Sleep Quality on Maintenance Hemodialysis Patients in Douala General Hospital in Cameroon

Abstract

Background: Poor sleep quality is reported to be common in hemodialysis patients. However, limited data are available about its prevalence in sub-Saharan region. The aim of this study was to assessed sleep quality and its predictors among hemodialysis patients. Methods: We conducted a cross sectional study of 2 weeks in the Douala General Hospital hemodialysis center of Cameroon involving 46 chronic hemodialyzed patients for at least six months with arteriovenous fistula. Quality of sleep was measured using the Pittsburgh Sleep Quality Index (PSQI) and laboratory data were collected in patients'' fields. Result: Thirty-five (76.1%) subjects reported poor sleep quality. The most frequent abnormal sleep components were subjective sleep quality, sleep disturbances and sleep latency (87%, 85% and 76% respectively). In univariate linear regression, hemoglobin level, sleep quality, sleep latency, sleep duration, habitual sleep efficiency and sleep disturbance were associated with poor sleep quality. In multivariate linear regression only hemoglobin level (p = 0.004) and sleep latency (p = 0.002) were associated with poor sleep quality. Conclusion: Poor sleep quality is frequent in our hemodialysis patients and hemoglobin seems to be a good predictor of sleep quality in these patients.

Effect of Increasing the Speed of Pumped Blood Volume Delivered to the Dialyzer on the Sleep Quality of Patients Undergoing Hemodialysis

“…Due to the impossibility of accessing the kidney for transplantation, dialysis or hemodialysis is the most common way for kidney patients to survive [3,4] . Despite the beneficial effects of dialysis, hemodialysis patients experience many physical, psychological, and social problems, including decreased blood pressure, muscle cramps, nausea, vomiting, headache, back pain [5] , itching [6,7] , and sleep disturbance [8] . The prevalence of sleep disorders in hemodialysis patients has been 46-83% [9][10][11][12] .…”

Effect of vitamin D on sleep quality in hemodialysis patients

“…Sleep disorders are associated with impairment in immune functioning (1,7), increased mortality and cardiovascular risk (2,5,6). There is an association between sleep quality of HD patients and the following factors; female gender, older age, caffeine consumption, alcohol consumption, tobacco abuse, concurrent comorbidity, recombinant erythropoietin therapies, years receiving dialysis, dialysis shift, depression, physical performance, greater body mass index (BMI) values, dialysis efficiency, anemia, hypoalbuminemia, parathyroid hormone and serum creatinine (8)(9)(10). Deficiency of vitamin D is commonly experienced by patients who undergo dialysis (6,11,12).…”