探討血液透析病人身體症狀困擾、睡眠品質與生活品質之相關性

Explore the Correlation among the Physical Symptoms, Sleep Quality and Quality of Life in Hemodialysis Patients

背景：血液透析病人有疲倦和睡眠困難等身體症狀困擾，會影響其日常生活與活動，導致生活品質低下。

目的：探討血液透析病人身體症狀困擾、睡眠品質與生活品質之相關性。

方法：採橫斷式調查，研究對象共114位，以某區域教學醫院之血液透析病人為對象，以身體症狀困擾量表、中文匹茲堡睡眠品質量表、台灣簡明版世界衛生組織生活品質結構式問卷收集資料，通過IRB審查，取得編號:CTH-109-3-5-059，並於110年1/16至110年2/20期間收案，資料以描述性及相關性統計分析。

結果：研究對象共114位，血液透析病人身體症狀困擾依序前五名為睡眠困難、疲倦、便秘或腹瀉、皮膚癢、肌肉抽筋，且有43.8%的病人自覺睡眠品質不佳的情形，身體症狀困擾與睡眠品質呈中度正相關，與生活品質呈中度負相關，而睡眠品質與生活品質則達顯著中度負相關。

結論與應用：結果顯示身體症狀困擾越多，睡眠品質越差，生活品質越低。建議臨床護理人員幫助改善病人的身體症狀，讓病人獲得更好的睡眠品質和生活品質。

 

Backgrounds: Hemodialysis patients suffer from physical symptoms such as fatigue and difficulty sleeping, which affect daily life and activities, resulting in low quality of life.

Objective: The purpose of this study is to investigate the relationship among physical symptom distress, sleep quality, and quality of life in hemodialysis patients.

Methods: A cross-sectional and correlational design was utilized in this study, and a total of 114 participants were collected by convenience sampling from the regional teaching hospital in Taiwan. The research instruments include the symptom distress scale, the Chinese edition of the Pittsburg Sleep Quality Index, and the Taiwan edition of the brief version of World Health Organization Quality of Life scale. The data collected through the questionnaire passed the IRB review and obtained the serial number: CTH-109-3-5-059, and the case was accepted during the period from January 16, 2010 to February 20, 2010. The data were analyzed by descriptive and correlation statistics.

Results: The top five physical symptoms of hemodialysis patients were sleep difficulty, fatigue, constipation or diarrhea, itchy skin, and muscle cramps. 43.8% of hemodialysis patients had poor sleep quality. There was a positive correlation between sleep quality (r=.57, p＜.01), and a negative correlation between physical symptoms and quality of life (r=-.56, p＜.01), and a negative correlation between sleep quality and quality of life(r=-.49, p＜.05).

Conclusion and Application: The results show that the higher the physical symptoms, the worse the sleep quality, and the lower the quality of life. It is recommended that clinical medical staff help improve the patient’s physical symptoms, so that patients can get better sleep quality and quality of life.