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Psychological and Medical Factors Affecting Sleep Disturbance in Hemodialysis Patients
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투석환자에서 수면장애에 영향을 주는 심리학적 요인과 의학적 요인

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Type
Academic journal
Author
Yoonmi Ji (대구가톨릭대학교) Gun Woo Kang (대구가톨릭대학교) Min Jae Seo (마야병원) Hong Ik Kim (대구가톨릭대학교) Jungmin Woo (대구가톨릭대학교)
Journal
The Korean Society of Biological Terapies in Psychiatry JOURNAL OF THE KOREAN SOCIETY OF BIOLOGICAL THERAPIES IN PSYCHIATRY Vol.22 No.3 KCI Accredited Journals
Published
2016.10
Pages
146 - 155 (10page)

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Psychological and Medical Factors Affecting Sleep Disturbance in Hemodialysis Patients
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Objectives：The purpose of this study is to determine the factors affecting sleep problems and assess the relationship between sleep quality and quality of life in hemodialysis patients.
Methods：One hundred forty three patients participated in this study. The Pittsburgh Sleep Quality Index(PSQI) and World Health Organization Quality of Life Scale Abbreviated Version(WHOQOL-BREF) were used to assess sleep quality and quality of life respectively. The psychological status was measured using Hospital Anxiety and Depression scale(HADS).
Results：The percentage of poor sleepers was 74.8%. The mean of all WHOQOL-BREF domains in the poor sleeper were significantly lower than in the good sleepers. The factors showing statistical difference between good and poor sleepers were Body Mass Index(p=0.035), Calcium(p=0.049), Kt/V(p=0.001), HADS-Depression(p=0.045), HADS-Anxiety(p＜0.001) and HADS-Total(p＜0.001). The PSQI score correlated positively with phosphorus, kt/V, Urea reduction ratio(URR), HADS-Anxiety(HADS-A), HADS-Depression(HADS-D) and HADS-Total(HADS-T) and correlated inversely with all domain except social relationships and overall QOL. Multiple linear regression analysis revealed that phosphorus and HADS-Total were independent variables associated with PSQI score.
Conclusion：Our results demonstrated that sleep problems are common and associated with decreased quality of life in hemodialysis patients. We propose the management of psychological factors as well as medical factors affecting sleep problems to improve the quality of life of hemodialysis patients.
#Hemodialysis patients #Sleep quality #Quality of life #Psychological factors #Medical factors #혈액투석환자 #수면의 질 #삶의 질 #심리학적 요인 #의학적 요인

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