A longitudinal study on sleep quality of patients with stage 4 chronic kidney disease,subject to hemodialysis and peritoneal dialysis
Objective A longitudinal research was conducted in our center to observe the dynamic change of sleep quality of patients with stage 4 chronic kidney disease(CKD),subject to hemodialysis and continuous ambulatory peritoneal dialysis(CAPD) and to investigate the associated factors.Methods Patients wit...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | zho |
| Published: |
Editorial Department of Journal of Clinical Nephrology
2015-01-01
|
| Series: | Linchuang shenzangbing zazhi |
| Subjects: | |
| Online Access: | http://www.lcszb.com/thesisDetails?columnId=57920087&Fpath=home&index=0 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849313135808217088 |
|---|---|
| author | LUO Min-hong YUAN Li-ping CHEN Qiu-lian ZHU Lang-jing ZENG Hai-ou CHEN Zhen-wei WU Qiang YANG Tie-cheng |
| author_facet | LUO Min-hong YUAN Li-ping CHEN Qiu-lian ZHU Lang-jing ZENG Hai-ou CHEN Zhen-wei WU Qiang YANG Tie-cheng |
| author_sort | LUO Min-hong |
| collection | DOAJ |
| description | Objective A longitudinal research was conducted in our center to observe the dynamic change of sleep quality of patients with stage 4 chronic kidney disease(CKD),subject to hemodialysis and continuous ambulatory peritoneal dialysis(CAPD) and to investigate the associated factors.Methods Patients with CKD stage 4(n = 43),hemodialysis(n = 41) and CAPD(n = 44) were included and followed up for 1 year.Pittsburgh Sleep Quality Index(PSQI) and laboratory parameters were evaluated every 6 months.The univariate and multivariate Logistic regression analysis was used to analyze the associated factors.Results There was no significant difference in age,sex,socio-economic factors,smoking,BMI,Charlson comorbidity index and primary renal disease among the three groups(P>0.05).At the baseline and sixth month,the PSQI scores in hemodialysis and CAPD groups were significantly higher than those in CKD stage 4 group(P<0.05).At the twelfth month,there was no significant difference in PSQI scores among the three groups(P<0.05).As compared with the baseline values,the PSQI scores among the three groups at the sixth month were all significantly increased(P<0.05).As compared with the values at sixth month,the PSQI scores in CKD stage 4 group at the twelfth month were significantly increased(P<0.05),and those in hemodialysis and CAPD groups had no significant change.With the dynamic changes of the total PSQI score,hemoglobin,calcium and phosphorus product,intact parathyroid hormone and high-sensitivity C-reactive protein also changed in the three groups.Age(OR=1.83,P=0.01),hemoglobin(OR=1.46,P=0.01),calcium and phosphorus product(OR=1.25,P=0.02),intact parathyroid hormone(OR=1.17,P=0.03),and high sensitivity C-reactive protein(OR=1.32,P=0.04)were significantly related to poor sleep.Conclusions The sleep quality of patients with CKD stage 4,subject to hemodialysis and CAPD progressively deteriorated.Older age,anemia,the disorders of calcium phosphate metabolism and the microinflammatory status are the independent risk factors of poor sleep quality. |
| format | Article |
| id | doaj-art-abc62aad84f44ab78b7ae616cbb9edfe |
| institution | Kabale University |
| issn | 1671-2390 |
| language | zho |
| publishDate | 2015-01-01 |
| publisher | Editorial Department of Journal of Clinical Nephrology |
| record_format | Article |
| series | Linchuang shenzangbing zazhi |
| spelling | doaj-art-abc62aad84f44ab78b7ae616cbb9edfe2025-08-20T03:52:51ZzhoEditorial Department of Journal of Clinical NephrologyLinchuang shenzangbing zazhi1671-23902015-01-0135936357920087A longitudinal study on sleep quality of patients with stage 4 chronic kidney disease,subject to hemodialysis and peritoneal dialysisLUO Min-hongYUAN Li-pingCHEN Qiu-lianZHU Lang-jingZENG Hai-ouCHEN Zhen-weiWU QiangYANG Tie-chengObjective A longitudinal research was conducted in our center to observe the dynamic change of sleep quality of patients with stage 4 chronic kidney disease(CKD),subject to hemodialysis and continuous ambulatory peritoneal dialysis(CAPD) and to investigate the associated factors.Methods Patients with CKD stage 4(n = 43),hemodialysis(n = 41) and CAPD(n = 44) were included and followed up for 1 year.Pittsburgh Sleep Quality Index(PSQI) and laboratory parameters were evaluated every 6 months.The univariate and multivariate Logistic regression analysis was used to analyze the associated factors.Results There was no significant difference in age,sex,socio-economic factors,smoking,BMI,Charlson comorbidity index and primary renal disease among the three groups(P>0.05).At the baseline and sixth month,the PSQI scores in hemodialysis and CAPD groups were significantly higher than