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Journal of Korean Academy of Fundamentals of Nursing 2009;16(2): 190
혈액투석 환자의 수면장애 영향요인
이현미1, 류세앙2, 김은아3, 장금성4
2동신대학교 간호학과
3전남대학병원 신장센터, 전남대학교 간호학과
4전남대학교 간호대학, 전남대학교 간호과학 연구소
Factors Influencing Sleep Disorders in Patients on Hemodialysis
Hyein-Mi Lee1, Se-Ang Ryu2, Eun-A Kim3, Keum-Seong Jang4
1Gwangju Christian Hospital
2Department of Nursing, Dongshin University
3College of Nursing, Chonnam National University, Kidney Center, Chonnam National University Hospital
4College of Nursing, Chonnam National University, Chonnam Research institute of Nursing Science
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.
Key words: Fatigue | Depression | Sleep disorders | Hemodialysis
주요어: 피로 | 우울 | 수면장애 | 혈액투석