Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
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Factors Influencing Sleep Disorders in Patients on Hemodialysis

혈액투석 환자의 수면장애 영향요인

  • Lee, Hyein-Mi (Gwangju Christian Hospital) ;
  • Ryu, Se-Ang (Department of Nursing, Dongshin University) ;
  • Kim, Eun-A (College of Nursing, Chonnam National University, Kidney Center, Chonnam National University Hospital) ;
  • Jang, Keum-Seong (College of Nursing, Chonnam National University, Chonnam Research institute of Nursing Science)
  • 이현미 (광주기독병원) ;
  • 류세앙 (동신대학교 간호학과) ;
  • 김은아 (전남대학병원 신장센터, 전남대학교 간호학과) ;
  • 장금성 (전남대학교 간호대학, 전남대학교 간호과학 연구소)
  • Published : 2009.05.31
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Abstract

Purpose: This study was conducted to identify the factors contributing to sleep disorders in patients on hemodialysis. Methods: A descriptive correlational study design was used. The participants were 135 patients on hemodialysis in hemodialysis clinics. Data were collected from March to May 2007 using structured questionnaires and hematologic sample. Stepwise multiple regression was used to identify factors influencing sleep disorders among the demographic-clinical factors, depression and fatigue. Results: About 69% of the patients had a sleep disorders. There were significant differences in sleep disorders according to marital status, caregiver, religion, economic level, insurance, erythropoietin, somnifacient, and antihypertensive agents. But there were no differences according to age, gender, dialysis period, or antidepressants. Their sleep disorders had significant correlations with depression, and fatigue, and a significant negative correlation with Protein, Albumin, Phosphate and BUN. But there were no correlations with hematocrit, hemoglobin, creatinine, sodium, potassium, or calcium. Depression and fatigue were factors influencing sleep disorders. They accounted for 43.8% of the variance in sleep disorders in these patients. Conclusion: Findings provide an understanding of sleep disorders and the factors that are an influence in patients on hemodialysis. To promote sleep in these patients, nursing interventions to manage depression and fatigue are needed.

Keywords

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