Quality Of Sleep In Ckd Patients On Chronic Hemodialysis And The Effect Of Dialysis Shift

Anwar, Nageen; Mahmud, Syed Nayer

doi:10.29271/jcpsp.2018.08.636

Cited by 15 publications

(21 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Another study conducted in Turkey in 2014 reported that 63% of HDP had poor sleep quality, though it used a different tool for sleep quality assessment, which might explain the difference in the exact prevalence of the problem (Tosun et al 2015). To list one more example, a 2018 Pakistani study that included 113 dialysis patients and employed the same assessment tool as in our current study (PSQI) found that 72.6% of the subjects had poor sleep quality (Anwar and Mahmud 2018), which is also in agreement with our findings. Regarding the participants' characteristics that we have focused on, to correlate their relation to sleep quality in these participants, our results are in agreement with some previous studies in some aspectrs, but differ in others.…”

Section: Discussionsupporting

confidence: 91%

An assessment of sleep quality and daytime sleepiness in hemodialysis patients: a cross-sectional study from Palestine

Samara

Sweileh

Omari

et al. 2019

Sleep Science Practice

View full text Add to dashboard Cite

Background: Patients on hemodialysis (HD) commonly suffer from poor sleep quality which in turn compromises their quality of life and well as their mortality risk according to many studies. In Palestine however, no single study had emphasized the association and prevalence of sleep quality and daytime sleepiness among hemodialysis patients (HDP). Therefore, we conducted this study to determine the relationship between regular HD and the situation regarding sleep quality and daytime sleepiness in HDP. Methods: In this cross-sectional survey, we targeted HDP at one HD center in An-Najah National University Hospital. Sleep problems were assessed by both the Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS), which are considered as standardized tools for the assessment of sleep quality and daytime sleepiness, respectively. Results: Of the 192 dialysis patients who were interviewed, 167 were included in the final analysis of this study, with a response rate of 87%. The mean age of the participants was 57.6 ± 12.9. Fifty-two percent were males, and an equal percentage of the participants were 60 years old or older. The median ESS of the participants was 7 [4-11] and 43.1% of the participants had 9 or more ESS score, indicating excessive daytime sleepiness. The median PSQI score was 8 [6-12] and 76.65% of the participants scored more than 5 points on the PSQI, indicating poor sleep quality. Neither the ESS score nor the PSQI score were significantly associated with any particular category of participants, based on their demographic or clinical characteristics. Conclusions: In conclusion, we found that dialysis patients had poor sleep quality, evident by their high median PSQI score, though their excessive daytime sleepiness was less evident by their median ESS score in the high normal values. Additionally, we found a high prevalence of poor sleep quality among HDP, whereas excessive daytime sleepiness was less prevalent. Finally, no significant association was found between either of the two scores and the participants' demographic or clinical characteristics surveyed in this study.

show abstract

Section: Discussionsupporting

confidence: 91%

An assessment of sleep quality and daytime sleepiness in hemodialysis patients: a cross-sectional study from Palestine

Samara

Sweileh

Omari

et al. 2019

Sleep Science Practice

View full text Add to dashboard Cite

show abstract

“…Our participants' median score for PSQI was 8 (5)(6)(7)(8)(9)(10)(11)(12), which is similar to a study in Pakistan, 8.0 [7.0-10.0] [25]. Therefore, there is a similarity between the results we have come up with and many other previous studies [4,[30][31][32][33][34][35]. For example, 63% of HD patients were poor sleepers, as reported in a Turkish study in 2014 [34].…”

Section: Discussionsupporting

confidence: 87%

“…For example, 63% of HD patients were poor sleepers, as reported in a Turkish study in 2014 [34]. To talk about one more example, in 2018, 113 dialysis patients were included in a Pakistani study that used the tool that we interviewed our patients, such as our current study (PSQI) found that about 70% of the subjects were poor sleepers [35]. So, we can see that they are similar to our results.…”

