مورد إلكتروني

The Differences in Biochemical Reactants in The Acute Phase/Stage and Sleep Quality Considering The Type of Vascular Accesss in Patients on Hemodialysis

التفاصيل البيبلوغرافية
العنوان: The Differences in Biochemical Reactants in The Acute Phase/Stage and Sleep Quality Considering The Type of Vascular Accesss in Patients on Hemodialysis
عناروين إضافية: Razlike u biokemijskim reaktantima akutne faze i kvaliteti spavanja obzirom na tip krvožilnog pristupa u bolesnika liječenih hemodijalizom
المصدر: Acta clinica Croatica; ISSN 0353-9466 (Print); ISSN 1333-9451 (Online); Volume 60.; Issue Supplement 1
بيانات النشر: Sestre Milosrdnice University hospital and Institute of Clinical Medical Research 2021
تفاصيل مُضافة: Đorđe Pojatić
Davorin Pezerović
Ivana Tolj
Dunja Degmečić
نوع الوثيقة: Electronic Resource
مستخلص: In patients on hemodialysis (HD ), there is a high prevalence of disturbed sleep quality caused by unknown causes. The study aimed to compare differences in the levels of biochemical reactants in the acute phase, creatinine, sociodemographic factors, alexithymia, and sleep quality in a group of HD patients considering the vascular approach, as well as to determine differences between HD patients with normal and low sleep quality and to determine predictive factors for sleep quality. The research included 79 HD patients of both sexes, aged from 33 to 87, treated at UHC Osijek, General hospital Vinkovci, and Outpatient clinic Županja. Laboratory tests have been made on the HD , and clinical and sociodemographic information was collected. The authors used the Croatian version of the Pittsburgh sleep quality questionnaire for Toronto alexithymia scale 26 and the Epworth scale for daily sleepiness. HD patients who are dialysed through central venous catheter have significantly lower levels of albumins (p=0.02 Mann-Whitney U test), creatinine (p=0.007 Mann-Whitney U test), and they remain on dialysis for a shorter period of time compared to the patients with arteriovenous fistule (p=0.002 Mann-Whitney U test). Patients who are longer on HD have a 1.395 times higher chance for lower sleep quality (OR = 1.395 95% CI 1.02 do 1.74). The only predictive factor for lower sleep quality in HD patients is the duration of HD treatment.
U bolesnika liječenih hemodijalizom (HD ) postoji visoka prevalencija poremećaja kvalitete spavanja s nedovoljno utvrđenim uzrocima. Cilj istraživanja je usporediti razlike u razinama pojedinih biokemijskih, sociodemografskih čimbenika, aleksitimije i kvalitete spavanja u skupinama HD bolesnika s obzirom na tip vaskularnog pristupa, odrediti i razlike između HD bolesnika sa urednom i sniženom kvalitetom spavanja i utvrditi prediktivne faktore snižene kvalitete sna. U istraživanju je sudjelovalo 79 ispitanika oba spola liječenih hemodijalizom, dobnog raspona između 33 do 87 godina iz KBC Osijek, OŽB Vinkovci i DZ Županja. HD bolesnicima su uzeti uzorci krvi za laboratorijsku analizu te su zabilježeni klinički i sociodemografski podaci. Bolesnici su anketirani pomoću hrvatske inačice Pitsburškog upitnika za mjerenje kvalitete spavanja, Toronto aleksitimija skale 26 i Epworthove ljestvice dnevne pospanosti. HD bolesnici koji se dijaliziraju preko centralnog venskog katetera imaju značajno niže vrijednosti albumina (p=0,02 Mann-Whitney U test), kreatinina (p=0,007 Mann-Whitney U test) i kraće se dijaliziraju u odnosu na bolesnike sa arteriovenskom fistulom (p=0,002 Mann-Whitney U test). Ispitanici koji su dulje vrijeme na HD imaju 1,395 puta veću šansu za sniženu kvalitetu spavanja (OR = 1,395 95%CI 1,02 do 1,74). Jedini prediktivni faktor snižene kvalitete spavanja u HD bolesnika je trajanje liječenja hemodijalizom.
مصطلحات الفهرس: Alexithymia; Hemodialysis; Sleep quality; Circulatory approach, aleksitimija; hemodijaliza; kvaliteta spavanja; krvožilni pristup, text, info:eu-repo/semantics/article, info:eu-repo/semantics/publishedVersion
URL: https://hrcak.srce.hr/260288
https://hrcak.srce.hr/file/378566
info:eu-repo/semantics/altIdentifier/doi/10.20471/acc.2021.60.s1.05
الإتاحة: Open access content. Open access content
info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-nd/4.0
ملاحظة: application/pdf
English
أرقام أخرى: HRCAK oai:hrcak.srce.hr:260288
1262707660
المصدر المساهم: HRCAK PORTAL ZNANSTVENIH CASOPISA REPUB
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رقم الأكسشن: edsoai.on1262707660
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