| Objective:To investigate the status of peritoneal dialysis sleep and quality of life of patients, evaluate the effects of peritoneal dialysis modes on quality of life and sleep.Methods:contact centers 1-2 has delegated nurse and above titles and specialist in peritoneal dialysis for three years or more full-time staff to the Centre to participate in research tasks and start intensive training. Select patients from eight hospitals peritoneal dialysis center line PD catheterization. Using self-prepared questionnaire PD patients with general information and disease status were investigated by the success has been prepared, with good reliability and validity of the Chinese version of the Quality of Life Scale peritoneal dialysis patients and Pittsburgh Sleep Index Scale eight hospitals 325 peritoneal dialysis investigation and six-month follow-up of the quality of life of patients and the quality of sleep in order to get close to the status quo of life and quality of sleep in patients with peritoneal dialysis stage of Jiangsu Province and its influencing factors, and to explore different modes of peritoneal dialysis its impact.Results:A total of 325 cases of peritoneal dialysis patients from eight hospitals included in the study, of which 177 cases of CAPD group, DAPD group included 148 cases, with an average age of 46.78±12.63 and 45.17±11.28, the proportion of the two groups of patients were male and 94 cases (53.1%) and 79 patients (53.4%). There had no significant difference between the two groups (P> 0.05). October survey, included in the study 325 patients with PD PSQI total average score (6.80±2.55) points higher than the norm (3.88±2.52) points. Where 53 cases (35.8%) DAPD patients and 68 (38.4%) CAPD patients with sleep disorders (PSQI score> 7), DAPD group sleep latency scores of higher than CAPD group, suggesting the group DAPD sleep longer, and CAPD group hypnotic scores of higher than DAPD groups, CAPD group hypnotic drug use more than DAPD group, There was a statistically significant difference between the two groups (P<0.05). Wherein, CAPD patients wake up early or sleep times higher overall than the DAPD patients (P<0.05), CAPD patients compared DAPD frequently go to the toilet at night (P<0.05), the number of CAPD group coughing or snoring group was significantly higher than DAPD (P<0.05).Survey results suggest that the overall quality of life in patients with PD score of 73.34 ±12.45, CAPD and two DAPD quality of life scores were 72.61±10.94 and 74.06±13.59, the difference was not statistically significant (P=0.297), but in the psychological state dimension, DAPD group scored significantly higher than the CAPD group (P<0.05). CAPD patients overall quality of life score and Hospital (r=0.422, P=0.000), marriage (r=0.152, P=0.006), presence or absence of cardiovascular complications (r=0.268, P=0.000), the total amount of peritoneal dialysis (r=-0.198, P=0.000),24 hourly urine volume is (r= 0.289, P=0.000), hemoglobin (r=0.175, P=0.021) related. The above factors were significant multivariate regression analysis, the results can be obtained CAPD patient quality of life of patients*=15.723+3.145+2.124* 24 hours urine hemoglobin-2.712+4.952* * Type of hospital dialysis total intake (dialysis frequency). DAPD overall quality of life of patients and Employment scores (r=-0.189, P=0.001), income (r=0.147, p=0.008), monthly pocket medical expenses (r=-0.261, P=0.000), PD total intake (r=-0.257, P= 0.000), age of initial dialysis (r=0.116, P=0.037), albumin (r=0.166, P=0.003), hemoglobin (r=0.181, P=0.019) related. Regression analyzes were based on the results of relevant factors. DAPD quality of life in patients with peritoneal dialysis patients= 14.361-2.785 *total intake+2.411* Serum albumin annual income -5.012* monthly pays drugs situation.Followed up for 6 months after a total of 23 studies were excluded, it was lost 7.07 percent. Data show that there are 42 cases (30.0%) DAPD patients and 68 (42.0%) CAPD patients with sleep disorders (PSQI score> 7). Risk estimation value OR 1.540,95% CI interval (0.951,2.495). Sleep scores between the two groups were compared using multivariate analysis of variance six months analysis, where the time factor p value> 0.05, not statistically significant between groups factor p=0.012, the difference was statistically significant. Six months after the two CAPD patients quality of life score was 71.63±11.51, DAPD group score of 75.12±14.18, P<0.05. Quality of life scores between the two groups were compared using multivariate analysis of variance, where the time factor P> 0.05, not statistically significant between groups factor P= 0.024, P<0.05, there was a statistically significant between two groups, suggesting that the pattern is PD dialysis patients factors sleep and quality of life. Conclusions:1. the overall quality of sleep in patients with peritoneal dialysis lower than the norm, and there are different levels of sleep disturbance situation. Compared with DAPD CAPD patients more prone to symptoms urinate, snoring and coughing. And with the extension of the duration of dialysis, CAPD group had significantly increased in patients with sleep disorders, increased sleep duration and decreased sleep disorder symptoms.2. Peritoneal dialysis patient quality of life is also not optimistic. Factors affecting the quality of life of CAPD patients have urine, hemoglobin, hospital type and the total amount of dialysis, and factors affecting the quality of life of patients had dialysis DAPD total intake, serum albumin, annual income and monthly pays Medicine fee. And with the duration of dialysis growth due to changes in the cardiovascular system in patients under CAPD pattern dimension disease factor scores were significantly lower than DAPD patients, resulting in the quality of life of patients scored lower than DAPD.3. Clinical staff should be a comprehensive assessment of PD patients with cardiovascular system, selecting the appropriate mode of dialysis. Mode has been selected for dialysis patients, should be timely and accurate assessment of their quality of life and sleep, timely adjustment mode of dialysis, early intervention, reduce drop out rate, improve their quality of life. |
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