Sleeplessness in Patients with end-Stage Renal Disease Undergoing Dialysis Therapy in a Tertiary Care Center

ABSTRACT

Introduction: Maintenance dialysis patients experience a highburden of physical and emotional symptoms that directly affecttheir quality of life and health care utilization. Patient with endstage renal disease (ESRD), 80% of them have reported withcomplaints of subjective sleep abnormalities. Frequent reportshave documented in these patients such as sleep disturbancesmanifestation as insomnia, sleep apnea syndrome, restlessleg syndrome (RLS) periodic limb movement disorders, andexcessive day time sleepiness. Present study focused to findthe quality of sleep and sleep abnormalities in patients withESRD.Material and methods: Patient data were collected usingPittsburgh Sleep Quality Index(PSQI); The demographic andclinic questionnaire contained questions about age, gender,place of residence, dialysis frequency, HD (Haemodialysis)duration. Scoring of seven components answers is based ona 0 to 3 scale which reflects the various states of sleepingdisorders.Results: Study showed that during the earlier stage ofhemodialysis patients may have a high PSQI test score. In theperiod of 3- 12-month patients are facing poor sleep quality;indicating that in the earlier period of treatment patientsmay have taken more stress and conscious to adjust withhemodialysis as a routine treatment procedure for the rest ofthe life. This may instigate to have a high score in PSQI testscore.Conclusion: The current study indicates that RLS, poorquality sleep, and EDS are common in ESRD patients underhemodialysis. Additional studies involving the change ofhemodialysis shift may provide a better understanding ofthe correlation between time duration dialysis and sleepingdisturbances.