Depression and quality of sleep in maintenance hemodialysis patients

Trbojević-Stanković, Jasna; Stojimirovic, Biljana; Bukumirić, Zoran; Hadzibulic, Edvin; Andrić, Branislav; Djordjevic, V.; Marjanović, Zoran; Birdjozlic, Fatmir; Nešić, Dejan; Jovanović, D

doi:10.2298/sarh1408437t

Cited by 48 publications

(62 citation statements)

References 32 publications

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“…The poor quality of sleep was present in 57.3% of the respondents in our study, which is within the range of values reported in the previous studies (8,14,17).…”

Section: Discussionsupporting

confidence: 90%

Quality of sleep in hemodialysis patients: The role of demographic and clinical characteristics

Aljušević¹,

Vatic²,

Trbojević-Stanković³

2017

Med podmladak

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Introduction: Sleep disorders are common among patients treated with chronic dialysis. Still, these conditions are seldom diagnosed and often undertreated, because they are attributed to the renal disease itself and/or considered a reaction to dialysis treatment. Aim: The aim of this study was to assess the prevalence of poor sleep quality and its relations with demographic and clinical characteristics of patients undergoing chronic hemodialysis (HD). Material and Methods: A cross-sectional observational study was performed on 82 patients (49 men, mean age 64.77 ± 10.00 years, range 30-85) on HD maintenance in a University Hospital Center in Belgrade. Sleep quality was assessed with the Pittsburgh Sleep Quality Index (PSQI). Other relevant data were collected by general questionnaire and from patients' medical histories. Data were analyzed with Chi-square, Fisher and T test, using the SPSS (version 21.0). Results: The mean PSQI was 6.74 ± 3.99. Poor quality of sleep (PSQI>5) was present in 47 (57.3%) patients. Patients treated with hemodiafiltration statistically more often had significantly better quality of sleep (p=0.047), whereas patients receiving dialysis treatment in the afternoon shift more frequently had poor quality of sleep (p=0.017). Age, sex, employment status, comorbidities, dialysis vintage and adequacy were not related to the quality of sleep significantly. Conclusion: The type of dialysis treatment and dialysis shift are closely interrelated with the quality of sleep in patients on chronic HD treatment.

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“…The poor quality of sleep was present in 57.3% of the respondents in our study, which is within the range of values reported in the previous studies (8,14,17).…”

Section: Discussionsupporting

confidence: 90%

Quality of sleep in hemodialysis patients: The role of demographic and clinical characteristics

Aljušević¹,

Vatic²,

Trbojević-Stanković³

2017

Med podmladak

Self Cite

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“…Both the studies have reported a significant association between poor quality of sleep and pre-dialysis serum phosphate levels. However, studies that have used the PSQI to measure sleep quality did not find any association between sleep quality and various biochemical parameters, like the present study [6,9,13,23].…”

Section: Discussioncontrasting

confidence: 66%

“…Previous literature suggests that nearly 53-87% of the patients on MHD have poor quality sleep as measured by Pittsburg Sleep Quality Index [2][3][4]. Poor quality sleep has been correlated with the older age, female gender, poor quality of life, depression, and knowledge about their illness [5,6]. It has been shown that persons who use the internet to get the knowledge regarding their illness sleep better [5].…”

Section: Introductionmentioning

confidence: 99%

“…Some studies have reported that increasing duration of dialysis, physical health, co-morbidities, burden of kidney disease, sexual function, dyspnea, pain, itching, mean corpuscular volume, serum albumin, and diabetes mellitus worsen the quality of sleep [2,3,9,10]. However, contradictory studies are also available that suggest that quality of sleep in MHD patients is not related to age, gender, biochemical parameters, and other factors mentioned above [4,6]. Sleep quality has been reported to be independent of type of dialysis, i.e., the MHD and peritoneal dialysis suggesting that it could be either the burden of illness or the biochemical parameters that govern the quality of sleep [9,11].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and Predictors of Poor Sleep Quality in Patients on Maintenance Hemodialysis

