The impact of perceived social support on sleep quality in a sample of patients undergoing hemodialysis in Somalia

Abstract

ObjectiveThe main objective of the present study is to examine the relationship between perceived social support and the quality of sleep and to determine the predictors of sleep quality in a sample of patients undergoing hemodialysis (HD) in Somalia.MethodsA sample of 200 patients with end-stage renal disease (ESRD) who were undergoing hemodialysis treatment approximately two to three times a week were included. All participants were administered a sociodemographic data form, the Multidimensional Scale of Perceived Social Support (MSPSS), the Insomnia Severity Index (ISI), and the Pittsburgh Sleep Quality Index (PSQI). Patients undergoing HD for less than 3 months prior to the study date were excluded.ResultsOf the patients undergoing hemodialysis, 200 patients aged between 18 and 68 years (mean = 52.29; SD = 14.13) gave consent and participated in the study. Sixty-three subjects (31.5%) reported poor sleep quality, defined as having a total PSQI score > 5. Forty-one subjects (20.5%) reported clinically significant (moderate-to-severe) insomnia. The majority of our patients undergoing HD reported remarkably high family support, but low friends and significant other support. Poor sleep quality significantly correlated with perceived friends’ support and perceived total social support. While perceived family support significantly correlated with both family income and the duration of chronic kidney disease (CKD), perceived friends’ support significantly correlated with age and family income. Hierarchical regression analyses showed that perceived family support and friends’ support were significant predictors of poor sleep quality. Perceived friends’ support was a significant predictor of insomnia severity. Perceived family support was a significant predictor of subjective sleep quality and sleep duration. Perceived friends’ support was a significant predictor of subjective sleep quality, sleep duration, sleep latency, sleep disturbance, and daytime dysfunction. Family income was a significant predictor of sleep duration. Age and gender were significant predictors of sleep efficiency. The duration of CKD and duration of HD were significant predictors of sleep disturbance.ConclusionThis present study has highlighted the value of family as a principal support system in Somalian culture. Understanding the impact of perceived social support on the quality of sleep in patients undergoing HD will help healthcare providers and social services to focus on and improve the social support systems of the patients as an integral part of their treatment.

Studying the effects of stress, mental health and psychological well‐being on wound healing rates after oesophageal varices ligation in liver cirrhosis patients

“…The correlation between HADS scores and wound healing time was unexpectedly negative in our research, indicating that individuals who exhibited elevated levels of anxiety and depression may undergo wound healing at quicker rate. This discovery challenges the prevailing notion that physical recuperation is hindered by psychological distress 4,18 . A possible explanation is that patients who are more conscientious of their health due to elevated levels of anxiety and depression are more likely to adhere to post‐operative care instructions and recover from wounds more quickly.…”

The influence of social support on sleep and fatigue level among patients receiving hemodialysis in Saudi Arabia: a cross-sectional correlational design

“…In this context, educational attainment was found to have no direct influence on these factors in the HD patient population ( Parvan et al, 2013 ). In HD patients, other factors such as depression, perceived social support, and the presence of other psychological disorders were found to be more closely associated with sleep quality and overall well-being ( Firoz et al, 2016 ; Mohamed et al, 2023 ).…”

“…Patients who received stronger social support had normal sleep, while patients who received weak social support had poorer sleep. Numerous studies on the connection between social support and sleep quality of HD patients found that a lack of social support can be a significant predictor of poor sleep quality ( Pan et al, 2019 ; Mohamed et al, 2023 ). In particular, a high level of perceived support from one’s family and friends were found to be a strong predictor of poor sleep quality ( Mohamed et al, 2023 ).…”

“…The level of social support is crucial for better adaptation to the chronic nature of the illness, sleep problems, and likely outcomes during HD ( Pan et al, 2019 ). Social support is directly correlated with increased QOL, better acclimatization to HD, and adherence to treatment regimens recommended by physicians and caretakers ( Kim et al, 2018 ; Alshraifeen et al, 2020 ) Therefore, healthcare professionals and social service providers can focus on and strengthen social support networks of HD patients as a crucial aspect of care if they become aware of the impact of perceived social support on their sleep quality ( Mohamed et al, 2023 ).…”

“…Early studies found a link between social support and fatigue ( Karadag et al, 2013 ), social support and sleep quality ( Stafford et al, 2017 ; Mohamed et al, 2023 ). Among the myriad complications associated with CKD, patients undergoing HD frequently experience sleep disorders and fatigue, leading to a marked reduction in their quality of life.…”