Sleep Quality In Hemodialysis Patients Research Articles

25-Hydroxy vitamin D level is associated with sleep disturbances in patients with chronic kidney disease on hemodialysis: a cross-sectional study

Background/aimDeficient levels of vitamin D are an important factor in the pathogenesis of some neurodegenerative diseases. The aim of this study is to determine the relationship between vitamin D deficiency and depression status and sleep disorders of patients on dialysis.Materials and methodsIn this cross-sectional study, 121 hemodialysis patients were enrolled. All patients had been on hemodialysis for at least six months at the time of the study. Sleep quality and depression status were measured by using specific inventories. All the patients filled out Pittsburg Sleep Quality Index (PSQI) and Beck Depression Inventory (BDI), and gave blood samples. Vitamin D levels were measured for 121 patients, and statistical analysis was done by using SPSS.Results Regression analyses demonstrated that low levels of 25(OH)D and high BDI score were independent risk factors for poor sleep quality [ORs were 0.668 (0.566–0.789), 1.080 (1.001–1.164), and 1.080 (1.001–1.164), respectively].Conclusion Our results suggest that deficiency of 25(OH)D is an important independent risk factor for poor sleep quality in hemodialysis patients.

The effect of aromatherapy hand massage on distress and sleep quality in hemodialysis patients: A randomized controlled trial

The effect of aromatherapy hand massage on distress and sleep quality in hemodialysis patients: A randomized controlled trial

The Effectiveness of Progressive Muscle Relaxation with Benson Relaxation on the Sleep Quality in Hemodialysis Patients

The Effectiveness of Progressive Muscle Relaxation with Benson Relaxation on the Sleep Quality in Hemodialysis Patients

Effect of exercise therapy on sleep quality of hemodialysis patients

Objective To observe the effect of exercise therapy on sleep quality in hemodialysis patients. Methods From April 2017 to April 2018, 80 patients with maintenance hemodialysis in this hospital were divided into control group and observation group with 40 cases in each according to different treatment methods.The control group received routine dialysis treatment, while the observation group underwent exercise therapy.The sleep quality and quality of life scores before and after treatment were compared between the two groups. Results There was no significant difference in sleep quality and quality of life between the two groups before the intervention(P>0.05). The improvement of sleep quality in the observation group was better than that in the control group after the intervention, and the difference was statistically significant(P<0.05). After intervention, the quality of life in the observation group was better than that in the control group, and the difference was statistically significant(P<0.05). Conclusions By maintaining exercise therapy for hemodialysis patients, not only can the patient's sleep quality be effectively improved, but also the patient's poor living conditions can be alleviated, and the patient's quality of life and treatment prognosis can be improved.It is worthy of clinical application. Key words: Exercise therapy; Hemodialysis; Sleep quality

The Effectiveness of Progressive Muscle Relaxation with Benson Relaxation on the Sleep Quality in Hemodialysis Patients

The Effectiveness of Progressive Muscle Relaxation with Benson Relaxation on the Sleep Quality in Hemodialysis Patients

Impact of Pruritus on Sleep Quality of Hemodialysis Patients: A Systematic Review and Meta-Analysis.

Background and objectives: Chronic kidney disease (CKD)-associated pruritus is a common and disturbing condition which has a negative impact on sleep quality, as well as overall health-related quality of life of patients receiving hemodialysis. To date, no systematic review has been undertaken, and there is a lack of concise evidence that statistically quantifies the impact of pruritus based on published data. Materials and Methods: A systematic search was done for original articles published in peer-reviewed English journals from database inception on 20 December, 2018, in the following databases: PubMed, MEDLINE, EMBASE, Ovid, CINHAL, ProQuest, and Scopus. Results: A total of 9217 research articles were identified. After removal of duplicates and screening for titles and abstracts, 28 articles were selected. The prevalence of disturbed sleep was 4–94%, while the pooled proportion on random effect in the study was 40% (95% CI = 0.30 to 0.49); I2 = 99.8%. However, the prevalence of disturbed sleep quality and quantity due to pruritus was 9–76%, and the pooled proportion on random effect in the study was 50% (95% CI = 0.37 to 0.64); I2 = 99.8%. Conclusions: Patients undergoing hemodialysis who are affected by CKD-associated pruritus have a higher chance of experiencing sleep disturbances. The prevalence of disturbed sleep due to CKD-associated pruritus was found to be 9–76% in the included studies for patients receiving hemodialysis therapy.

