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신동순 ( Shin Dong-Soon ) - 충남대학교병원
임봉주 ( Im Bong-Ju ) - 충남대학교병원
강영선 ( Kang Young-Seon ) - 충남대학교병원
이지혜 ( Lee Ji-Hyle ) - 충남대학교병원
정은경 ( Jung Eun-Kyoung ) - 충남대학교병원
오정희 ( Oh Jeong-Hee ) - 충남대학교병원
민경애 ( Min Kyung-Ae ) - 충남대학교병원
송라윤 ( Song Rha-Yun ) - 충남대학교 간호대학
나기랑 ( Na Ki-Ryang ) - 충남대학교 의과대학
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Abstract
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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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KeyWords
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수면의 질, 혈액투석, 통증, 우울
Sleep Quality, Hemodialysis, Pain, Depression
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원문 및 링크아웃 정보
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등재저널 정보
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