Sleep Quality Among Iranian Hemodialysis: A Multicenter Study

Einollahi, Behzad; Motalebi, Mohsen; Rostami, Zohreh; Nemati, Eghlim; Salesi, Mahmood

doi:10.5812/numonthly.23849

Cited by 22 publications

(1 citation statement)

References 31 publications

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“…Hemodialisis ialah suatu terapi yang saat ini berkembang sangat pesat kepada penderita PGK, namun pada proses hemodialisis tersebut pasien banyak yang menghadapi komplikasi medis. Masalah yang selalu dialami oleh pasien yang melaksanakan hemodialisa ialah hipotensi atau hipertensi, gangguan tidur, kram otot, sesak nafas, muntah, sakit dada, mual, sakit kepala, sakit punggung, menggigil, dema, serta gatal (Landry & Oliver, 2006;Beiber & Himmelfarb, 2013;Einollahi, Rostami, Nemati, & Salesi, 2014). Perubahan nilai tekanan darah tersebut ialah satu dari beberapa hambatan hemodinamik yang menimpa kepada penderita hemodialisa (Wouters et al, 2015) transisi status hemodinamika bisa berlangsung Ketika hemodialisa ataupun sesudah dilaksanakannya hemodialisa (Agarwal & Light, 2010).…”

Section: Pendahuluanunclassified

Pengaruh Terapi Murottal Q.S Ar Rahman Terhadap Status Hemodinamika Pada Pasien Hemodialisa

Nurani¹

2022

citradelima

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Penyakit ginjal kronik (PGK) merupakan kerusakan fungsi renal secara irreversible serta progresif dimana kapabilitas tubuh gagal demi melakukan pertahanan metabolisme. Hemodialisis ialah satu dari beberapa pengobatan yang bisa dilakukan, tetapi penderita banyak yang menghadapi komplikasi medis. Masalah yang selalu dialami ialah hipertensi serta hipotensi. Satu dari beberapa metodedalam memperbaiki status hemodinamika yakni terapi murottal Al Qur’an. Tujuan penelitian untuk mengetahui pengaruh terapi murottal Al Qur’an atas status hemodinamika. Riset ini ialah Quasy-Experiment menggunakan pre and post test with control group design. Sampel riset ini sebanyak 38 responden menggunakan teknik simple random sampling. Analisa yang dipakai ialah uji T Test. Hasil riset membuktikan bahwa terjadi, penurunan tekanan darah sistolik (p value 0,000) dan MAP (p value 0,000), HR (p value 0,017) dan RR (p value 0,011) serta tidak terjadi penurunan tekanan darah diastolik (p value 0,112). Kesimpulan riset ini ialah murottal Al Qur’an yang dilakukan selama satu minggu berpengaruh terhadap menurunnya status hemodinamika (tekanan darah sistolik, mean arterial pressure (MAP), heart rate (HR) dan respiratory rate (RR) untuk penderita hemodialisis.

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Section: Pendahuluanunclassified

Pengaruh Terapi Murottal Q.S Ar Rahman Terhadap Status Hemodinamika Pada Pasien Hemodialisa

Nurani¹

2022

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A comparison of quality of sleep between patients with chronic kidney disease not on hemodialysis and end-stage renal disease on hemodialysis in a developing country

Shafi

2017

Renal Failure

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Few studies have compared quality of sleep between pre-dialysis chronic kidney disease (pre-dialysis CKD) patients and end-stage renal disease patients on dialysis (ESRD) and have found inconsistent results. Objective of this study is to compare quality of sleep between patients with pre-dialysis CKD and ESRD in a developing country. This study was conducted in an out-patient department and hemodialysis unit of a tertiary care facility. Patients included had either pre-dialysis CKD or ESRD. Assessment of quality of sleep was done using Pittsburgh sleep quality index (PSQI). A total of 152 patients were included in the study. Out of these patients, 79 (52%) had ESRD and 73 (48%) had pre-dialysis CKD. Median PSQI score was 6 (IQR 3-8.8). Poor sleep quality (PSQI ≥5) was present in 100 (65.8%) patients. Only hemoglobin (β = -0.39, p < .01), depression (β = 0.56, p < .01) and history of cardiovascular disease (β = 0.22, p < .01) were associated with PSQI global score in a multiple linear regression analysis. There was no significant association between ESRD vs. pre-dialysis CKD and PSQI global scores and no significant co-relation between eGFR and global PSQI score (r = -0.34, p value .80) in pre-dialysis CKD patients. Poor sleep quality is common in patients with CKD including hemodialysis patients in a developing country, which is independent of kidney function in non-dialysis patients. There is no difference in quality of sleep between pre-dialysis CKD and ESRD patients.

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A randomized controlled trial for effectiveness of zolpidem versus acupressure on sleep in hemodialysis patients having chronic kidney disease–associated pruritus

Rehman

Ahmed³

et al. 2018

Medicine

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Background:Pruritus adds to the complications of chronic kidney disease (CKD) patient and a well-recognized complication among the CKD patients. Majority of the patients on hemodialysis experience a generalized pruritus and patients reported being moderately to extremely disturbed by at least one of the sleep-related condition. This study aim to investigate the effectiveness of zolpidem 10 mg and acupressure therapy on foot acupoints to improve the sleep quality and overall quality of life among hemodialysis patients suffering from CKD-associated pruritus.Methods:A multicentered, open-label, parallel group, prospective randomized controlled trial among patients suffering from CKD-associated pruritus with sleep disturbance, after randomization into control, and intervention group to be held at North West General Hospital and Research Center Peshawar, Pakistan and Institute of Kidney Diseases Peshawar, Pakistan.Results:The primary outcome is to investigate the effectiveness of zolpidem 10 mg and acupressure therapy on foot acupoints to improve the sleep quality and overall quality of life among hemodialysis patients suffering from CKD-associated pruritus. After baseline assessment by Urdu version of 5D itch scale and Urdu version of Pittsburgh Sleep Quality Index (PSQI) and Urdu EQ-5D 3L, the intervention group will be given zolpidem 10 mg oral tablets and control group with acupressure on both foots on KI-1 acupoints for total of 6 minutes. Assessment will be done at weeks 4 and 8 from baseline by using Urdu version of 5D itch scale and Urdu version of PSQI and Urdu EQ-5D 3L, whereas safety profiling of zolpidem 10 mg tablet at week 6 from baseline and acupressure acceptability at week 6 from baseline. Analysis of covariance will be used to examine the differences in treatment effects between the intervention and control groups.Conclusion:Improvement of sleep quality and quality of life among patients with CKD-associated pruritus requires great importance. This study aims to improve the quality of sleep and quality of life among patients with hemodialysis suffering from CKD-associated pruritus.

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Sleep Quality Among Iranian Hemodialysis: A Multicenter Study

Cited by 22 publications

References 31 publications

Pengaruh Terapi Murottal Q.S Ar Rahman Terhadap Status Hemodinamika Pada Pasien Hemodialisa

Pengaruh Terapi Murottal Q.S Ar Rahman Terhadap Status Hemodinamika Pada Pasien Hemodialisa

A comparison of quality of sleep between patients with chronic kidney disease not on hemodialysis and end-stage renal disease on hemodialysis in a developing country

A randomized controlled trial for effectiveness of zolpidem versus acupressure on sleep in hemodialysis patients having chronic kidney disease–associated pruritus

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