Effect of rehabilitation exercise training on sleep quality and fatigue of hemodialysis patients with uremia

Objective To study the effects of rehabilitation exercise training on sleep quality and fatigue in hemodialysis patients with uremia. Methods A convenient sampling method was used to select 94 patients with uremia who underwent hemodialysis from September 2016 to September 2017. The patients were divided into routine group and training group according to the random number table method. example. The routine group was given routine hemodialysis care, and the training group was instructed to perform rehabilitation exercise training on the basis of routine group nursing. Both groups were intervened for 16 weeks. Pittsburgh Sleep Index (PQSI) was used to assess the quality of sleep. The sleep quality of the two groups before intervention, intervention for 8 weeks, and intervention for 16 weeks was compared. The fatigue scale (Fatigue Scale-14, FS-14) was used to assess the degree of fatigue. The degree of fatigue in the two groups before intervention, 8 weeks of intervention, and 16 weeks of intervention. Results Before the intervention, there was no significant difference in PQSI scores between the two groups (P>0.05). After 8 weeks of intervention, the PQSI values of the training group were significantly lower than those before the intervention (t=4.20, P 0.05), and the PQSI value of the training group (8.21±2.26) was significantly lower than that of the conventional group (10.15±3.19) (t=3.40, P 0.05). The PQSI values of the training group (6.97±2.32). PQSI values (8.93 ± 3.28) were significantly lower than those in the conventional group (t = 5.50, P 0.05). After 8 weeks of intervention, the FS-14 total score, physical fatigue score and mental fatigue of the training group. The scores were significantly lower than those before the intervention (t=3.83, 3.29, 2.64, P 0.05), and the FS-14 total score (7.02±1.12), physical fatigue score (5.30±1.55), and mental fatigue score (1.83±1.02) in the training group were significantly lower than those in the conventional group. -14 total score (9.01±2.14), physical fatigue score (6.23±1.72), mental fatigue score (2.66±1.37) (t=5.65, 2.75, 3.33, P 0.05), and The FS-14 total score (6.05±1.58), physical fatigue score (4.58±1.36), and mental fatigue score (1.35±1.10) in the training group were significantly lower than those in the conventional group (8.94±2.17), body. Fatigue score (6.33±1.82) and mental fatigue score (2.59±1.36) (t=7.34, 5.28, 4.86, P<0.05). Conclusion Rehabilitation exercise training can significantly improve the sleep quality of hemodialysis patients with uremia and reduce the fatigue degree of hemodialysis patients with uremia. It is worthy of clinical promotion. Key words: Rehabilitation exercise training; Uremia; Hemodialysis; Sleep quality; Fatigue

The Effects of Sleep Hygiene Education on Fatigue and Sleep Quality in Hemodialysis Patients: a Quasi Experimental Study

the Effects of Sleep Hygiene Education on Fatigue and Sleep Quality in Hemodialysis Patients: a Quasi Experimental Study

Sleep Quality in Iranian Hemodialysis Patients: A Systematic Review and Meta-analysis.

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.

The relationship between serum bicarbonate, pH level and sleep quality in haemodialysis patients: A cross-sectional study from Turkey.