2017

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Purpose Majority of patients on maintenance hemodialysis complain of poor quality of sleep. Earlier studies show controversial findings with regard to the prevalence and predictors of poor quality of sleep in this group. Hence, the present study was planned. Methods Adult subjects undergoing maintenance hemodialysis were included in this study. Their demographic data, history regarding chronic kidney disease, comorbidities, and details related to hemodialysis were recorded. Sleep quality was assessed using Pittsburg Sleep Quality Index. A total of 201 patients were included in this study. Results Average age of the subjects was 54.7 ± 15.1 years and duration of kidney disease was 37.1 ± 19.8 years. 40.3% subjects were women and 50.7% of sample complained of poor quality sleep. Poor sleepers had less than 3/week dialysis (68.6% among poor sleepers vs. 21.2% among good sleepers; P \ 0.001), nighttime dialysis shift (52.9 vs. 20.2% among good sleepers; P \ 0.001), diabetes mellitus (56.9 vs. 39.4% among good sleepers; P = 0.01), and hypnotic use (P \ 0.001). Similarly, subjects with poor sleep quality were older (57.3 ± 14.3 vs. 52.1 ± 15.4 years among good sleepers; P = 0.01). Binomial logistic regression showed that less than thrice a week dialysis and schedule of maintenance hemodialysis predicted the poor sleep quality. Less than 3/week dialysis increased the odds for poor sleep by 6.6 (P \ 0.001) and afternoon and nighttime maintenance hemodialysis shift by 3.2 (P \ 0.001) and 4.6 (P \ 0.001), respectively. Conclusion Poor sleep is a common complaint in patients on hemodialysis. We found that the evening or night shift of hemodialysis and twice weekly hemodialysis worsened the quality of sleep.

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“…[14]. Didėjant susidomėjimui sergančiųjų LIL psichikos sveikata, atlikta studija, kuri nurodo, kad depresija būdingesnė vyresnio amžiaus LIL sergantiems pacientams [15]. Mūsų atliktame tyrime taip pat nustatytas didesnis depresijos simptomų paplitimas tarp vyresnių (> 80 m.) asmenų, sergančių LIL.…”

Section: Aptarimasunclassified

Depresijos Simptomų Paplitimas Tarp 3–5 Stadijų Lėtine Inkstų Liga Sergančių Pacientų

Markevičiūtė¹,

Matusevičiūtė²,

Dlugauskas³

et al. 2017

Medicinos Teorija Ir Praktika

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Reikšminiai žodžiai: depresija, lėtinė inkstų liga. Depresija yra viena dažniausių psichiatrinių ligų tarp pacientų, sergančių lėtine inkstų liga (LIL). Pastebėta, kad sergančiųjų LIL depresijos simptomai yra susiję su prastesne gyvenimo kokybe, ilgesne hospitalizacijos trukme, greitesne dializės terapijos pradžia bei padidėjusia mirties rizika. Norint išanalizuoti depresijos simptomų pasireiškimą, Vilniaus universiteto ligoninės Santariškių klinikos (VUL SK) Nefrologijos centre atliktas skerspjūvio tyrimas. Įtraukti 132 pacientai, sergantys 3–5 stadijos LIL. Tiriamieji įvertinti pagal Hamiltono depresijos skalę (HAM-D), surinkti duomenys apie LIL stadiją ir etiologiją, vedybinę padėtį, darbo pobūdį, išsilavinimą, žalingus įpročius, fizinį aktyvumą, streso įveikos strategiją, demografiniai duomenys. Statistinė duomenų analizė atlikta „Microsoft Excel“. 70 (53 proc.) apklaustų pacientų surinko lengvą depresiją atspindinčius balus. Moterys (p = 0,0001), ≥ 80 m. (p = 0,03), ūkininkai (p = 0,009), taikantys į jausmus orientuotą įveikos strategiją (p = 0,04), surinko daugiau HAM-D balų, o susituokusieji (p = 0,015), sergantys IgA nefropatija (p = 0,49), užimantys aukštas pareigas darbe (p = 0,0003) – mažiau. Dėl dažnai pasireiškiančių depresijos simptomų sergantiesiems lėtine inkstų liga rekomenduojame rutinišką depresijos simptomų ištyrimą ir ankstyvą gydymą.

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Depression and quality of sleep in maintenance hemodialysis patients

Abstract: Depression and poor sleep quality are frequent and interrelated among HD patients.

Cited by 48 publications

References 32 publications

Quality of sleep in hemodialysis patients: The role of demographic and clinical characteristics

Quality of sleep in hemodialysis patients: The role of demographic and clinical characteristics

Prevalence and Predictors of Poor Sleep Quality in Patients on Maintenance Hemodialysis

Depresijos Simptomų Paplitimas Tarp 3–5 Stadijų Lėtine Inkstų Liga Sergančių Pacientų

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