Relationship between dialysis adequacy and sleep quality in haemodialysis patients

Tosun, Nuran; Kalender, Nurten; Çınar, Fatma İlknur; Bağçıvan, Gülcan; Yenicesu, Müjdat; Dikici, Dilek; Kaya, Dilek

doi:10.1111/jocn.12908

Cited by 17 publications

(20 citation statements)

References 40 publications

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“…A study from China that has used data collected in 2010 reported a 74.49% prevalence of poor sleep quality among dialysis patients using the same tool employed in the current study (Lai et al 2015), which is quite similar to the results of this study. 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.…”

Section: Discussionmentioning

confidence: 99%

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

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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.

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Section: Discussionmentioning

confidence: 99%

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

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show abstract

“…The available literature stresses the cause of sleep disorders in patients with end-stage renal disease is more complicated than just the accumulation of metabolic waste in the body as well as providing various data on its likely association with inflammation and on the role of low melatonin levels, which all needs to be further clarified. It is clear, on the other hand, that sleep disorders are more frequently observed in these patients than in the healthy individuals [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22]23] . Studies, in which sleep qualities of patients undergoing peritoneal dialysis and hemodialysis were separately studied, showed that sleep quality was low in both groups [5,8] .…”

Section: Discussionmentioning

confidence: 99%

“…As a result of a study on sleep disorders in hemodialysis patients, it has been said that in patients with end-stage renal insufficiency, sleep disorders may be associated with more complicated events than bodily accumulation of waste materials [3] . Similarly, in another study investigating sleep quality in hemodialysis patients, sleep quality was found to be impaired despite the adequacy of dialysis [4] . When sleep quality was investigated in patients with peritoneal dialysis, they were, likewise, found to have poor sleep quality [5] .…”

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confidence: 99%

Dream Anxiety in Hemodialysis and Peritoneal Dialysis Patients

Özkurt¹,

Asafow²,

Musmul³

2017

Haydarpasa Numune Med J

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Summary AbstractIntroduction: Sleep disorders are frequently reported in hemodialysis and peritoneal dialysis patients, but there are no studies investigating the dreams of these patients. This study was an examination of differences in the level of dream anxiety between hemodialysis patients and peritoneal dialysis patients. A comparison of depression and anxiety symptoms, sleep quality, and sleepiness between these 2 groups was also performed. Methods: In this observational, cross-sectional study, 49 hemodialysis patients and 29 peritoneal dialysis patients treated at an outpatient nephrology clinic were enrolled. A sociodemographic data collection form, the Van Dream Anxiety Scale, the Pittsburgh Sleep Quality Index, the Insomnia Severity Index, and the Beck Depression and Anxiety Inventories were administered, and hemoglobin level and fractional clearance of body water by dialysis (Kt/V urea) were measured. Results: There were no significant differences between the groups in terms of dream anxiety (p=0.517), depression (p=0.889), sleep quality (p=0.221), insomnia severity (p=0.152) or hemoglobin level (p=0.505). Discussion and Conclusion: We did not find any significant difference in the level of depression, anxiety, sleep quality, or insomnia severity between hemodialysis and peritoneal dialysis patients in our study. Similarly, the level of dream anxiety was consistent with these findings.

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“…Globally, approximately 600 million people have CRF, with an annual mortality rate of 60,000 people (3). The development and prevalence of ESRD in Iran is higher than that of the global rate, with an estimated prevalence rate of 1,200 to 1,600 per annum (4,5).…”

Section: Contextmentioning

confidence: 99%

Adequacy of Dialysis in Iranian Patients Undergoing Hemodialysis: A Systematic Review and Meta-Analysis

et al. 2018

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Context: Preforming an adequate and effective dialysis is essential to improve patients' quality-of-life and decrease the complications of kidney failure. However, evidence regarding the effectiveness of dialysis among Iranian patients undergoing hemodialysis is inconclusive. The current study aimed at evaluating the effectiveness of dialysis in Iranian patients undergoing hemodialysis using a systematic approach. Evidence Acquisition: In the current meta-analysis, the search was performed using the keywords "Adequacy of Dialysis" and "Hemodialysis Adequacy" in SID, MagIran, ISI/Web of Science, PubMed, and Scopus databases from inception to July 2018. According to the heterogeneity of the studies, the data were analyzed using the random effects model with STATA version 14. Results: The mean urea kinetic modeling (Kt/V) and urea reduction ratio (URR) in Iranian patients undergoing hemodialysis were 1.11% (95% confidence interval (CI): 1.03-1.81) and 59.94% (95% CI: 58.33-61.54), respectively. There was no correlation between indices of dialysis adequacy, sample size, mean age of samples, and year of the paper publication. However, Kt/V and URR in articles with high methodological quality were higher than the ones with moderate methodological quality. Conclusions: The mean adequacy of dialysis indices among Iranian patients was below the standard levels and it is necessary to consider measures to improve dialysis efficacy.

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Relationship between dialysis adequacy and sleep quality in haemodialysis patients

Abstract: Even if the dialysis adequacy of patients is at the recommended level, their sleep qualities may be poor. Therefore, evaluations of the sleep quality of haemodialysis patients during the clinical practice must be taken into consideration.

Cited by 17 publications

References 40 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

Dream Anxiety in Hemodialysis and Peritoneal Dialysis Patients

Adequacy of Dialysis in Iranian Patients Undergoing Hemodialysis: A Systematic Review and Meta-Analysis

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