Hemodiyaliz hastalarında uyku kalite bozukluğu ve huzursuz bacak sendromu arasındaki ilişki

Abstract

Amaç. Huzursuz bacak sendromu (HBS) bacaklarda huzursuzluk hissi, yanma ile kendini gösteren istirahat ve geceleri daha sık olan bacakları hareket ettirme isteği ile karakterize bir rahatsızlıktır. Bu durum hemodiyaliz hastalarında sıktır ve uykusuzluğa neden olabilir. Biz çalışmamızda uyku kalitesinde bozukluk ile HBS arasındaki ilişkiyi incelemeyi amaçladık. Yöntem. Çalışmaya hemodiyaliz programında olan hastalar alındı. Hastalara Uluslar arası huzursuz bacak çalışma grubu tanı kriterleri kullanıldı ve uyku kalitesi bozukluğu için Pittsburg uyku kalitesi indeksi kullanıldı. Hastaların tümünde hemogram, PTH, kalsiyum, fosfor, kreatinin, demir, serum demir bağlama kapasitesi ve ferritin değerleri değerlendirildi. Bulgular. Çalışmaya 112 hemodiyaliz hastası alındı. Hastaların yaş ortalaması 56,8 ± 16,2 idi. Hastaların %61,6'sında uyku kalitesinde bozukluk ve %66,1'inde HBS tespit edildi. Uyku kalite bozukluğu ile HBS arasında anlamlı bir ilişki (p<0.05) saptandı. Uyku kalitesinde bozukluk ve HBS'nun anemi, PTH, kalsiyum ve fosfor değerleriyle anlamlı bir ilişkisi saptanmadı. Sonuç. Çalışmamızda uyku kalitesinde bozukluk ile HBS arasında anlamlı bir ilişki saptandı. Hemodiyaliz hastalarında uyku kaliteside bozukluk ve HBS sık olmasına rağmen etyolojisi net bilinmemektedir. HBS semptomlarının gece daha sık olmasından dolayı uyku kalitesinin bozukluklarına neden olabileceği düşünülmektedir.Anahtar sözcükler: Huzursuz bacak sendromu, uyku kalitesinde bozukluk, hemodiyaliz Abstract Aim. Restless legs syndrome (RLS) an ilness characterized by discomfort in the legs, rest manifested by burning and a desire to move the legs more often at night. This situation is common in hemodialysis patients and can cause insomnia. In our study, we aimed to investigate the relationship between the RLS and quality of sleep disorders. Methods. The study enrolled patients who were receiving hemodialysis. The international restless legs study group criteria were used for patients and the Pittsburg sleep quality index was used for sleep disturbance. In all patients, complete blood count, PTH, calcium, phosphorus, creatinine, iron, serum iron binding capacity and ferritin levels were evaluated. Results. The study enrolled 112 hemodialysis patients. The mean age of patients was 56.8 ± 16.2. In patients 61.6% the disorder in sleep quality was detected and in 66.1% the RLS was detected. A significant relationship between quality of sleep disorders and RLS (p<0.05) were detected. A significant association among disorders in sleep quality and RLS anemia, PTH, calcium and phosphorus levels were not detected. Conclusion. In our study, a significant relationship between quality of sleep disorders and RLS was detected. In hemodialysis patients, disorders in sleep quality and RLS is more common, but its etiology is unclear. Due to RLS symptoms more often at the night it is thought to be lead to quality of sleep disorders.

Sleep Quality and Risk Factors of Atherosclerosis in Predialysis Chronic Kidney Disease

“…Huzmeli et al found no significant relation between SQ and serum parathormone, calcium and phosphorus levels in the study with 112 hemodialysis patients (22). Similarly, Sabbatini et al couldn't find any relation between SQ and PTH levels in 78 CKD patients in various stages (23).…”

Determination of the relationship between self-care agency and sleepiness in chronic hemodialysis patients

“…Studies have shown that individuals’ self-care agencies are affected by their bio-psycho-social status 6 , 7 , 8 . As with all risky diseases, sleep disorders are frequently encountered in patients with CKD and undergoing hemodialysis 9 , 10 . As a result, the mental health of individuals is adversely affected.…”

Effect of massage therapy with lavender oil on severity of restless legs syndrome and quality of life in hemodialysis patients

“…Patients undergoing HD experience many ailments, including pain, fatigue, muscle cramps, nausea, vomiting, constipation, restless legs syndrome (RLS), and sleep disorders (Göriş et al, 2016; Song et al, 2021). Studies have indicated that the prevalence of RLS in patients receiving HD is 18.6%–66.1% and that it increases the severity of fatigue, and negatively impacts patients’ quality of life (QoL) (Giannaki et al, 2017; Hüzmeli et al, 2014; Kutlu et al, 2018).…”