The Relationship between The Thoughts of Hemodialysis Patients on Sleep Quality, and Depression and Anxiety Levels
Öz
Background/aims: This study aims to determine the frequency of poor sleep quality among hemodialysis patients and examine its relationship with patients' perceptions of their sleep quality, depression and anxiety symptoms, and demographic and clinical characteristics.
Methods: The Pittsburgh Sleep Quality Index (PSQI), Beck Anxiety Inventory (BAI), and Beck Depression Inventory (BDI) were administered to 123 hemodialysis patients. Factors associated with sleep quality were analyzed using linear regression, with age, gender, education level, disease duration, hemodialysis duration, and depression and anxiety scores as independent variables.
Results: The frequency of poor sleep quality among the patients was 47.2%, with 12.2% showing signs of possible depression and 30.1% indicating possible anxiety disorder. Notably, among those with poor sleep quality, only 40% perceived their sleep quality as poor. Patients with poor sleep quality had significantly higher levels of depression (U = 850.500, p < .001) and anxiety symptoms (U = 820.500, p < .001). The severity of depression symptoms showed the strongest association with poor sleep quality (β = 0.36, p = .005).
Conclusion: A significant proportion of hemodialysis patients experience poor sleep quality, yet the majority are unaware of it. There is a strong association between diminished sleep quality and elevated mental health symptoms in this population. Routine sleep quality evaluation and collaboration with psychiatric professionals appear essential for this patient group.
Anahtar Kelimeler
Etik Beyan
Araştırma için Başkent Üniversitesi Tıp Fakültesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu’ndan KA18/31 no 18/46 sayılı etik onay alınmıştır.
Yazarlar herhangi bir çıkar çatışması olduğunu bildirir.
Kaynakça
- 1) Fonseca NT, Urbano JJ, Nacif SR, Silva AS, Peixoto RAO, Urbano GJ, et al. A systematic review of sleep disorders in patients with chronic kidney disease undergoing hemodialysis. J Phys Ther 2016; 28:2164e70.
- 2) Merlino G, Piani A, Dolso P, Adorati M, Cancelli I, Valente M, Gigli GL. Sleep disorders in patients with end-stage renal disease undergoing dialysis therapy. Nephrol Dial Transplant. 2006;21: 184–190.
- 3) Sabbatini M, Minale B, Crispo A, Pisani A, Ragosta A, Esposito R, et. al. Insomnia in maintenance hemodialysis patients. Nephrol Dial Transplant. 2002;17: 852–856.
- 4) Theofilou P. Association of insomnia symptoms with kidney disease quality of life reported by patients on maintenance dialysis. Psychol Health Med. 2013; 18:70–78.
- 5) Szentkiralyi A, Czira ME, Molnar MZ, Kovesdy CP, Remport A, Szeifert L, et al. High risk of obstructive sleep apnea is a risk factor of death censored graft loss in kidney transplant recipients: an observational cohort study. Sleep Med 2011;12(3):267e73.
- 6) Lubas MM, Ware JC, Szklo-Coxe M. Sleep apnea and kidney transplant outcomes: findings from a 20-year (1997-2017) historical cohort study. Sleep Med. 2019; 63:151-158.
- 7) Adejumo OA, Edeki IR, Mamven M, Oguntola OS, Okoye OC, Akinbodewa AA, et al. Sleep quality and associated factors among patients with chronic kidney disease in Nigeria: a cross-sectional study. BMJ Open. 2023;13(12): e074025.
- 8) Velu S, Rajagopalan A, Arunachalam J, Prasath A, Durai R. Subjective Assessment of Sleep Quality and Excessive Daytime Sleepiness in Conventional Hemodialysis Population: A Single-Center Experience. Int J Nephrol Renovasc Dis. 2022; 15:103-114.
- 9) Weisbord SD, Fried LF, Mor MK. Renal provider recognition of symptoms in patients on maintenance hemodialysis. Clin J Am Soc Nephrol 2007; 2:960.
- 10) Elder S.J., Pisoni R.L., Akizawa T., Fissell R, Andreucci VE, Fukuhara S, et al. Sleep quality predicts quality of life and mortality risk in hemodialysis patients: results from the Dialysis Outcomes and Practice Patterns Study (DOPPS). Nephrology Dialysis Transplantation 2008; 23(3), 998–1004