Quality of life and sleep in hemodialysis patients

Edalat-Nejad, Mahnaz; Qlich-Khani, Mehdi

doi:10.4103/1319-2442.111031

Cited by 41 publications

(57 citation statements)

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“…Most of the studies found no correlation between having diabetes mellitus and quality of sleep in patients under chronic hemodialysis (2,10,11,13,24). On the other hand, we and Einollahi et al (23) observed a lower quality of sleep in patients with diabetes mellitus.…”

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confidence: 57%

Sleep Quality in Patients Undergoing Long-term Hemodialysis Using the Pittsburgh Sleep Quality Index

2017

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Background: Sleep disturbances are common among uremic patients. However, limited data are available on predictors of the quality of sleep in this population. Objectives: This study aimed to assess the quality of sleep in patients undergoing hemodialysis and investigate its predictors. Methods: In this cross-sectional study, 197 patients on maintenance hemodialysis were consecutively included from three medical centers in Shiraz, southern Iran. They completed the Pittsburgh sleep quality index. Serum calcium, phosphorus, and hemoglobin levels were checked. We also assessed the neck circumference, dialysis shift, dialysis plan, diabetes history, body mass index (BMI), age, and sex.

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confidence: 57%

Sleep Quality in Patients Undergoing Long-term Hemodialysis Using the Pittsburgh Sleep Quality Index

2017

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“…Sleep disorders, including delayed sleep onset, frequent awakening, restless leg syndrome, insomnia, and daytime sleepiness, are frequent in patients with end stage renal disease (ESRD) (2,(4)(5)(6)(7)(8). These symptoms affect sleep quality and consequently the quality of life of these patients (9)(10)(11).…”

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confidence: 99%

Excessive daytime sleepiness in patients with chronic kidney disease undergone hemodialysis

Fonsêca

Santos

Fernandes³

et al. 2014

Fisioter. mov.

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Introduction Approximately 80% of patients with chronic kidney disease complain about sleep disorders, which is a much higher percentage than in the general population. Excessive daytime sleepiness is the third most frequent complaint in these patients, and it is significantly associated with a higher risk of sleep apnea. The aim of this study was to assess the presence of daytime sleepiness in patients with end stage renal disease (ESRD) who were undergoing diurnal hemodialysis. Materials and methods The Epworth Sleepiness Scale (ESS) was applied to patients with ESRD who underwent diurnal hemodialysis in the Centro de Nefrologia da Zona Norte in Sao Paulo, Brazil. Results A total of 168 patients were included in the study. According to the ESS, 31% presented with a mild propensity to sleep, 22% with a moderate propensity, and 17% with a severe propensity. Conclusion Our study concluded that 70% of the sample of patients with ESRD who were undergoing hemodialysis presented with a propensity to sleep in inappropriate circumstances on the ESS. When excessive daytime sleepiness is associated with sleep apnea and other comorbidities, it is essential to carefully assess patients’ complaints.

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“…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%

“…However, one study did not find any correlation between the mortality and poor sleep among these patients [13]. Not only the mortality but the morbidity is also important and poor quality of life has been consistently reported in patients on MHD with poor quality of sleep [4,10,12,14]. Moreover, patients with poor quality of sleep are also prone to consume a number of medications, e.g., hypnotics, antidepressants, antihistaminics, and narcotics [12].…”

Section: Introductionmentioning

confidence: 99%

“…Patients on maintenance hemodialysis (MHD) suffer from poor quality of sleep [1][2][3]. 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].…”

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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Quality of life and sleep in hemodialysis patients

Cited by 41 publications

References 0 publications

Sleep Quality in Patients Undergoing Long-term Hemodialysis Using the Pittsburgh Sleep Quality Index

Sleep Quality in Patients Undergoing Long-term Hemodialysis Using the Pittsburgh Sleep Quality Index

Excessive daytime sleepiness in patients with chronic kidney disease undergone hemodialysis

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

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