Section: Discussionsupporting

confidence: 82%

Prevalence of pruritus associated with hemodialysis and its association with sleep quality among hemodialysis patients: a multicenter study

et al. 2022

View full text Add to dashboard Cite

Background CKD-associated pruritus (chronic kidney disease-associated pruritus) is one of the common symptoms in hemodialysis patients, with a major effect on sleep quality because it occurs at night. The main objective of this study is to determine the prevalence of pruritus among hemodialysis (HD) patients and its impact on sleep and investigate factors associated with pruritus and sleep quality. Methods A cross-sectional study began in January until March of 2021 in HD centers of four different hospitals in the West Bank, Palestine. Patients with HD aged 18 years or older were included in our investigation. Pruritus and sleep problems were assessed by a 5-D itching score and the Pittsburgh Sleep Quality Index (PSQI) score. Results Of 280 HD patients, 250 were accepted to participate in our study. The mean age of the participants was (54.9 ± 15.08). 62.8% were male, and 42.4% of the participants were elderly (age ≥ 60yrs). Pruritus was observed in 121 (48.4%). The 5-D itching score had a median [IQR] of 5.0[5.0–15.0], and 57.2% had a score ≥ 6 points. Severe pruritus was reported in 28.1% of patients. The score was significantly associated with residency (p = 0.033) and chronic comorbidities (p = 0.026). The PSQI score has a median [IQR] of 8[5–12], and 66.4% are poor sleepers with a score of < 5. The score was significantly associated with age (p = 0.017), marital status (p = 0.022), occupational status (p = 0.007), chronic comorbidities (p > 0.001), chronic medication (p = 0.008), severity of pruritus (p = 0.003) and duration of pruritus (p = 0.003). Regression analysis showed that the 5-D itching score and the total number of comorbidities were significantly associated with the PSQI score. Conclusions Pruritus is a widespread complication among HD patients in Palestine. Pruritus also has major effects on sleep quality and is associated with poor sleep quality.

show abstract

“…However, they tend to be closer to studies carried out in Asian countries like Pakistan (72.60 per cent). [45] This rate is also higher than the rate of countries such as Norway (53.30 per cent), Taiwan (57.10 per cent) and China (69.10 per cent)[464748] and lower than of Egypt (79.50 per cent). [49] Results have shown that low sleep quality is a common problem in patients undergoing hemodialysis.…”

Section: Discussionmentioning

confidence: 97%

Sleep quality in Iranian hemodialysis patients: A systematic review and meta-analysis

Mirghaed

Sepehrian

Rakhshan

et al. 2019

Iranian J Nursing Midwifery Res

View full text Add to dashboard Cite

Background:Hemodialysis is a major therapeutic method for many chronic kidney disease patients that causes complications. One of these complications tends to be sleep disorders. This study was performed through systematic review and meta-analysis to determine the prevalence of low sleep quality in hemodialysis patients in Iran.Materials and Methods:Journal papers written in English and Persian searched from January 2000 to July 2018 were selected. The search keywords included (Prevalence OR Epidemiology) AND (hemorenodialysis OR hemodialysate OR 'intermittent chronic haemodialysis' OR 'intermittent chronic hemodialysis' OR 'intermittent haemodialysis' OR 'intermittent hemodialysis' OR 'kidney dialysis' OR 'renal dialysis') AND ('sleep problem' OR 'sleep disturbance' OR 'sleep disorder' OR 'sleep quality' OR 'chronobiology disorders' OR dyssomnia). To determine the pooled prevalence, the stochastic DerSimonian-Laird model was used, computing the effect size with its 95 per cent confidence interval. The main international electronic databases were Embase, PubMed/MEDLINE, ISI/Web of Science (WOS), Scopus, Psych INFO, and Iranian databases such as MagIran, SID and Irandoc. The data were analysed using the Stata (version 13.0).Results:After searching through the databases and other resources, 21 articles (7 in Persian and 14 in English language) were included. The overall prevalence of low sleep quality in dialysis patients was 75.30 per cent (95 per cent confidence interval, 70.08–82.50). The heterogeneity study showed moderate heterogeneity among studies (I2 = 50.30 per cent, p < 0.05).Conclusions:The results of this study showed that the prevalence of low sleep quality in hemodialysis patients has become a common problem. Thus, patients' sleep quality need to be evaluated periodically.

show abstract

Quality Of Sleep In Ckd Patients On Chronic Hemodialysis And The Effect Of Dialysis Shift

Abstract: The frequency of poor sleep quality amongst CKD patients receiving chronic haemodialysis is high. However, dialysis shift does not seem to have any statistically significant relationship with the occurrence of poor sleep quality in these patients.

Cited by 15 publications

References 14 publications

An assessment of sleep quality and daytime sleepiness in hemodialysis patients: a cross-sectional study from Palestine

An assessment of sleep quality and daytime sleepiness in hemodialysis patients: a cross-sectional study from Palestine

Prevalence of pruritus associated with hemodialysis and its association with sleep quality among hemodialysis patients: a multicenter study

Sleep quality in Iranian hemodialysis patients: A systematic review and meta-analysis

Contact Info

Product

Resources

About