Izvorni znanstveni članak
https://doi.org/10.20471/acc.2021.60.s1.05
The Differences in Biochemical Reactants in The Acute Phase/Stage and Sleep Quality Considering The Type of Vascular Accesss in Patients on Hemodialysis
Đorđe Pojatić
; Faculty of Medicine Osijek, University Josipa Jurja Strossmayera, Osijek, Croatia; Faculty for Dental Medicine and Health, University Josipa Jurja Strossmayera, Osijek, Croatia; General Hospital Vinkovci, Vinkovci, Croatia
Davorin Pezerović
; Faculty for Dental Medicine and Health, University Josipa Jurja Strossmayera, Osijek, Croatia; General Hospital Vinkovci, Vinkovci, Croatia
Ivana Tolj
; Faculty of Medicine Osijek, University Josipa Jurja Strossmayera, Osijek, Croatia; Clinic for Internal Diseases, Dpt. of Nephrology, Clinical Hospital Centre Osijek, Osijek, Croatia
Dunja Degmečić
; Faculty of Medicine Osijek, University Josipa Jurja Strossmayera, Osijek, Croatia; Psychiatric Clinic, Clinical Hospital Centre Osijek, Osijek, Croatia
Sažetak
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.
Ključne riječi
Alexithymia; Hemodialysis; Sleep quality; Circulatory approach
Hrčak ID:
260288
URI
Datum izdavanja:
1.1.2021.
Posjeta: 676 *