To investigate the relationship of blood pH and bicarbonate levels with sleep disorders in patients with end-stage renal disease. The cross-sectional study was conducted at Kocaeli Derince Health Practice and Research Center, Kocaeli, Turkey, in July 2015, and comprised stable haemodialysis patients aged over 18 years who had undergone at least 3 months of treatment. The Pittsburgh sleep quality index was used to assess sleep quality, and the Epworth sleepiness scale was used to assess sleepiness. Blood urea nitrogen levels were measured to determine dialysis success. SPSS 17 was used for data analysis. Of the 62 patients, 22(35.4%) were good sleepers, while 40(65.6%) were bad sleepers, and 11(17.7%) had excessive daytime sleepiness. There was no significant difference between poor and good sleepers with respect to venous pH (p=0.197) and bicarbonate (p=0.305) levels. Also, the two levels did not differ significantly between patients with routine or excessive daytime sleepiness (p>0.05). Patients with excessive daytime sleepiness had significantly lower calcium (p=0.046) and higher creatinine (p-0.014) levels and were older (p=0.01). Age was the only independent predictor of both the index and the scale scores (p<0.05 each). Sleep disorders and sleepiness were found to be high in haemodialysis patients and there was a strong correlation between sleep disturbance and age. There was no correlation of either state with patients' bicarbonate or venous pH values.

The effects of vibration and massage on severity of symptoms of restless leg syndrome and sleep quality in hemodialysis patients; a randomized cross-over clinical trial

Introduction: Restless leg syndrome (RLS) is a common sensory disturbance in hemodialysis patients causing mental disorders, sleep disturbances, and other problems. Objectives: This study compared the effects of massage and vibration on sleep quality and severity of symptoms of RLS in hemodialysis patients. Patients and Methods: This cross-over clinical trial was conducted on 80 hemodialysis patients with RLS who were assigned into two groups randomly. The first group received massage and the second group received vibration. Each group received the related intervention for one month three times per week each session lasting 10 minutes. One month after the first intervention, the interventions were changed in a cross-over design between the two groups. The severity of symptoms of RLS and sleep quality were assessed before and after interventions using the related questionnaire. Results: The means of severity of symptoms of RLS and sleep quality showed a significant improvement after both interventions of vibration and massage (P&lt;0.001). Additionally, a significant difference was observed in the means of severity of RLS and sleep quality after interventions between two groups hence vibration exerted a greater effect on improving the symptoms of RLS and sleep quality in patients compared to massage (P=0.001). Conclusion: Our findings suggested that both vibration and massage reduce the mean of severity of RLS and improve sleep quality in hemodialysis patients, with vibration exerting a greater effect compared to massage.

Comparing the effect of listening to music during hemodialysis and at bedtime on sleep quality of hemodialysis patients: A randomized clinical trial

IntroductionPoor sleep quality is a common problem among hemodialysis patients which could lead to a decrease in their quality of life. The aim of this study is to determine and compare the effect of listening to music during hemodialysis and at bedtime on the sleep quality of hemodialysis patients. MethodsThis research is a randomized clinical trial with a pre-post-test design. A total of 150 patients undergoing hemodialysis in three educational hospitals in Shiraz, southern Iran were assigned to one of three groups by block randomization. The first intervention group listened to music during hemodialysis, and the second group listened to music at bedtime. The intervention continued for 4 weeks. The control group (the third group) received no intervention. Sleep quality was measured by the Pittsburgh Sleep Quality Index (PSQI) during two stages (before and one week after the intervention). Data were analyzed by the software SPSS version 21. ResultsThe results of ANOVA and Tukey’s post hoc test showed that there were significant differences in the mean change in the total score on the PSQI before and after the intervention between both intervention groups and the control group and between the two intervention groups (p < 0.05). Significant differences were also seen in the PSQI subscales, except sleep sufficiency (p < 0.05). ConclusionMusic can improve the sleep quality of hemodialysis patients. Listening to music at bedtime is more effective than during hemodialysis in this regard. This safe and inexpensive intervention may be recommended to decrease sleep problems in these patients.

