The Influences of Sleep Quality, Hemoglobin, Length of Hospital Stay and Cognitive Function on Health-Related Quality of Life in Sepsis Survivors at a Non-University Teaching Hospital
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Abstract
Purpose: To study the influences of sleep quality, hemoglobin, length of hospital stay and cognitive function on health-related quality of life in sepsis survivors.
Design: predictive correlational research design.
Methods: The sample consisted of 102 post-sepsis patients aged 18 years old and above admitted to the internal medicine ward of a non-university teaching hospital. Data were collected by using 1) the records form of personal information and history of illness of sepsis survivors, 2) the EuroQol 5-Dimension 5-Level for the assessment of quality of life, 3) the Veran & Snyder-Halpern Sleep Scale and 4) the Thai Mental State Examination. The data were analyzed by using descriptive statistics & multiple regression analysis.
Main findings: The sepsis survivors had moderate health-related quality of life at = .55 (SD = 0.39). Multiple regression analysis revealed that all of the independent variables could account for 50% of the variance explained in health-related quality of life in sepsis survivors (adjusted R2 = .50), whereby sleep quality was the factor best able to predict health-related quality of life in sepsis survivors (
= .49, p < .001), followed by cognitive function at (
= .31, p < .001).
Conclusion and recommendations: Sleep quality and cognitive function have been found as significant predictors of health-related quality of life in sepsis survivors. This study supports the significance of the assessment of sleep quality and cognitive function in sepsis survivors which leads to develop nursing programs for recovery and promotion of quality of life among sepsis survivors.
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