Research Article
Year 2023,
Volume: 33 Issue: 5, 481 - 484, 25.10.2023
Abstract
Background/Aims: Poor sleep quality in hemodialysis patients causes a decrease in quality of life. In this study we aimed to investigate the relationship between sleep quality, and depression, death anxiety and perceived pain.
Methods: A total of 101 patients with chronic kidney disease (CKD) under hemodialysis were included in this cross-sectional study. The assessment tools were Beck Depression Inventory (BDI), Death Anxiety Scale (DAS), Pittsburgh Sleep Quality Index (PSQI), and Visual Analogue Scale (VAS).
Results: The mean age of the patients was 51.9±13.1. Ninety six (95%) patients had a PSQI score of 6 or above that indicates poor sleep quality. 64.4% of the patients had mild to severe depressive symptoms in terms of BDI. There were significant correlations between PSQI and DAS (r: 0.382), and VAS (r: 0.261), and BDI (r: 0.483).
Conclusion: Poor sleep quality is a common problem in hemodialysis patients. Death anxiety, pain and depression are associated with poor sleep in hemodialysis patients. It is recommended to consider poor sleep quality to provide appropriate treatment.
Keywords
References
- Vaidya SR, Aeddula NR. Chronic renal failure. StatPearls [Internet]: StatPearls Publishing; 2021.
- Saran R, Robinson B, Abbott KC, Agodoa LY, Albertus P, Ayanian J, et al. US renal data system 2016 annual data report: epidemiology of kidney disease in the United States. American Journal of kidney diseases. 2017;69(3):A7-A8.
- Mirghaed MT, Sepehrian R, Rakhshan A, Gorji H. Sleep quality in Iranian hemodialysis patients: a systematic review and meta-analysis. Iranian Journal of Nursing and Midwifery Research. 2019;24(6):403.
- Al Naamani Z, Gormley K, Noble H, Santin O, Al Maqbali M. Fatigue, anxiety, depression and sleep quality in patients undergoing hemodialysis. BMC nephrology. 2021;22(1):1-8.
- Jaberi M, Mohammadi TK, Adib M, Maroufizadeh S, Ashrafi S. The Relationship of Death Anxiety With Quality of Life and Social Support in Hemodialysis Patients. OMEGA-Journal of Death and Dying. 2022:00302228221129672.
- Pan K-C, Hung S-Y, Chen C-I, Lu C-Y, Shih M-L, Huang C-Y. Social support as a mediator between sleep disturbances, depressive symptoms, and health-related quality of life in patients undergoing hemodialysis. PLoS One. 2019;14(4):e0216045.
- Masoumi M, Naini AE, Aghaghazvini R, Amra B, Gholamrezaei A. Sleep quality in patients on maintenance hemodialysis and peritoneal dialysis. International journal of preventive medicine. 2013;4(2):165.
- Niu H-y, Liu J-f. The psychological trajectory from diagnosis to approaching end of life in patients undergoing hemodialysis in China: A qualitative study. International Journal of Nursing Sciences. 2017;4(1):29-33.
- Perl J, Unruh M, Chan C. Sleep disorders in end-stage renal disease:‘Markers of inadequate dialysis?’. Kidney international. 2006;70(10):1687-93.
- Dos Santos PR, Mendonça CR, Hernandes JC, Borges CC, Barbosa MA, de Sousa Romeiro AM, et al. Pain in Patients With Chronic Kidney Disease Undergoing Hemodialysis: A Systematic Review. Pain Management Nursing. 2021;22(5):605-15.
- Santoro D, Satta E, Messina S, Costantino G, Savica V, Bellinghieri G. Pain in end-stage renal disease: a frequent and neglected clinical problem. Clin Nephrol. 2013;79(Suppl 1):S2-S11.
- Michaelides A, Zis P. Depression, anxiety and acute pain: links and management challenges. Postgraduate medicine. 2019;131(7):438-44.
- Beck AT, Steer RA, Carbin MG. Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical psychology review. 1988;8(1):77-100.
- Hisli N. Beck Depresyon Envanterinin gecerliligi uzerine bit calisma (A study on the validity of Beck Depression Inventory.). Psikoloji Dergisi. 1988;6:118-22.
- Akça F, Köse İA. Ölüm Kaygısı Ölçeğinin Uyarlanması: Geçerlik ve Güvenirlik Çalışması. Klinik Psikiyatri Dergisi. 2008;11(1).
- Templer DI. The construction and validation of a death anxiety scale. The Journal of general psychology. 1970;82(2):165-77.
- Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research. 1989;28(2):193-213.
- Agargun M, Kara H, Anlar O. The validity and reliability of the Pittsburgh Sleep Quality Index. Turk Psikiyatri Derg. 1996;7(2):107-15.
- Langley G, Sheppeard H. The visual analogue scale: its use in pain measurement. Rheumatology international. 1985;5(4):145-8.
- Elder SJ, Pisoni RL, Akizawa T, Fissell R, Andreucci VE, Fukuhara S, et al. Sleep quality predicts quality of life and mortality risk in haemodialysis patients: results from the Dialysis Outcomes and Practice Patterns Study (DOPPS). Nephrology Dialysis Transplantation. 2008;23(3):998-1004.
- Davison SN, Jhangri GS. The impact of chronic pain on depression, sleep, and the desire to withdraw from dialysis in hemodialysis patients. Journal of pain and symptom management. 2005;30(5):465-73.
- SERT M, Zeynep Ö. Death anxiety and sleep quality in patients with implantable cardioverter defibrillators. Authorea Preprints. 2020.
- Zhang C, Chang Y, Yun Q, Lu J, Zheng X, Xue Y, et al. The impact of chronic diseases on depressive symptoms among the older adults: The role of sleep quality and empty nest status. Journal of Affective Disorders. 2022;302:94-100.
- Cohen SD, Patel SS, Khetpal P, Peterson RA, Kimmel PL. Pain, sleep disturbance, and quality of life in patients with chronic kidney disease. Clinical Journal of the American Society of Nephrology. 2007;2(5):919-25.
- Vesal M, Mollazade J, Taghavi M, Nazarania M. Prediction of depression based on perception of pain and quality of sleep due to pain catastrophizing in elderly patient with rheumatoid arthritis. 2015.
Year 2023,
Volume: 33 Issue: 5, 481 - 484, 25.10.2023
Abstract
Amaç: Hemodiyaliz tedavisi gören Kronik Böbrek Hastalığı (KBH) olan hastalarda kötü uyku kalitesi, yaşam kalitesinin düşmesine neden olur. Bu çalışmada uyku kalitesi ile depresyon, ölüm kaygısı ve algılanan ağrı arasındaki ilişkinin araştırılması amaçlandı.
Gereç ve Yöntemler: Bu kesitsel çalışmaya hemodiyaliz tedavisi gören toplam 101 KBH hastası dahil edildi. Değerlendirme araçları Beck Depresyon Envanteri (BDI), Ölüm Kaygısı Ölçeği (ÖKÖ), Pittsburgh Uyku Kalitesi İndeksi (PUKİ) ve Görsel Analog Ölçeği (VAS) idi.
Bulgular: Hastaların yaş ortalaması 51.9±13.1 idi. Hastaların yüzde doksan beşinde PUKİ skoru 6 veya daha yüksek olup, bu da kötü uyku kalitesine işaret etmektedir. Hastaların %64,4'ü BDI açısından hafif ve şiddetli depresif belirtilere sahipti. PUKİ ile ÖKÖ (r = 0,382), VAS (r = 0,261) ve BDI (r: 0,483) arasında anlamlı ilişkiler görüldü.
Sonuç: Hemodiyaliz hastalarında kötü uyku kalitesi yaygın bir sorundur. Ölüm kaygısı, ağrı ve depresyon, hemodiyaliz altındaki hastalarda yetersiz uyku ile ilişkilidir. Hemodiyaliz altındaki hastalara uygun tedavi sağlamak için düşük uyku kalitesinin göz önünde bulundurulması önerilir.
Keywords
References
- Vaidya SR, Aeddula NR. Chronic renal failure. StatPearls [Internet]: StatPearls Publishing; 2021.
- Saran R, Robinson B, Abbott KC, Agodoa LY, Albertus P, Ayanian J, et al. US renal data system 2016 annual data report: epidemiology of kidney disease in the United States. American Journal of kidney diseases. 2017;69(3):A7-A8.
- Mirghaed MT, Sepehrian R, Rakhshan A, Gorji H. Sleep quality in Iranian hemodialysis patients: a systematic review and meta-analysis. Iranian Journal of Nursing and Midwifery Research. 2019;24(6):403.
- Al Naamani Z, Gormley K, Noble H, Santin O, Al Maqbali M. Fatigue, anxiety, depression and sleep quality in patients undergoing hemodialysis. BMC nephrology. 2021;22(1):1-8.