those in CKD stage 4 group(P<0.05).At the twelfth month,there was no significant difference in PSQI scores among the three groups(P<0.05).As compared with the baseline values,the PSQI scores among the three groups at the sixth month were all significantly increased(P<0.05).As compared with the values at sixth month,the PSQI scores in CKD stage 4 group at the twelfth month were significantly increased(P<0.05),and those in hemodialysis and CAPD groups had no significant change.With the dynamic changes of the total PSQI score,hemoglobin,calcium and phosphorus product,intact parathyroid hormone and high-sensitivity C-reactive protein also changed in the three groups.Age(OR=1.83,P=0.01),hemoglobin(OR=1.46,P=0.01),calcium and phosphorus product(OR=1.25,P=0.02),intact parathyroid hormone(OR=1.17,P=0.03),and high sensitivity C-reactive protein(OR=1.32,P=0.04)were significantly related to poor sleep.Conclusions The sleep quality of patients with CKD stage 4,subject to hemodialysis and CAPD progressively deteriorated.Older age,anemia,the disorders of calcium phosphate metabolism and the microinflammatory status are the independent risk factors of poor sleep quality.http://www.lcszb.com/thesisDetails?columnId=57920087&Fpath=home&index=0Chronic kidney diseaseHemodialysisPeritoneal dialysisSleep |
| spellingShingle | LUO Min-hong YUAN Li-ping CHEN Qiu-lian ZHU Lang-jing ZENG Hai-ou CHEN Zhen-wei WU Qiang YANG Tie-cheng A longitudinal study on sleep quality of patients with stage 4 chronic kidney disease,subject to hemodialysis and peritoneal dialysis Linchuang shenzangbing zazhi Chronic kidney disease Hemodialysis Peritoneal dialysis Sleep |
| title | A longitudinal study on sleep quality of patients with stage 4 chronic kidney disease,subject to hemodialysis and peritoneal dialysis |
| title_full | A longitudinal study on sleep quality of patients with stage 4 chronic kidney disease,subject to hemodialysis and peritoneal dialysis |
| title_fullStr | A longitudinal study on sleep quality of patients with stage 4 chronic kidney disease,subject to hemodialysis and peritoneal dialysis |
| title_full_unstemmed | A longitudinal study on sleep quality of patients with stage 4 chronic kidney disease,subject to hemodialysis and peritoneal dialysis |
| title_short | A longitudinal study on sleep quality of patients with stage 4 chronic kidney disease,subject to hemodialysis and peritoneal dialysis |
| title_sort | longitudinal study on sleep quality of patients with stage 4 chronic kidney disease subject to hemodialysis and peritoneal dialysis |
| topic | Chronic kidney disease Hemodialysis Peritoneal dialysis Sleep |
| url | http://www.lcszb.com/thesisDetails?columnId=57920087&Fpath=home&index=0 |
| work_keys_str_mv | AT luominhong alongitudinalstudyonsleepqualityofpatientswithstage4chronickidneydiseasesubjecttohemodialysisandperitonealdialysis AT yuanliping alongitudinalstudyonsleepqualityofpatientswithstage4chronickidneydiseasesubjecttohemodialysisandperitonealdialysis AT chenqiulian alongitudinalstudyonsleepqualityofpatientswithstage4chronickidneydiseasesubjecttohemodialysisandperitonealdialysis AT zhulangjing alongitudinalstudyonsleepqualityofpatientswithstage4chronickidneydiseasesubjecttohemodialysisandperitonealdialysis AT zenghaiou alongitudinalstudyonsleepqualityofpatientswithstage4chronickidneydiseasesubjecttohemodialysisandperitonealdialysis AT chenzhenwei alongitudinalstudyonsleepqualityofpatientswithstage4chronickidneydiseasesubjecttohemodialysisandperitonealdialysis AT wuqiang alongitudinalstudyonsleepqualityofpatientswithstage4chronickidneydiseasesubjecttohemodialysisandperitonealdialysis AT yangtiecheng alongitudinalstudyonsleepqualityofpatientswithstage4chronickidneydiseasesubjecttohemodialysisandperitonealdialysis AT luominhong longitudinalstudyonsleepqualityofpatientswithstage4chronickidneydiseasesubjecttohemodialysisandperitonealdialysis AT yuanliping longitudinalstudyonsleepqualityofpatientswithstage4chronickidneydiseasesubjecttohemodialysisandperitonealdialysis AT chenqiulian longitudinalstudyonsleepqualityofpatientswithstage4chronickidneydiseasesubjecttohemodialysisandperitonealdialysis AT zhulangjing longitudinalstudyonsleepqualityofpatientswithstage4chronickidneydiseasesubjecttohemodialysisandperitonealdialysis AT zenghaiou longitudinalstudyonsleepqualityofpatientswithstage4chronickidneydiseasesubjecttohemodialysisandperitonealdialysis AT chenzhenwei longitudinalstudyonsleepqualityofpatientswithstage4chronickidneydiseasesubjecttohemodialysisandperitonealdialysis AT wuqiang longitudinalstudyonsleepqualityofpatientswithstage4chronickidneydiseasesubjecttohemodialysisandperitonealdialysis AT yangtiecheng longitudinalstudyonsleepqualityofpatientswithstage4chronickidneydiseasesubjecttohemodialysisandperitonealdialysis |