Sleep Quality in Patients Undergoing Long-term Hemodialysis Using the Pittsburgh Sleep Quality Index

Mehrabi, Samrad; Sarikhani, Saman; Roozbeh, Jamshid

doi:10.5812/numonthly.44278

Cited by 16 publications

(14 citation statements)

References 20 publications

(40 reference statements)

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“…Our participants' median score for PSQI was 8 (5)(6)(7)(8)(9)(10)(11)(12), which is similar to a study in Pakistan, 8.0 [7.0-10.0] [25]. Therefore, there is a similarity between the results we have come up with and many other previous studies [4,[30][31][32][33][34][35]. For example, 63% of HD patients were poor sleepers, as reported in a Turkish study in 2014 [34].…”

Section: Discussionsupporting

confidence: 87%

Prevalence of pruritus associated with hemodialysis and its association with sleep quality among hemodialysis patients: a multicenter study

et al. 2022

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Background CKD-associated pruritus (chronic kidney disease-associated pruritus) is one of the common symptoms in hemodialysis patients, with a major effect on sleep quality because it occurs at night. The main objective of this study is to determine the prevalence of pruritus among hemodialysis (HD) patients and its impact on sleep and investigate factors associated with pruritus and sleep quality. Methods A cross-sectional study began in January until March of 2021 in HD centers of four different hospitals in the West Bank, Palestine. Patients with HD aged 18 years or older were included in our investigation. Pruritus and sleep problems were assessed by a 5-D itching score and the Pittsburgh Sleep Quality Index (PSQI) score. Results Of 280 HD patients, 250 were accepted to participate in our study. The mean age of the participants was (54.9 ± 15.08). 62.8% were male, and 42.4% of the participants were elderly (age ≥ 60yrs). Pruritus was observed in 121 (48.4%). The 5-D itching score had a median [IQR] of 5.0[5.0–15.0], and 57.2% had a score ≥ 6 points. Severe pruritus was reported in 28.1% of patients. The score was significantly associated with residency (p = 0.033) and chronic comorbidities (p = 0.026). The PSQI score has a median [IQR] of 8[5–12], and 66.4% are poor sleepers with a score of < 5. The score was significantly associated with age (p = 0.017), marital status (p = 0.022), occupational status (p = 0.007), chronic comorbidities (p > 0.001), chronic medication (p = 0.008), severity of pruritus (p = 0.003) and duration of pruritus (p = 0.003). Regression analysis showed that the 5-D itching score and the total number of comorbidities were significantly associated with the PSQI score. Conclusions Pruritus is a widespread complication among HD patients in Palestine. Pruritus also has major effects on sleep quality and is associated with poor sleep quality.

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Section: Discussionsupporting

confidence: 87%

Prevalence of pruritus associated with hemodialysis and its association with sleep quality among hemodialysis patients: a multicenter study

et al. 2022

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“…No significant relationships were found between dialysis shift and sleep quality. Some similar studies on hemodialysis patients by Trbojević-Stanković et al (2014); Firoz, Shafipour, Jafari, Hosseini, and Charati (2015); Chang and Yang (2011); and Mehrabi, Sarikhani, and Roozbeh (2017) did not find significant relationships between sleep quality and hemodialysis shift and most of their hemodialysis patients suffered from poor sleep quality. But Menon et al (2015) reported 67% of their hemodialysis patients suffered from poor quality of sleep, which was significantly correlated with the morning dialysis schedule.…”

Section: Discussionmentioning

confidence: 90%

“…Einollahi, Motalebi, Rostami, Nemati, andSalesi (2015) andHydarinia Naieni et al (2016) reported that sleep quality has a significant relationship with age, female gender, marital status, number of children, and employment in hemodialysis patients. The results of a study by Mehrabi et al (2017) indicated that low quality sleep has a significant relationship with BMI and diabetes.…”

Section: Discussionmentioning

confidence: 99%

Relationship of Hemodialysis Shift With Sleep Quality and Depression in Hemodialysis Patients

et al. 2017

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This descriptive correlational study was aimed at determining the relationship of hemodialysis shift with sleep quality and depression in 310 hemodialysis patients. Demographic and Clinical Questionnaires, the Pittsburgh sleep quality index, and Beck's Depression Inventory were used to ascertain the aforementioned relationship. Among the patients, 59.6% reported poor sleep quality and 44.8% reported experiencing depression. Results show that these conditions were significantly related to many factors. Although dialysis shift was not significantly related to sleep quality and depression, sleep quality was found significantly associated with age, female gender, illiteracy, unemployment, residence in rural areas, diabetes, addiction to sedatives, and phosphorus levels. A significant relationship was also found between depression and phosphorus levels. Logistic regression predicted age, gender, illiteracy, unemployment, residence in rural areas, and addiction to sedatives as factors for poor sleep quality. A body mass index (BMI) above 30, decreased urea, and increased phosphorus were predicted as factors for increased depression.

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“…Evidences are growing that hyperphosphatemia was associated with poor sleep quality [ 20 , 21 , 92 , 93 ], despite inconsistencies existing [ 24 ]. While the presence of hyperphosphatemia-related pruritus could be the mediating factor for poor sleep quality [ 20 ], to the best of our knowledge, there is no clear mechanism of how poor sleep quality may influence serum phosphate level among the dialysis population.…”

Section: Discussionmentioning

confidence: 99%

Poor Sleep Quality, Depression and Social Support Are Determinants of Serum Phosphate Level among Hemodialysis Patients in Malaysia

Wong

Kamaruddin

et al. 2020

IJERPH

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Despite optimal control of serum phosphate level being imperative to avoid undesirable health outcomes, hyperphosphataemia is a highly prevalent mineral abnormality among the dialysis population. This study aimed to determine factors associated with hyperphosphatemia among hemodialysis patients in Malaysia. Multiple linear regression analysis was used to ascertain the possible factors that influence serum phosphate levels. A total of 217 hemodialysis patients were recruited. Hyperphosphatemia was prevalent. Only approximately 25% of the patients were aware that optimal control of hyperphosphatemia requires the combined effort of phosphate binder medication therapy, dietary restriction, and dialysis prescription. The presence of diabetes mellitus may affect serum phosphate levels, complicating dietary phosphorus management. Patients who were less depressive portrayed higher serum phosphate levels, implying intentional non-compliance. Better compliance on phosphate binder, longer sleep duration, and higher social support was associated with a lower level of serum phosphate. Despite sleep disturbance being one of the most prevalent and intense symptom burdens identified by hemodialysis patients, relatively few studies have addressed this issue. It is time to formulate sleep therapeutic interventions besides the encouragement of strong social support, hoping which many clinical outcomes including hyperphosphatemia can be better controlled among hemodialysis patients.

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Sleep Quality in Patients Undergoing Long-term Hemodialysis Using the Pittsburgh Sleep Quality Index

Cited by 16 publications

References 20 publications

Prevalence of pruritus associated with hemodialysis and its association with sleep quality among hemodialysis patients: a multicenter study

Prevalence of pruritus associated with hemodialysis and its association with sleep quality among hemodialysis patients: a multicenter study

Relationship of Hemodialysis Shift With Sleep Quality and Depression in Hemodialysis Patients

Poor Sleep Quality, Depression and Social Support Are Determinants of Serum Phosphate Level among Hemodialysis Patients in Malaysia

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