The Effects of Massage Therapy on Sleep Quality of Patients with End-Stage Renal Disease Undergoing Hemodialysis

Sleep disorder is one of the important problems in hemodialysis patients (HPs) that could decrease their life quality. Nowadays, increasing health level of HPs is an important issue regards the flourish statistics of these patients. Some studies have shown that massage therapy reduces back pain, obviate insomnia, make calmness and raise health in HPs due to the release of endorphins. This research was conducted to determine the effects of foot massage on nightly sleep quality of HPs. This experimental study was carried out on 80 HPs in Dialysis units of Shohada and Shahid Rahimi hospitals in Khorramabad, West of Iran during 2015. The instruments used included Pittsburg questionnaire and sleep log form. The sleep status of patients who have problems with their sleep was investigated according to the instruments before and after the intervention (foot massage). Foot massage was performed for 10 minutes during the dialysis, three times a week for 4 consecutive weeks. Changes in Pittsburg score showed that foot massage was effective in sleep quality of experimental groups and Freedman statistical exam showed that nightly sleep duration increased and generally with repeating the intervention, the sleep status of patients became better per week compared to the previous week (P

Effect of Foot Reflexology Massage on Sleep Quality in Hemodialysis Patients: A Randomized Control Trial

Effect of Foot Reflexology Massage on Sleep Quality in Hemodialysis Patients: A Randomized Control Trial

The evaluation of dream anxiety and sleep quality in hemodialysis patients

The evaluation of dream anxiety and sleep quality in hemodialysis patients

The Effect of Continuous Care Model on the Sleep Quality of Hemodialysis Patients.

BackgroundOne of the most prevalent problems in hemodialysis patients is sleep disturbance. Poor sleep quality has unpleasant bio-psycho-social outcomes. The positive effects of implementing the continuous care model (CCM) were verified with different variables, including sleep quality. This study was done with different populations, using two groups.ObjectivesThis study aims to identify the sleep quality of hemodialysis patients in the city of Ilam and determine the effects of CCM on sleep quality.Patients and MethodsWe performed a quasi-experimental research study with 56 hemodialysis patients at the Shahid Mostafa Hospital in Ilam during 2014 and 2015. Pretests and posttests were conducted with the study groups and the control groups. Pretests were conducted over a one-month period, then repeated immediately before the study. Posttests were conducted immediately after the study and then repeated one month later. Participants were selected by census method and randomly divided into two groups. Ethical considerations were observed. Based on the continuous care model, interventions were performed through educational sessions over a three-week period. Consultations for continuous sleep monitoring, controls, and evaluations were conducted with the study group over the next nine weeks. Data were gathered from patient demographics questionnaires and PQSI, then introduced in SPSS 22 and analyzed with descriptive and analytic statistics (t-paired, ANOVA with repeated measures, follow-up tests such as S-N-K, Duncan, Sheffe and Tukey).ResultsOne month prior to the study, 94.6% of the participants suffered from poor sleep quality. Immediately before and after the study, 91% complained of poor sleep quality. And one month after intervention, the figure dropped to 82%. Applying the CCM positively affected the sleep quality of hemodialysis patients in Ilam, and was statistically meaningful one month after intervention (P = 0.001).ConclusionsHemodialysis patients need a consistent care plan to manage poor sleep quality. This research has proven the effectiveness of implementing CCM as an intervention for improving the sleep quality of hemodialysis patients. CCM provides a comprehensive model for caring for hemodialysis patients, and its executive stages are congruent with the many stages of the nursing process. Practitioners in different domains of nursing care, education, and management can derive great benefit from this valuable care model

Quantifying Physical Activity Levels and Sleep in Hemodialysis Patients Using a Commercially Available Activity Tracker

