Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Physical, Physiological, and Psychological Factors Determing Sleep Quality in Patients on Maintenance Hemodialysis

혈액투석 환자의 수면의 질에 영향을 주는 신체적, 심리적, 생리적 요인

  • Shin, Dong Soon (Department of Nursing, Chungnam National University Hospital) ;
  • Im, Bong Ju (Department of Nursing, Chungnam National University Hospital) ;
  • Kang, Young Seon (Department of Nursing, Chungnam National University Hospital) ;
  • Lee, Ji Hye (Department of Nursing, Chungnam National University Hospital) ;
  • Jung, Eun Kyoung (Department of Nursing, Chungnam National University Hospital) ;
  • Oh, Jeong Hee (Department of Nursing, Chungnam National University Hospital) ;
  • Min, Kyung Ae (Department of Nursing, Chungnam National University Hospital) ;
  • Song, Rhayun (College of Nursing, Chungnam National University) ;
  • Na, Ki Ryang (College of Medicine, Chungnam National University)
  • Received : 2017.03.03
  • Accepted : 2017.06.20
  • Published : 2017.08.31
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Abstract

Purpose: The study aimed to examine quality of sleep in hemodialysis patients and explore physical, physiological, and psychological factors determining sleep quality. Methods: The survey was conducted among 165 patients on maintenance hemodialysis at a university hospital. Data were collected from July to October in 2015. The sleep quality and its related factors were assessed by standardized questionnaires, anthropometric measures, and lab tests after obtaining a written consent from the participant. Results: The mean age of the participants was 62.58 years old, and 67.9% of the participants experienced sleep disorders such as 'not falling asleep within 30 minutes' or 'frequently waking up at night'. Pain (t=-3.29, p=.007) and depression (t=-6.028, p<.001) were significantly different between the group with sleep disorder and the other without. The demographic factors (age, shared room, sleep during the day), physical factors (pain and symptom), and psychological factors (depression and trait and status anxiety) together explained 20.0% of variance in sleep quality. Conclusion: Sleep disorder was frequently experienced among the patients on maintenance hemodialysis. The effective nursing strategies should focus on sleep environment, pain and depression management. Further study is warranted to explore the effect of physiological factors related to the disease on sleep disorder in this population.

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References

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