- Jaberi M, Mohammadi TK, Adib M, Maroufizadeh S, Ashrafi S. The Relationship of Death Anxiety With Quality of Life and Social Support in Hemodialysis Patients. OMEGA-Journal of Death and Dying. 2022:00302228221129672.
- Pan K-C, Hung S-Y, Chen C-I, Lu C-Y, Shih M-L, Huang C-Y. Social support as a mediator between sleep disturbances, depressive symptoms, and health-related quality of life in patients undergoing hemodialysis. PLoS One. 2019;14(4):e0216045.
- Masoumi M, Naini AE, Aghaghazvini R, Amra B, Gholamrezaei A. Sleep quality in patients on maintenance hemodialysis and peritoneal dialysis. International journal of preventive medicine. 2013;4(2):165.
- Niu H-y, Liu J-f. The psychological trajectory from diagnosis to approaching end of life in patients undergoing hemodialysis in China: A qualitative study. International Journal of Nursing Sciences. 2017;4(1):29-33.
- Perl J, Unruh M, Chan C. Sleep disorders in end-stage renal disease:‘Markers of inadequate dialysis?’. Kidney international. 2006;70(10):1687-93.
- Dos Santos PR, Mendonça CR, Hernandes JC, Borges CC, Barbosa MA, de Sousa Romeiro AM, et al. Pain in Patients With Chronic Kidney Disease Undergoing Hemodialysis: A Systematic Review. Pain Management Nursing. 2021;22(5):605-15.
- Santoro D, Satta E, Messina S, Costantino G, Savica V, Bellinghieri G. Pain in end-stage renal disease: a frequent and neglected clinical problem. Clin Nephrol. 2013;79(Suppl 1):S2-S11.
- Michaelides A, Zis P. Depression, anxiety and acute pain: links and management challenges. Postgraduate medicine. 2019;131(7):438-44.
- Beck AT, Steer RA, Carbin MG. Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical psychology review. 1988;8(1):77-100.
- Hisli N. Beck Depresyon Envanterinin gecerliligi uzerine bit calisma (A study on the validity of Beck Depression Inventory.). Psikoloji Dergisi. 1988;6:118-22.
- Akça F, Köse İA. Ölüm Kaygısı Ölçeğinin Uyarlanması: Geçerlik ve Güvenirlik Çalışması. Klinik Psikiyatri Dergisi. 2008;11(1).
- Templer DI. The construction and validation of a death anxiety scale. The Journal of general psychology. 1970;82(2):165-77.
- Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research. 1989;28(2):193-213.
- Agargun M, Kara H, Anlar O. The validity and reliability of the Pittsburgh Sleep Quality Index. Turk Psikiyatri Derg. 1996;7(2):107-15.
- Langley G, Sheppeard H. The visual analogue scale: its use in pain measurement. Rheumatology international. 1985;5(4):145-8.
- Elder SJ, Pisoni RL, Akizawa T, Fissell R, Andreucci VE, Fukuhara S, et al. Sleep quality predicts quality of life and mortality risk in haemodialysis patients: results from the Dialysis Outcomes and Practice Patterns Study (DOPPS). Nephrology Dialysis Transplantation. 2008;23(3):998-1004.
- Davison SN, Jhangri GS. The impact of chronic pain on depression, sleep, and the desire to withdraw from dialysis in hemodialysis patients. Journal of pain and symptom management. 2005;30(5):465-73.
- SERT M, Zeynep Ö. Death anxiety and sleep quality in patients with implantable cardioverter defibrillators. Authorea Preprints. 2020.
- Zhang C, Chang Y, Yun Q, Lu J, Zheng X, Xue Y, et al. The impact of chronic diseases on depressive symptoms among the older adults: The role of sleep quality and empty nest status. Journal of Affective Disorders. 2022;302:94-100.
- Cohen SD, Patel SS, Khetpal P, Peterson RA, Kimmel PL. Pain, sleep disturbance, and quality of life in patients with chronic kidney disease. Clinical Journal of the American Society of Nephrology. 2007;2(5):919-25.
- Vesal M, Mollazade J, Taghavi M, Nazarania M. Prediction of depression based on perception of pain and quality of sleep due to pain catastrophizing in elderly patient with rheumatoid arthritis. 2015.
There are 25 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Original Article |
| Authors | |
| Early Pub Date | October 23, 2023 |
| Publication Date | October 25, 2023 |
| Submission Date | December 27, 2022 |
| Published in Issue | Year 2023 Volume: 33 Issue: 5 |
Journal of General Medicine is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY NC).