Background/Aims: Hemodialysis (HD) patients are less active than their healthy counterparts and frequently experience poor sleep. Our aims were to objectively quantify activity and sleep quality in HD patients of an urban population and to determine the effect of providing feedback on activity. Methods: Activity parameters and sleep parameters were collected by a commercially available activity tracker in 29 chronic HD patients. Patients in the feedback group were provided with their activity and sleep data during each HD treatment. Questionnaires were administered at the beginning and at the end of the study. Results: On average, patients walked 8,454 steps/day and slept 349 min/night. Only 28% of the patients were sedentary, defined as walking <5,000 steps/day. Providing feedback did not increase the activity in this urban population. Patients walked significantly less on Sundays compared to other days of the week: 7,024 steps on Sundays vs. 8,633 steps on HD days and 8,732 on non-HD days. It was also found that patients experienced poor sleep quality. HD treatments during shift 1 (6 a.m. to 10 a.m.) interfered with sleep patterns. Most patients reported that physical activity became more important to them after the 5-week period. The tracking device was very well accepted. Conclusion: Interventions to increase physical activity on Sundays could improve physical activity levels overall. Prospective studies are necessary to further explore the use of tracking devices to identify patients at risk and to implement targeted interventions.

Effect of Sleep Hygiene Education on Sleep Quality in Hemodialysis Patients.

Sleep is referred a regular, recurring and easily revocable state of organism which is characterized by relative immobility and significant increase in response threshold to environmental stimuli. Sleep disorders are common among haemodialysis patients. The aim of this study was to investigate the effect of sleep hygiene education on sleep quality in haemodialysis patients. This study is a randomized controlled clinical trial. The participants of this study were 60 haemodialysis patients admitted to the Dialysis Center of Shahid Ayatollah Madani Hospital of Khoy, affiliated with the Urmia University of Medical Sciences. Sampling was done randomly and the partcipants were randomly divided into intervention group (30 patients) and control group (30 patients). Sleep quality of participants was measured before and after the intervention by Pittsburgh Sleep Quality Index (PSQI). Training process for sleep hygiene behaviours was presented to the participants face-to-face. The data were analysed using SPSS 16. A significant difference in the mean (standard deviation) score for PSQI (p<0.001) was observed before and after intervention in the intervention group, while in the control group, the difference was not significant (p=0.704), In addition, a significant difference was observed in the mean (standard deviation) score for PSQI between the two, intervention and control groups after the educational intervention (p=0.034). Sleep hygiene education, alongside other appro-aches, is a low-cost, accessible and practical method which can be implemented within a short period of time.

Association between serum bicarbonate and pH with depression, cognition and sleep quality in hemodialysis patients

Metabolic acidosis is a common feature in chronic renal failure patients, worsening progressively as renal function declines. There are conflicting data in hemodialysis (HD) patients with regard to acidosis, alkalosis and mortality. In HD patients, cognitive impairment, depression, sleep disorders and impaired quality of life are very common. Besides, these conditions are related with increased morbidity and mortality. However, no previous study investigated the relationship between pH, venous bicarbonate and anion gap with depression, sleep problems and cognitive function in HD patients. In this study we investigated these relationships. In total, 65 HD patients were included. The demographic parameters and laboratory parameters including bicarbonate, pH and anion gap was measured for all patients. Depressive symptoms, sleep quality and cognitive function, were measured by Beck depression inventory, The Pittsburgh Sleep Quality Index and by Mini Mental State Examination, respectively. We found that, sleep quality but not cognitive function or depression was independently related with venous pH and bicarbonate. Anion gap has no independent relationship with sleep quality, cognitive function and depression. In conclusion, metabolic acidosis and bicarbonate levels were independently related with sleep quality in HD patients. However, there was no association between metabolic acidosis and bicarbonate levels with cognitive function and depression.

Evaluation of subjective sleep quality in hemodialysis patients and its association with hemodialysis timing

Evaluation of subjective sleep quality in hemodialysis patients and its association with hemodialysis timing