Predictive effect of social support degree on the development trajectory of sleep disorders in patients with peritoneal dialysis after catheterization
10.3760/cma.j.cn115682-20230306-00841
- VernacularTitle:社会支持程度对腹膜透析置管后患者睡眠障碍发展轨迹的预测作用
- Author:
Caifeng ZHANG
1
;
Yuxia YANG
;
Xiuzhen HOU
;
Xiaoxia FANG
Author Information
1. 新乡市中心医院新乡医学院第四临床学院肾内科，新乡 453000
- Keywords:
Dialysis;
Peritoneal dialysis;
Sleep disorders;
Social support;
Latent class growth model
- From:
Chinese Journal of Modern Nursing
2023;29(30):4133-4137
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the predictive effect of social support degree on the development trajectory of sleep disorder in patients with peritoneal dialysis after catheterization.Methods:A total of 281 patients who received peritoneal catheterization in Xinxiang Central Hospital from May 2021 to October 2022 were selected by the convenient sampling method. Sleep quality (PSQI) was assessed by using Pittsburgh Sleep Quality Index (PSQI) at the time of enrollment (T 0) and on day 3 (D 3) , day 7 (D 7) , day 14 (D 14) , day 21 (D 21) and day 28 (D 28) after peritoneal catheterization, and then the development trajectory of sleep disorders was analyzed by the latent class growth model. After assessed by Perceived Social Support Scale (PSSS) , patients were divided into low social support group and high social support group, and the differences in the development trajectory distribution of sleep disorders of patients were compared between two groups. Results:There were 134 patients (47.69%) in the low social support group and 147 patients (52.31%) in the high social support group. Three potential categories of sleep disorder development trajectories were identified, including 78 cases without sleep disorder (27.76%) , 79 cases with improved sleep disorder (28.11%) and 124 cases with persistent sleep disorder (44.13%) . The trajectories showed the lowest PSQI score at D 3, followed by D 7 and T 0. In the low social support group, there were 30 cases without sleep disorders (22.39%) , 34 cases with improved sleep disorders (25.37%) and 70 cases with persistent sleep disorders (52.24%) . In the high social support group, there were 48 cases without sleep disorders (32.65%) , 45 cases with improved sleep disorders (30.61%) and 54 cases with persistent sleep disorders (36.73%) . There was a statistically significant difference in the distribution of sleep disorder trajectories between the two groups of patients ( P<0.05) . Conclusions:Sleep disorders are common in patients undergoing peritoneal dialysis after catheterization, with an incidence rate of 72.24%, which is more obvious within one week after surgery. Patients with low social support have lower overall sleep quality and were more likely to have persistent sleep disorders.
