Factors related to insomnia among end-stage renal disease patients on hemodialysis in Jakarta, Indonesia

Lufiyani, Indri; Zahra, Anggri Noorana; Yona, Sri

doi:10.1016/j.enfcli.2019.04.141

Cited by 7 publications

(5 citation statements)

References 19 publications

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“…There is lack of evidence on the relationship between sleep disturbances and depression among ESRD patients. However, a recently online published article has found that insomnia is related to depression among hemodialysis patients in Indonesia ( Lufiyani et al , 2019 ). Furthermore, insomnia and sleep complaints were common among ESRD patients on hemodialysis ( Walker et al , 1995 ; Hanly, 2004 ; Parker, 2003 ).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of depression and associated factors among hemodialyzed patients in Jazan area, Saudi Arabia: a cross-sectional study

Othayq

Aqeeli

2020

MIJ

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Purpose This study aims to evaluate the prevalence of depression and associated risk factors among patients on hemodialysis in Jazan area, Saudi Arabia. Design/methodology/approach The study was conducted on 211 randomly selected hemodialysis patients in Jazan area, Saudi Arabia, using an observational cross-sectional design. Patients were screened for depressive symptoms using the depression, anxiety and stress scale 42 (DASS-42). Descriptive statistics were used to present sociodemographic data. Multiple logistic regression was implemented to identify the predictors of depression. Data were entered and analyzed using SPSS 22.0 software. Findings The study found the overall prevalence of depression among patients on hemodialysis to be 43.6 per cent. Of them, 12.8 per cent were mildly depressed, 15.6 per cent were moderately depressed and 15.1 per cent fell in the severe or extremely severe category. Depression was significantly associated with marital status, education level and the presence of sleep disturbances. The study indicates a high prevalence of depressive symptoms among patients on hemodialysis in Jazan. A higher rate of depressive symptoms was observed in currently unmarried, lower-educated patients and those with sleep disturbance. Originality/value Periodic evaluation of patients on hemodialysis for depression is needed to allow for early intervention.

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Section: Discussionmentioning

confidence: 99%

Prevalence of depression and associated factors among hemodialyzed patients in Jazan area, Saudi Arabia: a cross-sectional study

Othayq

Aqeeli

2020

MIJ

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“…Several studies revealed the prevalence of sleep disturbance among HD patients around the world with the incidence range 40–85% [ 17 ]. In a study that was conducted at hospitals in East Jakarta, Indonesia, more than half (56%) of HD patients were suffering from sleep disturbance [ 18 ]. In a study that was conducted for 1643 HD patients from 335 dialysis centers in US, 50% of the patients had difficulty falling asleep, 59% experienced of difficulty waking up during the night, and 49% experienced difficulty of getting up early in the morning.…”

Section: Introductionmentioning

confidence: 99%

Sleep Quality and Its Affecting Factors among Hemodialysis Patients: A Multicenter Cross-Sectional Study

Alshammari,

Alkubati,

Pasay-an

et al. 2023

Healthcare

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(1) Background: Sleep quality is one of the most important clinical outcomes of hemodialysis (HD) patients, as it can affect their physical and mental health. This study aimed to investigate sleep quality and its affecting factors among patients with HD. (2) Methods: A cross-sectional design was used to investigate the quality of sleep among HD patients in two cities in Saudi Arabia. The data were collected during the period from January to December 2022. A convenience sample of 250 HD patients was selected in this study. Data were collected using the Arabic version of the Pittsburgh Sleep Quality Index (PSQI). (3) Results: About two-thirds of participants (63.6%) had normal sleep, while one-third had poor sleep (36.4%). There was a significant relationship between the participants’ age and the quality of sleep, where participants who were aged more than 50 had poorer sleep than those who were younger (p < 0.001). Male and married participants significantly had poor sleep more than female and single participants (p = 0.011 and 0.015, respectively). In addition, participants who were retired, had a higher number of dependents, did not adhere to exercise, and had more comorbidities had significantly poorer sleep than other groups (p = 0.002, 0.016, 0.023, and <0.001, respectively). The level of education, financial status, distance from home to dialysis center, and participants’ satisfaction at the time of dialysis had no influence on the quality of sleep among HD patients. The multiple linear regression shows that exercise (p = 0.017), the number of comorbidities (p = 0.008), and the duration of dialysis (p < 0.020) were the independent factors affecting the quality of sleep among HD patients. (4) Conclusions: About one-third of HD patients in this study had poor sleep. There were significant differences between patients’ age, gender, marital status, and sleep-quality levels. Moreover, participants who retired, had a higher number of dependents, did not adhere to exercise, and had more comorbidities had significantly poorer sleep than other groups. Future studies should develop appropriate interventions to address the problem of poor sleep quality among HD patients.

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“…Insomnia is the most common sleep disorder among patients on hemodialysis and its prevalence ranges from 69 to 80% [1]. Insomnia includes difficulty in initiating sleep and maintaining continuous sleep, awakening early in the morning or at night, and poor sleep quality [2,3].…”

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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Factors related to insomnia among end-stage renal disease patients on hemodialysis in Jakarta, Indonesia

Cited by 7 publications

References 19 publications

Prevalence of depression and associated factors among hemodialyzed patients in Jazan area, Saudi Arabia: a cross-sectional study

Prevalence of depression and associated factors among hemodialyzed patients in Jazan area, Saudi Arabia: a cross-sectional study

Sleep Quality and Its Affecting Factors among Hemodialysis Patients: A Multicenter Cross-Sectional Study

Factors Associated With Insomnia in Patients Undergoing Hemodialysis

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