Effects of nursing intervention on maintenance hemodialysis patients with sleep disorders
10.3760/cma.j.issn.1674-2907.2011.22.010
- VernacularTitle:护理干预对维持性血液透析睡眠障碍患者的影响
- Author:
Yan-Ling SONG
1
;
Jun-Hui YAN
;
Shu-Jie DING
;
Hao LI
Author Information
1. 深圳市罗湖区人民医院
- Keywords:
Sleep disorders;
Nursing intervention;
Maintenance hemodialysis
- From:
Chinese Journal of Modern Nursing
2011;17(22):2630-2632
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of cognitive behavior intervention on status of the sleep quality, anxiety and depression of the patients who received maintenance hemodialysis. Methods By questionnaire survey, 77 maintenance hemodialysis patients were investigated with Pittsburgh Sleep Quality Index (PSQI), Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS). Among them, 52 with sleep disorders were given cognitive behavioral intervention and progressive muscle relaxation (PMR) training by one to one guidance. Results Of the 77 patients, 52 (67.5％) showed low sleep quality (PSQI ＞ 5), moderate to severe anxiety (SAS ＞ 60) and moderate to severe depression (SDS ＞ 60). PSQI score before and after the intervention was (8.60 ± 2.69), (5.08 ± 1.95), respectively. The difference was statistically significant (t =7. 643 ,P ＜ 0. 01). SDS and SAS also improved after the intervention, and the difference was statistically significant (t = 9. 732,8. 977 ; P ＜ 0. 01). The scores of the six dimensions of PSQI showed significant difference (t = 2. 127,3. 371,5. 674,6. 399,2. 255,2. 039 ; P ＜ 0. 05 or P ＜ 0. 01) after the intervention as compared to before the intervention, regarding subjective sleep quality, sleep latency, sleep continuity, habits of sleep efficiency, sleep disorders and day function. Conclusions The cognitive behavioral intervention and progressive muscle relaxation (PMR) could decrease level of anxiety and depression and improve sleep quality of patients who received maintenance hemodialysis.
