Sleep quality in patients on maintenance hemodialysis and peritoneal dialysis

Masoumi, Maryam

doi:10.1016/j.sleep.2015.02.181

Cited by 26 publications

(41 citation statements)

References 43 publications

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“…Many studies relate increase in age to a low quality of sleep in patients under chronic hemodialysis, (1, 2, 4, 9, 10, 15, 22, 23) while other studies do not show such relationship (14,16,17,24). In our study, patients had a lower quality of sleep with increasing age, but only up to the age thresh-…”

Section: Discussioncontrasting

confidence: 58%

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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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Section: Discussioncontrasting

confidence: 58%

“…Most previous studies did not find any relation between these two (2,4,14,16). It is possible that coexisting factors such as depression and anxiety, which were related to the quality of sleep in our study, were also responsible for the difference in the quality of sleep between these two groups.…”

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confidence: 64%

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

2017

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“…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%

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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“…Sleep quality has been shown to be poor in patients undergoing hemodialysis or peritoneal dialysis [2] . 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] .…”

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confidence: 99%

“…Mood disorders have been established as one of the determinative factors of sleep quality in dialysis patients [2] . The coexistence and association of depression and sleep disorders is widely reported in hemodialysis patients [8] .…”

mentioning

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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Sleep quality in patients on maintenance hemodialysis and peritoneal dialysis

Cited by 26 publications

References 43 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

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

Dream Anxiety in Hemodialysis and Peritoneal Dialysis Patients

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