A cross-sectional study was conducted in Gansu, China, from May 2022 to July 2022. The Chinese Perceived Stress Scales (CPSS), Athens Insomnia Scale (AIS), Self-acceptance Questionnaire (SAQ), and Perceived Social Support Scale (PSSS) were evaluated in 610 hemodialysis patients.
The prevalence of insomnia among hemodialysis patients was 40.7% in this study. Insomnia was positively correlated with perceived stress (r = 0.742, P < 0.01), and negatively correlated with self-acceptance (r = -0.531, P < 0.01) and social support (r = -0.574, P < 0.01). Self-acceptance played a mediating role in perceived stress and insomnia, with the mediating effect accounting for 13.8% of the total effect. Social support played a moderating role in perceived stress and insomnia (β = -0.008, t = -5.112, P < 0.001).
The results of this study enrich the research on the influencing factors of insomnia in hemodialysis patients and provide theoretical basis and practical guidance for improving the sleep quality of hemodialysis patients.
方法:在甘肃省进行了横断面研究,中国,从2022年5月到2022年7月。中国人感知压力量表(CPSS)雅典失眠量表(AIS),自我接纳问卷(SAQ),对610例血液透析患者进行领悟社会支持量表(PSSS)评定。
结果:本研究中血液透析患者失眠的患病率为40.7%。失眠与感知应激呈正相关(r=0.742,P<0.01)。与自我接纳(r=-0.531,P<0.01)和社会支持(r=-0.574,P<0.01)呈负相关。自我接纳在感知压力和失眠中起中介作用,中介效应占总效应的13.8%。社会支持在感知压力和失眠中起调节作用(β=-0.008,t=-5.112,P<0.001)。
结论:本研究结果丰富了血液透析患者失眠影响因素的研究,为改善血液透析患者睡眠质量提供了理论依据和实践指导。