Impact of end-stage renal failure on quality of sleep in haemodialysis recipients at Sohag university hospital

ABSTRACT

Many patients with end stage renal disease [ESRD] undergoing dialysis therapy suffer from sleep disturbances. The aim of this study is to determine the impact of end-stage renal failure on quality of sleep in [HD] patients. The study sample was 221 ESRD patients receiving haemodialysis in a Sohag university hospital dialysis unit. Data were collected using a Pittsburgh Sleep Quality Index [PSQI] in addition to Personal information Form [PIF]. The mean +/- SD age of patients was 42.3 +/- 13.1 years, more than half were males [55.2%]. [36.2%] of the patients were illiterates and [34.4%] of them were house-wives. The major causes of [ESRD] were hypertension [44.3%] and diabetes mellitus [18.1%]. The majority of the subjects attended haemodialysis more than 3 hours/ session with frequency of HD patients [78.7%] ranged from 3-4 session/week. More than half [58.8%] of the study sample had history of dialysis > 3 years. The mean PSQI score was [11.85 +/- 4.45]; in total [87.3%] of all patients were poor sleeper [global PSQI>5]. Frequency and history of dialysis has no significant effect on global, component PSQI, while age was significantly correlated with a global PSQI, sleep quality, sleep duration, sleep efficiency and sleep disturbance. Also significant correlation was found between duration of session and daytime dysfunction. The findings indicate a high prevalence of sleep disturbances in dialytic populations. Awareness by Sohag nephrologists and nurses regarding sleep disorder seems to be insufficient. The results might help nephrologists and nurses to deal with uraemic patients with possible sleep disorders