Relationship between sleep quality and fear of progression among partients with chronic kidney disease: A cross-sectional survey

Abstract

Objectives The study aims to elucidate the direct correlation between sleep quality and fear of progression (FOP), two significant psychosocial issues that individuals with chronic kidney disease (CKD) encounter. Methods A cross-sectional study was conducted among patients with CKD who were recruited from the Second Affiliated Hospital of Anhui Medical University.Clinical and demographic data were collected using a general information questionnaire. The Fear of Progression Questionnaire-Short Form and Pittsburgh Sleep Quality Index were used to measure the level of FOP and evaluate sleep quality over one month. The correlation between sleep quality and FOP was investigated utilizing Pearson correlation and hierarchical regression analysis. Results This study comprised 195 people in total, of which 116 (59.5%) suffered from poor sleep quality.Sleep quality and FOP were positively correlated, with higher FOP scores leading to poorer sleep quality. Gender, family financial burden, disease stage, and total FOP score could predict sleep quality. Collectively, these factors combined explained 24.7% of the variation in sleep quality, with FOP independently contributing 6.3% to the explained variance. Conclusions Patients with CKD often experience poor sleep quality, an issue that healthcare professionals should take seriously. Interventions focused on reducing FOP could offer a promising approach to enhancing sleep quality.