Correlates of Sleep Behavior among Hemodialysis Patients

Williams, Sharon; Tell, Grethe S.; Zheng, Beiyao; Shumaker, Sally A.; Rocco, Michael V.; Sevick, Mary Ann

doi:10.1159/000046670

Cited by 59 publications

(24 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The Kidney Outcomes Prediction and Evaluation (KOPE) Study of approximately 240 hemodialysis (HD) patients asked respondents to indicate whether they experienced a series of sleep difficulties: Trouble falling asleep, waking up during the night, waking up too early, usually feeling tired in the morning, feeling tired this morning, usually having restless sleep, and having restless sleep last night. In univariate analyses, patients who reported each of these sleep difficulties also reported having more frequent problems with perception and memory than did patients who did not report sleep difficulties, and in a multivariate analysis, waking up too early was associated independently with more frequent problems with perception and memory (15).…”

mentioning

confidence: 89%

Association of Sleep Difficulty with Kidney Disease Quality of Life Cognitive Function Score Reported by Patients Who Recently Started Dialysis

Kutner

Zhang

Huang

et al. 2007

Clinical Journal of the American Society of Nephrology

View full text Add to dashboard Cite

Sleep disorders are associated with impaired cognition in the general population, but little attention has been given to the potential association between sleep and cognitive function in the dialysis population. This study investigated reported sleep difficulty and cognitive function scores in a national cohort of patients who initiated maintenance hemodialysis and peritoneal dialysis. The cognitive function scale of the Kidney Disease Quality of Life instrument (KDQOL-CF), which measures aspects of cognitive ability that are important for daily functioning (perceived reaction time, ability to concentrate, and tendency to become confused), was used. The study population included 2286 patients who responded to a questionnaire at baseline in the US Renal Data System Dialysis Morbidity and Mortality Study Wave 2. Reported sleep difficulty was associated in a univariate manner with lower KDQOL-CF score. In a multivariable regression analysis that controlled for age, gender, race, education, diabetic ESRD, cardiovascular comorbidity, smoking, hemoglobin, serum albumin, prescribed sleep medications, dialysis modality, pre-ESRD care, bodily pain, and depressed mood, the association of sleep difficulty with KDQOL-CF score remained significant (P < 0.0001); the association also was significant in a multivariable analysis that was restricted to hemodialysis patients and included adjustment for Kt/V (P ‫؍‬ 0.001). Depressed mood and sleep medication prescription predicted a lower KDQOL-CF score, and higher educational level and less bodily pain predicted a higher KDQOL-CF score. Increased understanding of links among sleep difficulty, management of sleep difficulty, and cognitive function could benefit multiple dimensions of dialysis patients' quality of life and daily functioning.

show abstract

mentioning

confidence: 89%

Association of Sleep Difficulty with Kidney Disease Quality of Life Cognitive Function Score Reported by Patients Who Recently Started Dialysis

Kutner

Zhang

Huang

et al. 2007

Clinical Journal of the American Society of Nephrology

View full text Add to dashboard Cite

show abstract

“…Decreased quality of sleep is common in dialysis patients and is associated with decreased health-related quality of life. [5] The causes of poor sleep in CKD patients include anxiety, depression, fatigue, restless leg syndrome, obstructive sleep apnea etc. The reported prevalence of 'poor sleep' in dialysis patients is in the range of 45-80%.…”

mentioning

confidence: 99%

Prevalence of Depression, Anxiety and Insomnia in Chronic Kidney Disease Patients and their Co-Relation with the Demographic Variables

Aggarwal

Jain

Dabas

et al. 2017

Prilozi

View full text Add to dashboard Cite

Background: Chronic kidney disease (CKD) is an emerging health problem in both developed and developing countries. Depression, anxiety and sleep disturbances are highly prevalent in patients with chronic disease, but remain undertreated despite significant negative consequences on patients' health. Assessment of key components of mental health early in disease course will help to identify high risk subjects in whom modifying these predictors will help in providing active and healthy life in CKD patients. Methods: We did a cross sectional study in 200 patients of CKD stage III to V-D fulfilling the eligibility criteria who were on follow up in a single tertiary care center in the state of Haryana, India. We assessed the prevalence of anxiety, depression and insomnia and their correlation with demographic variables in these patients. The structured questionnaire used in this study gathered information on respondent demographic and disease characteristics, and information obtained from the HADS and PSQI questionnaire. Factors associated with anxiety, depression and insomnia were examined by a multiple logistic regression analysis. results: The prevalence of anxiety, depression and insomnia were found to be 71%, 69% and 86.5% respectively. As the CKD stage advanced, the prevalence as well as severity of these parameters increased. Anxiety, depression and sleep quality were found to be significantly correlated to unemployment, low income, low education, urban residence and presence of co-morbidities. The anxiety, depression and insomnia scores were found to have a strong negative correlation with eGFR, hemoglobin, serum calcium (p <0.01) and a positive correlation with TLC, blood urea, serum creatinine and serum phosphate (p <0.05). conclusion: We observed a high prevalence of anxiety, depression and insomnia in CKD patients. There is a need to develop strategies to accurately identify "high risk" subjects who may benefit from preventive measures before complications occur. By identifying CKD patients with high risk of developing these mental health related issues, healthcare provider may be better able to ensure the provision of appropriate rehabilitation to this population.

show abstract

“…11 Sleep complaints are also very common in hemodialysis patients. 12 It has been reported that more than 85% of hemodialysis patients have sleep problems serious enough to affect their QoL. [13][14][15] This study was conducted for the purpose of determining the relationship between QoL and quality of sleep in hemodialysis patients.…”

mentioning

confidence: 99%

Determining Quality of Life and Sleep in Hemodialysis Patients

Tel

2009

Dialysis & Transplantation

View full text Add to dashboard Cite

BACKGROUNDHemodialysis causes major changes in patients' lifestyles that affect their quality of life (QoL) and sleep quality. The purpose of this study was to determine the quality of life and sleep of hemodialysis patients.METHODS AND MATERIALSThe study sample was 138 patients receiving dialysis in a university hospital dialysis unit. Data were collected with a personal information form (PIF), Medical Outcomes Study 36‐item Short Form (SF‐36) questionnaire, and the Pittsburg Sleep Quality Index (PSQI).RESULTSAll of the hemodialysis patients had low quality of life. There was a significant correlation between QoL and sleep quality (p < .001); as QoL decreased sleep quality also decreased. As patients' age increased their QoL and sleep decreased. Women, housewives, those with no formal education, and patients living in extended families had lower QoL. Patients aged 51 years and older had low QoL and sleep. No significant difference was found in QoL and sleep according to the patient's duration of hemodialysis (p > .05).CONCLUSIONHemodialysis patients have a low QoL and there is a close correlation between QoL and sleep quality. Interventions to help dialysis patients maintain their QoL and sleep are as important as extending their lives.

show abstract

Correlates of Sleep Behavior among Hemodialysis Patients

Cited by 59 publications

References 36 publications

Association of Sleep Difficulty with Kidney Disease Quality of Life Cognitive Function Score Reported by Patients Who Recently Started Dialysis

Association of Sleep Difficulty with Kidney Disease Quality of Life Cognitive Function Score Reported by Patients Who Recently Started Dialysis

Prevalence of Depression, Anxiety and Insomnia in Chronic Kidney Disease Patients and their Co-Relation with the Demographic Variables

Determining Quality of Life and Sleep in Hemodialysis Patients

Contact Info

Product

Resources

About