Factors Related to Sleep Quality in Chronic Kidney Disease Patients Undergoing Haemodialysis

Abstract

Approximately 50 to 60% of haemodialysis patients suffer from sleep disturbances. This study aims to identify factors associated with sleep quality in patients with chronic kidney disease (CKD) at Fatimah Cilacap Hospital. This type of research is an analytic survey with a cross sectional design of 57 post-HD CKD patients taken using purposive sampling method. The data were analysed using chi-square test. The tool used was a questionnaire to determine the demographic characteristics of respondents, that is age, comorbidities, gender, occupation, Hb level, environment, and HD duration. Anxiety levels were measured with an anxiety questionnaire from the Hamilton Anxiety Rating Scale (HARS) and a questionnaire to determine the quality of sleep using the Pittsburgh Sleep Quality Index questionnaire (PSQI). The results showed that there was a relationship between age, comorbidities, and anxiety level with sleep quality in post-HD CKD patients (p < 0.05). There was no relationship between gender, occupations, environment, and HD duration with sleep quality in post-HD CKD patients (p > 0.05). Patients with CKD undergoing HD without comorbidities will have 5 times better sleep quality than CKD patients undergoing HD with comorbidities (pv= 0.043, OR = 5.749 CI: 1. 060 -31.190). Sleep quality disorder in haemodialysis patients with CKD can be overcome by giving complementary therapy such as music therapy, massage, aromatherapy and Benson therapy.