Examination of Dysfunctional Beliefs and Attitudes About Symptoms, Sleep Quality and Sleep in Patients Receiving Hemodialysis Treatment

Abstract

Objective: This study was conducted to examine the relationship between symptoms, sleep quality, and dysfunctional beliefs and attitudes about sleep in patients receiving hemodialysis treatment.
 Material and Methods: This descriptive and correlational study was conducted with 120 patients undergoing hemodialysis in a private hemodialysis center. Data were collected using the Descriptive Information Form, Dialysis Symptom Index (DSI), Pittsburgh Sleep Quality Index (PSQI), and Dysfunctional Beliefs and Attitudes About Sleep Scale-16 (DBAS-16). The statistical analysis of the data obtained as a result of the study was analyzed using number, percentage, standard deviation and arithmetic mean as descriptive statistics, Pearson correlation test and structural equation modeling in IBM SPSS 26 program. Ethics committee approval and permission from the research institution were obtained for the conduct of the study. 
 Results: The most common hemodialysis-related symptoms were fatigue (70.8%), feeling irritable (61.7%), difficulty falling asleep (60.8%). The mean PSQI Global sleep score of the patients was 7.40±5.02 points. Dialysis Symptom Index explained 26.5% of the change in PSQI Global sleep score in a statistically significant way (F=42.479 p