Poor Sleep Quality, Depression and Social Support Are Determinants of Serum Phosphate Level among Hemodialysis Patients in Malaysia

Ng, Eileen Suk Ying; Wong, Poh Yoong; Kamaruddin, Ahmad Teguh Hakiki; Lim, Christopher Thiam Seong; Chan, Yoke Mun

doi:10.3390/ijerph17145144

Cited by 13 publications

(9 citation statements)

References 87 publications

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“…In previous studies, it appears that sleep quality was related to anemia 35 , 36 , hyperphosphatemia 37 , 38 , nutritional status 39 , uremic pruritus, hyperparathyroidism 40 , time on hemodialysis 35 , female 35 , 41 , age 27 , 28 , 41 , 42 ; however, in this study these associations were not verified. A study by Bilgic et al (2007) 39 found that those patients with higher malnutrition and inflammation scores had worse sleep quality, in the present study the BMI, albumin, and serum ferritin did not differ between groups.…”

Section: Discussioncontrasting

confidence: 82%

Correlation of sleep quality and cardiac autonomic modulation in hemodialysis patients

Carneiro¹,

Azoubel²,

Dias³

et al. 2022

Sleep Sci

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Objectives: Sleep disorders in patients on hemodialysis are frequent, but few studies correlate these disorders with autonomic dysfunction in these patients. This study aimed to verify whether clinical and laboratory variables and heart rate variability are associated with worse sleep quality verified by the Pittsburg subjective scale in patients on hemodialysis. Material and Methods: A cross-sectional study was performed on forty-eight patients. Epidemiological, clinical, and laboratory data were collected. After were performed by recording the heart rate variability and applied Pittsburg questionnaires, Beck anxiety index (BAI), and Beck depression index (BDI). The global PSQI score >5 indicates that a person is a poor sleeper, the patients were divided according to the scores in the Pittsburg questionnaire into good and poor sleepers and the differences between all variables were analyzed. Results: Forty-eight patients were evaluated and the prevalence of 68.7% (n=33) of poor sleep quality was verified. From the depression and anxiety questionnaires, it was found that only 18.7% (n=9) had criteria for depression. In the analysis of the sympathetic dysfunction parameters, it was found that in the group with good sleep quality in the frequency domain (HFm 2 ) and the LFnu in the group with worse sleep quality. There was a positive correlation between sleep quality scores the anxiety and depression scores. It is also verified that the variables LFnu had a positive correlation with higher scores of quality of sleep and HFnu had a negative correlation with the highest scores of quality of sleep. Conclusion: In patients undergoing hemodialysis, the poorest quality of sleep is correlated with worse cardiac autonomic modulation as well as higher scores on the depression and anxiety scales.

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Section: Discussioncontrasting

confidence: 82%

Correlation of sleep quality and cardiac autonomic modulation in hemodialysis patients

Carneiro¹,

Azoubel²,

Dias³

et al. 2022

Sleep Sci

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“…In this study, being unemployed appears to be the highest predicator of poor sleep. Previous research has reported similar findings [33,34]. One explanation of this result is that unemployed patients do not have a regular routine in their daily lives.…”

Section: Discussionsupporting

confidence: 61%

Fatigue, anxiety, depression and sleep quality in patients undergoing haemodialysis

et al. 2021

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Objective Patients undergoing haemodialysis may experience troubling symptoms such as fatigue, anxiety, depression and sleep quality, which may affect their quality of life. The main objective of this study is to determine the prevalence of fatigue, anxiety, depression and sleep quality among patients receiving haemodialysis during the coronavirus disease 2019 (COVID-19) pandemic, and to explore the contributing predictors. Methods A cross-sectional and descriptive correlational design using Qualtrics software was performed. Data were collected using the Functional Assessment of Cancer Therapy-Fatigue (FACT-F), the Hospital Anxiety and Depression Scale (HADS) and the Pittsburgh Sleep Quality Index (PSQI). Logistic regression analyses were used to explore the predictors that were associated with fatigue, anxiety, depression and sleep quality. Results Of the 123 patients undergoing haemodialysis who participated, 53.7% (n = 66) reported fatigue, 43.9% (n = 54) reported anxiety, 33.3% (n = 41) reported depression and 56.9% (n = 70) reported poor sleep. Fatigue, anxiety and sleep quality (P < .05) were significantly associated with being female, and whether family members or relatives were suspected or confirmed with COVID-19. Logistic regression showed that being within the age group 31–40, having a secondary education level, anxiety, depression and sleep quality were the main predictors affecting the fatigue group. Conclusion Fatigue, anxiety, depression and sleep quality are significant problems for patients receiving haemodialysis during the COVID-19 pandemic. Appropriate interventions to monitor and reduce fatigue, psychological problems and sleep quality amongst these patients are needed. This can help to strengthen preparations for responding to possible future outbreaks or pandemics of infectious diseases for patients receiving haemodialysis.

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“…However, these strategies have been shown to be limited in promoting desirable patient behaviors to achieve optimal serum phosphorus control [ 11 ]. Issues relate to barriers such as the lack of resources and expertise for patient education [ 12 ], poor patient knowledge on phosphate management [ 13 ], and phosphate binder medication compliance [ 11 ]. It appears that HD patients have the lowest knowledge about dietary phosphorus compared to other nutrients [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

A Mobile App for Triangulating Strategies in Phosphate Education Targeting Patients with Chronic Kidney Disease in Malaysia: Development, Validation, and Patient Acceptance

et al. 2022

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Hyperphosphatemia afflicts end-stage chronic kidney disease (CKD) patients, contributing to comorbidities and mortality. Management strategies are dialysis, phosphate binder, and limiting dietary phosphate intake, but treatment barriers are poor patient compliance and low health literacy arising from low self-efficacy and lack of educational resources. This study describes developing and validating a phosphate mobile application (PMA). The PMA development based on the seven-stage Precaution Adoption Process Model prioritized titrating dietary phosphate intake with phosphate binder dose supported by educational videography. Experts (n = 13) first evaluated the PMA for knowledge-based accuracy, mobile heuristics, and clinical value. Adult HD patients validated the improved PMA using the seven-point mHealth App Usability Questionnaire (MAUQ). Patient feedback (n = 139) indicated agreement for ease of use (69.2%), interface and satisfaction (69.0%), and usefulness (70.1%), while 72.7% said they would recommend this PMA. The expectation confirmation for 25 PMA features ranged from 92.1% (lifestyle) up to 100.0% (language option); and the utilization rate of each feature varied from 21.6% (goal setting and feature-based log) to 91.4% (information on dietary phosphate and phosphate binder). The Conclusions: MyKidneyDiet-Phosphate Tracker PMA was acceptable to adult Malaysian HD patients as part of clinical phosphate management in low-resource settings.

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Poor Sleep Quality, Depression and Social Support Are Determinants of Serum Phosphate Level among Hemodialysis Patients in Malaysia

Cited by 13 publications

References 87 publications

Correlation of sleep quality and cardiac autonomic modulation in hemodialysis patients

Correlation of sleep quality and cardiac autonomic modulation in hemodialysis patients

Fatigue, anxiety, depression and sleep quality in patients undergoing haemodialysis

A Mobile App for Triangulating Strategies in Phosphate Education Targeting Patients with Chronic Kidney Disease in Malaysia: Development, Validation, and Patient Acceptance

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