巫玉婷　黄丽娟　闫琴

[摘要]目的 探讨个体护理干预在慢性肾脏病患者睡眠质量与生活质量改善中的应用效果。方法 选取2015年6月～2016年6月我院收治的慢性肾脏病患者134例，按照不同护理方式分为观察组与对照组，每组各67例。对照组给予常规护理干预；观察组在对照组基础上给予个体护理干预。比较两组的亚兹堡睡眠质量指数量表（PSQI）评分和SF-36量表评分，以评价患者睡眠质量与生活质量。结果 观察组干预后PSQI评分为（3.52±2.12）分，明显低于对照组的（6.84±4.02）分（P<0.05）；观察组干预后SF-36量表评分中的一般健康状况、生理机能、精神健康、社会功能、情感职能及躯体疼痛评分，均明显优于对照组，差异均有统計学意义（P<0.05）。结论 个体化护理干预可明显改善慢性肾脏病患者睡眠质量和生活质量，可作为慢性肾脏病患者首选的护理干预模式。

[关键词]个体干预；慢性肾脏病；睡眠质量；生活质量

[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2018）8（a）-0203-03

Effect of individual nursing intervention on improvement of sleep and quality of life in patients with chronic kidney disease

WU Yu-ting1 HUANG Li-juan2 YAN Qin3 YU Min4 ZENG Wen-yu5

1. Department of Nursing， the Second People′s Hospital of Yichun City， Jiangxi Province， Yichun 336000， China；2. Intensive Care Unit， the Second People′s Hospital of Yichun City， Jiangxi Province， Yichun 336000， China；3. Department of Infection Disease， the Second People′s Hospital of Yichun City， Jiangxi Province， Yichun 336000， China；4. Department of Medical Examination， the Second People′s Hospital of Yichun City， Jiangxi Province， Yichun 336000， China；5. Department of Medical， the Second People′s Hospital of Yichun City， Jiangxi Province， Yichun 336000， China

[Abstract]Objective To explore the effect of individual nursing intervention on the improvement of quality of sleep and quality of life in patients with chronic kidney disease. Methods A total of 134 cases patients with chronic kidney disease in our hospital from June 2015 to June 2016 were selected. According to the different nursing methods， all the patients were divided into the observation group and the control group， 67 cases in each group. The control group was given routine nursing intervention， and the observation group was given individual nursing intervention on the basis of the control group. The PSQI score and the SF-36 scale were compared between the two groups in order to evaluate the quality of sleep and the quality of life. Results The PSQI score of the observation group was （3.52±2.12） points， which was significantly lower than that of the control group of （6.84±4.02） points （P<0.05）. The general health status， physiological function， mental health， social function， emotional function and somatic pain scores in the SF-36 scale of the observation group were significantly better than those in the control group， the differences were statistically significant （P<0.05）. Conclusion Individualized nursing intervention can significantly improve quality of sleep and quality of life on patients with chronic kidney disease， and can be used as the preferred mode of nursing intervention for patients with chronic kidney disease.

[Key words] Individual intervention； Chronic kidney disease； Quality of sleep； Quality of life

慢性肾脏病（chronic kidney disease，CKD）是各种原因引起的慢性肾脏结构和功能障碍。CKD的病因主要包括各种原发的、继发的肾小球肾炎、高血压肾小球动脉硬化、肾小管损伤、糖尿病肾病等[1]。近年来随着人们生活水平升高以及生活习惯的改变，CKD的患病率呈现逐年升高的趋势，严重影响患者生活质量[2]。有学者提出，对CKD患者予以合理适当的护理干預对改善其睡眠质量和生活质量等均存在着一定的临床价值，但关于其具体护理模式的选定尚还存在着争议[3]。因此，本研究通过选取本院收治的CKD患者作为研究对象，对其开展了个体化护理干预，并观察实施护理干预后患者睡眠质量和生活质量的变化情况，现报道如下。

1资料与方法

1.1一般资料

选取2015年6月～2016年6月我院收治的134例CKD患者作为观察对象。纳入标准：①所选患者均符合美国K/DOQI临床指南CKD的诊断标准[4]，并经实验室检查和医师确诊；……