Sleep Quality and Depression and Their Association with Other Factors in Hemodialysis Patients

Firoz, Masomeh Norozi; Shafipour, Vida; Jafari, Hedayat; Hosseini, Seyed Hamzeh; Charati, Jamshid Yazdani

doi:10.5539/gjhs.v8n8p121

Cited by 24 publications

(22 citation statements)

References 22 publications

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“…History of heart failure was also found to be associated with poor sleep quality in another study [34]. Multiple other predictors of poor sleep quality have been found in other studies but not in our study including young age [7,12,16,19], older age [11,13,34], female sex [11,15,31,35], white race [19], employment [7], diabetes mellitus [6], duration of hemodialysis [12,30], reduced frequency of hemodialysis [11], body pain [6,16], pruritis [16], CRP [7], serum phosphorous [7,8,15,32], albumin, body mass index [7] and quality of life [9,12,19,20,29]. Difference in predictors of poor sleep quality is likely explained by difference in patient population, sample size, variation in inclusion of predictor variables and assessment tools for sleep quality.…”

Section: Discussionsupporting

confidence: 62%

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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Section: Discussionsupporting

confidence: 62%

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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“…Encouraging patients to express their feelings and addressing their psychological needs may be an essential measure to confront with this debilitating disease [9]. An underestimated or untreated anxiety and depression may lead to diminished quality of life among both patients and caregivers [14].…”

Section: Introductionmentioning

confidence: 99%

Anxiety–Depression of Dialysis Patients and Their Caregivers

et al. 2019

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Background and Objectives: Anxiety–depression of patients undergoing hemodialysis has a strong relation with the levels of anxiety–depression of their caregivers. The aim of this study was to evaluate anxiety–depression of dialysis patients and their caregivers. Materials and Methods: In this cross-sectional study, 414 pairs of patients and caregivers from 24 hemodialysis centers of Greece completed the Hospital Anxiety and Depression Scale (HADS). The statistical analysis of the data was performed through the Statistical Program SPSS version 20.0. The statistical significance level was set up at 5%. Results: The mean age of patients was 64 (54.06–72.41) years old and the mean duration of hemodialysis was 36 (16–72) months. The mean age of caregivers was 54 (44–66) years old. Of the total sample, 17.1% (n = 71) of patients had high levels of anxiety and 12.3% (n = 51) had high levels of depression. Additionally, 27.8% (n = 115) of caregivers had high levels of anxiety and 11.4% (n = 47) had high levels of depression. Caregivers had higher levels of anxiety when their patients had high levels of anxiety as well (42.3%). Additionally, they had higher levels of depression when their patients had high levels of depression as well (17.6%). Conclusions: The results of this study showed a significant association between the levels of anxiety and depression among patients and caregivers. There is a necessity for individualized assessment of dialysis patients and their caregivers and the implementation of specific interventions for reducing the levels of anxiety and depression among them.

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“…Finally, 21 articles (7 Persian and 14 English papers) were included [Figure 1]. [232425262728293031323334353637383940414243] The time course of included articles was from 2008 to 2018. One study was conducted at the national level, and 20 others were conducted on provincial level.…”

Section: Resultsmentioning

confidence: 99%

“…[36] with 94.60 per cent and the lowest amount related to Einollahi et al . [26] with 60.60 per cent. Investigating the quality of studies using STROBE checklist showed that nine of studies had high quality, eight had moderate quality and four had low quality.…”

Section: Resultsmentioning

confidence: 99%

Sleep quality in Iranian hemodialysis patients: A systematic review and meta-analysis

Mirghaed

Sepehrian

Rakhshan

et al. 2019

Iranian J Nursing Midwifery Res

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Background:Hemodialysis is a major therapeutic method for many chronic kidney disease patients that causes complications. One of these complications tends to be sleep disorders. This study was performed through systematic review and meta-analysis to determine the prevalence of low sleep quality in hemodialysis patients in Iran.Materials and Methods:Journal papers written in English and Persian searched from January 2000 to July 2018 were selected. The search keywords included (Prevalence OR Epidemiology) AND (hemorenodialysis OR hemodialysate OR 'intermittent chronic haemodialysis' OR 'intermittent chronic hemodialysis' OR 'intermittent haemodialysis' OR 'intermittent hemodialysis' OR 'kidney dialysis' OR 'renal dialysis') AND ('sleep problem' OR 'sleep disturbance' OR 'sleep disorder' OR 'sleep quality' OR 'chronobiology disorders' OR dyssomnia). To determine the pooled prevalence, the stochastic DerSimonian-Laird model was used, computing the effect size with its 95 per cent confidence interval. The main international electronic databases were Embase, PubMed/MEDLINE, ISI/Web of Science (WOS), Scopus, Psych INFO, and Iranian databases such as MagIran, SID and Irandoc. The data were analysed using the Stata (version 13.0).Results:After searching through the databases and other resources, 21 articles (7 in Persian and 14 in English language) were included. The overall prevalence of low sleep quality in dialysis patients was 75.30 per cent (95 per cent confidence interval, 70.08–82.50). The heterogeneity study showed moderate heterogeneity among studies (I2 = 50.30 per cent, p < 0.05).Conclusions:The results of this study showed that the prevalence of low sleep quality in hemodialysis patients has become a common problem. Thus, patients' sleep quality need to be evaluated periodically.

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Sleep Quality and Depression and Their Association with Other Factors in Hemodialysis Patients

Cited by 24 publications

References 22 publications

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 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

Anxiety–Depression of Dialysis Patients and Their Caregivers

Sleep quality in Iranian hemodialysis patients: A systematic review and meta-analysis

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