Association of Insomnia in Patients with Chronic Kidney Disease on Maintenance Hemodialysis

Rehman, Omer Farooq; Rauf, Uzma; Rauf, Maryam; Aziz, Sana; Faraz, Ahmad; Jameel, Farah Anum

doi:10.7759/cureus.9520

Cited by 2 publications

(2 citation statements)

References 22 publications

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“…In this study, the prevalence of insomnia in hemodialysis patients was 37.5%, which was similar to Rehman’s study ( Rehman et al, 2020 ). The prevalence of insomnia among caregivers was 20.1%, which was higher than in community adults in China ( Geng et al, 2021 ).…”

Section: Discussionsupporting

confidence: 91%

Perceived stress, social support, and insomnia in hemodialysis patients and their family caregivers: an actor-partner interdependence mediation model analysis

Tao

Liu²,

Zhuang³

et al. 2023

Front. Psychol.

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ObjectivesPatients’ and caregivers’ physical and mental health may interact. The theory of dyadic illness management holds that patients and caregivers should be regarded as a whole in health management. Previous studies have found that hemodialysis patients and their family caregivers experience poor sleep quality. Perceived stress and social support have effects on insomnia. However, the dyadic interaction between perceived stress, social support, and insomnia among hemodialysis patients and caregivers is unclear. This study aimed to explore the mediating role of social support in the association between perceived stress and insomnia in hemodialysis patient-caregiver dyads.MethodsA total of 259 hemodialysis patient-caregiver dyads completed the Chinese Perceived Stress Scales (CPSS), the Perceived Social Support Scale (PSSS), and the Athens Insomnia Scale (AIS) in Lanzhou, China, from May 2022 to July 2022. The actor-partner interdependence mediation model analysis was used for data analysis.ResultsIn the actor effect, there was a significant positive correlation between perceived stress and insomnia in hemodialysis patients (β = 0.091, p = 0.001) and their family caregivers (β = 0.588, p < 0.001). Patient’s and caregiver’s social support played partial mediating roles in the relationship between caregiver’s perceived stress and insomnia (β = 0.135, p < 0.001 and β = 0.111, p < 0.001). In the partner effect, caregiver’s perceived stress was positively connected with patient’s insomnia (β = 0.915, p < 0.001), and the mediating effect of patient’s social support on the relationship between caregiver’s perceived stress and patient’s insomnia was statistically significant (β = −0.040, p = 0.046).ConclusionThe perceived stress, social support and insomnia of hemodialysis patients and their family caregivers had interactive effects. Effective dyadic-based interventions should be developed to improve hemodialysis patients’ and caregivers’ sleep quality.

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Section: Discussionsupporting

confidence: 91%

Perceived stress, social support, and insomnia in hemodialysis patients and their family caregivers: an actor-partner interdependence mediation model analysis

Tao

Liu²,

Zhuang³

et al. 2023

Front. Psychol.

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“…Insomnia is mostly affected by uraemic toxin accumulation, anemia, pain, and psychological problems [8]. It can be also caused by restless leg syndrome and itchy skin due to uremic pruritus [9], sleep apnoea [10], as well as by insufficient control of diabetes [11]. Diabetes usually causes sleep disturbances, while sleep problems may deteriorate the control of diabetes, such as diabetic retinopathy which is negatively affected by the irregular duration of sleep [11].…”

Section: Introductionmentioning

confidence: 99%

Factors Associated With Insomnia in Patients Undergoing Hemodialysis

Benetou¹,

Alikari²,

Vasilopoulos³

et al. 2022

Cureus

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Introduction: Insomnia is the most common sleep disorder among patients on hemodialysis and has a strong relation with fatigue, depression, low immune system, increased risk of cardiovascular problems, and low quality of life. The aim of this study was to explore the factors associated with insomnia in patients undergoing hemodialysis.Methods: In this cross-sectional study, 100 patients on hemodialysis (75 males and 25 females) from a hemodialysis center in Greece were included. Insomnia was assessed via the "Athens Insomnia Scale (AIS)" and a questionnaire about demographic and clinical characteristics. The Kruskal-Wallis, Mann-Whitney tests, and Spearman's rho criterion were used to evaluate the association between insomnia score and patients' characteristics. Multiple linear regression was performed to assess the effect of characteristics on patients' insomnia.Results: Statistically significantly high levels of insomnia were found in patients over the age of 60 years (p = 0.002), in divorced/widowed patients (p = 0.007), in patients who had comorbid diseases (p = 0.001), in patients who felt tired after hemodialysis (p = 0.001), in those who had continuous fatigue (p = 0.001) and change in body image (p = 0.003), in those who often had itching (p = 0.007) and stiffness in joints (p = 0.001) and in patients who had limitations in the clothes they could wear (p = 0.001).Conclusions: The findings of this study showed that insomnia had a strong association with increased age of patients, comorbidities, fatigue, change in body appearance, pruritus, and limitation in clothes they could wear. Therefore, there is a necessity for early assessment of sleep quality and effective treatment of sleep disorders in hemodialysis patients in order to reduce morbidity and mortality and improve the quality of their life.

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Association of Insomnia in Patients with Chronic Kidney Disease on Maintenance Hemodialysis

Abstract: To determine the frequency of insomnia in patients with chronic kidney disease (CKD) on maintenance hemodialysis (HD) Study design Cross-sectional (descriptive) Study duration

Cited by 2 publications

References 22 publications

Perceived stress, social support, and insomnia in hemodialysis patients and their family caregivers: an actor-partner interdependence mediation model analysis

Perceived stress, social support, and insomnia in hemodialysis patients and their family caregivers: an actor-partner interdependence mediation model analysis

Factors Associated With Insomnia in Patients Undergoing Hemodialysis

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