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Analysis of sleep disturbance and its influencing factors in elderly patients with hemodialysis |
Xu Wennü |
Blood Purification Room, Zhoushan Hospital of Zhejiang, Zhoushan 316000, China |
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Abstract Objective To discuss the sleep disturbance and its influencing factors in elderly patients with hemodialysis.Methods Totally 120 elderly patients with hemodialysis were selected from January 2015 to October 2017 in our Hospital. The Pittsburgh Sleep Quality Index (PSQI) was used to investigate the status of sleep disorders, and the influencing factors of sleep disorders were analyzed.Results In this survey, 70 cases (58.33%) had sleep disorders, and the scores of sleep quality, sleep time, sleep disorders, sleeping drugs and other factors in the patients with sleep disorders were significantly higher than those in the patients with non-sleep disorders, and the difference was statistically significant (P<0.05). The single factor analysis showed that age, duration of dialysis, calcium and phosphorus product, pruritus and restless legs syndrome were associated with sleep disorders (P<0.05). The logistic regression analysis showed that age over 70 years old, duration of dialysis 3 years and above, serum calcium and phosphorus product 4.40 mmol2/L2 and above, skin pruritus and restless leg syndrome were the independent influencing factors of sleep disorders (P<0.05).Conclusions There is the severe sleep disorders in elderly patients with hemodialysis, and age, duration of dialysis, calcium and phosphorus product, pruritus and restless legs syndrome are the main factors for inducing the sleep disorders of patients.
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Received: 16 August 2018
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