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

Abstract

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.

The Role of Socioeconomic Status, Family Resilience, and Social Support in Predicting Psychological Resilience Among Chinese Maintenance Hemodialysis Patients

“…According to the latest census data released in the China Kidney Disease Network Data Report (2), the prevalence of maintenance hemodialysis among patients with chronic renal failure in China is 402.18 per million. Hemodialysis treatment preserves the lives of patients with terminal stage renal failure but does not prevent the emotional suffering associated with chronic stress related to the disease burden, dialysis treatment, functional limitation, and fear of death (3)(4)(5)(6)(7). The incidence of emotional distress is higher in patients who received maintenance hemodialysis than in those with chronic kidney disease alone (8).…”

Patient-reported outcome measures in hemodialysis patients: results of the first multicenter cross-sectional ePROMs study in France

“…Results on sleep quality were different to those reported in the literature. While only 15% of patients with reported altered sleep were found, sleep disturbance was reported at weighted mean prevalence of 44% with a range of 20 to 83% [ 12 , 25 , 26 ] in various countries. The observed difference may be due to the questionnaire used to assess the sleep quality in our study.…”

Spiritual well‐being of patients with chronic renal failure: A cross‐sectional study

“…A previous study showed that sleep disturbances were the most severe physical symptom of patients receiving haemodialysis, which further reduced their spiritual well‐being (Eslami et al., 2014 ), our result in line with this study. Mirghaed et al., ( 2019 ) conducted a systematic review of 21 studies on sleep disturbances in patients receiving haemodialysis. The study revealed that sleep disturbance is a common health issue among patients receiving haemodialysis and that 75.3% of patients receiving dialysis had poor sleep quality.…”