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Quality of Sleep in Predialysis Patients with Chronic Kidney Disease

초록

영어

The purpose of this study were to measure the prevalence of sleep disturbance in a prevalent population of chronic kidney disease (CKD) patients and to examine the association between quality of sleep and the other variables in this population. The subjects of the study were 126 patients who visited the nephrology outpatient department of a tertiary hospital in Seoul between December 12th and December 23th, 2012 and consented to participate in the study. Descriptive were used to analyze the data with the SPSS Win 12.0 program. Sleep disorder was identified in 42.9% of the participants. Quality of sleep level showed a maximum score of 80 with a mean score of 48.6. There was a significant difference in the quality of sleep of the subjects at each stage(F=10.94, p=<.001). The Scheffe post hoc test confirmed that patients at higher stages had lower levels of quality of sleep. There were significantly positive correlations between quality of sleep and residual renal function(r=.368, p<.001), age(r=.184, p=.039), level of education(r=.188, p=.036) and hemoglobin(r=.396, p<.001). There were significantly negative correlations between quality of sleep and CRP(r=-.331, p<.001) and uremic symptoms(r=-.427, p<.001). Age(p=.001), level of education(p=.047), GFRs(p=.016), hemoglobin(p=.012), CRP(p=.006) and uremic symptoms(p=.014) predicted value accounted for 59.4% of the variance on quality of sleep(F=10.84, p<.001). Hence, health care providers should be concerned about helping to slow the progression of renal failure and considered related variables when planning an approach towards managing the sleep disorder in predialysis patients with CKD.

목차

Abstract
 1. Introduction
 2. Methods
  2.1. Subjects and Data Collection
  2.2. Instruments
  2.3. Data Analysis
  2.4. Ethical Consideration
 3. Results
  3.1. General Characteristics of the Patients
  3.2. Quality of Sleep of the Patients
  3.3. Correlation between Quality of Sleep and Residual Renal Function
  3.4. Characteristics of ‘Sleep Disorder Patients’ Compared with ‘Non-sleep Disorder Patients’ among the Patients
  3.5. Quality of Sleep of the Patients by Stages
  3.6. Correlation between Quality of Sleep and other Variables
  3.7. Factors of Affecting the Quality of Sleep in Predialysis Patients
 4. Discussion
 References

저자정보

  • Su-Jeong Han Department of Nursing, Konyang University
  • Hye-Won Kim Seoul Women’s College of Nursing

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