 睡眠质量对于整体健康至关重要.
- 透析患者经常因身体和情绪压力而经历睡眠障碍.
- 了解透析方式之间的睡眠质量差异对于患者护理很重要.
研究的目的:
- 为了评估和比较末期病 (ESRD) 患者的睡眠质量,患者接受血液透析 (HD) 与腹腔透析 (PD).
主要方法:
- 一项观察性,横截面研究涉及74名成年ESRD患者 (51名HD,23名PD) 接受过超过一年的透析治疗.
- 使用匹兹堡睡眠质量指数 (PSQI) 评估睡眠质量.
- 一个PSQI得分为5或更高表示睡眠质量差.
主要成果:
- 56%的参与者表示睡眠质量不佳.
- 在HD和PD组之间没有观察到整体睡眠质量的显著差异.
- 与PD患者相比,血液透析患者报告睡眠延迟和白天功能障碍显著增加.
结论:
- 透析模式没有显著影响整体睡眠质量.
- 血液透析患者在睡眠和白天功能方面面临更大的挑战.
- 解决睡眠障碍对于管理透析患者护理至关重要.
相关概念视频
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
557
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
557
Peritoneal Dialysis I: Introduction and Procedure
2.4K
Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
2.4K
Hemodialysis I: Introduction
1.4K
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
1.4K
Peritoneal Dialysis III: Nursing Management
676
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
676
Hemodialysis II: Procedure and Complications
651
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
651
Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis
406
Patients with end-stage renal disease (ESRD) or those experiencing drug overdose often require extracorporeal methods to eliminate accumulated drugs and metabolites. Hemoperfusion, hemofiltration, and dialysis are the primary techniques to rapidly remove harmful substances without disrupting the patient's fluid and electrolyte balance. For those with compromised renal function, dosage adjustments of concurrent medications may be necessary during extracorporeal drug removal.Dialysis is a process...
406


