MO832SYMPTOM BURDEN AND QUALITY OF SLEEP IN MAINTENANCE HAEMODIALYSIS PATIENTS
| Autor: | Saša Milošević, Edvin Hadzibulic, Jasna Trbojevic Stankovic, Fatmir Birđozlić, Snežana Pešić, Zoran Marjanović, Branislav Andrić |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
030203 arthritis & rheumatology
2. Zero hunger Transplantation medicine.medical_specialty business.industry medicine.medical_treatment media_common.quotation_subject Maintenance haemodialysis Quality of sleep 030232 urology & nephrology Vascular access 3. Good health 03 medical and health sciences 0302 clinical medicine Feeling Nephrology medicine Physical therapy Marital status Wakefulness Hemodialysis business Foot (unit) media_common |
| Zdroj: | Nephrology Dialysis Transplantation. 36 |
| ISSN: | 1460-2385 0931-0509 |
| DOI: | 10.1093/ndt/gfab098.0024 |
| Popis: | Background and Aims The number of patients with end-stage renal disease is growing rapidly worldwide and their survival on haemodialysis (HD) is increasing as a result of technique and treatment improvements. Nevertheless, longer survival and increasing complexity of the comorbid disorders contribute to a series of symptoms which affect patients’ physical and mental health. In the present study we aimed to examine the symptom distress and quality of sleep in patients treated with chronic HD. Method In this cross-sectional study, we recruited 304 (179 males and 125 females, age range 20 - 85 years, time on dialysis 3 - 324 months) out of 372 HD patients from five centres. All patients were under stable condition, without any severe acute comorbidities, and able to understand and fill-in the self-administered questionnaires. Standard laboratory parameters and Kt/V were determined in all patients. Quality and patterns of sleep were assessed by the Pittsburgh Sleep Quality Index (PSQI), while physical and emotional symptoms and their severity were evaluated by the Dialysis Symptom Index (DSI). Other relevant demographic and clinical data were obtained from patients’ medical records. The results were analyzed with independent sample T test and χ2 statistic. Results The average PSQI was 7.62±4.44, average symptom burden 15.49±12.85, and average symptom severity 23.38±18.78. Almost two thirds of the patients (63.8%) had poor sleep quality. The average sleep duration, latency and efficiency were 6.85±1.75 hours, 36.01±34.99 minutes and 81.51±21.57% respectively. Nearly half of the patients (45%) used sleep medications. Women, unemployed and diabetic patients had significantly worse quality of sleep than men (8.41±4.33 vs. 7.08±4.43; p=0.001), employed (7.75±4.47 vs. 4.38±1.89; p Poor sleepers had significantly higher symptom burden (17.81±12.97 vs. 11.42±9.78; p Conclusion Patients on HD experience high number of symptoms and often have poor quality of sleep which may affect their well-being. These results support the likely importance of routine symptom assessment in dialysis centres to guide systematic symptom management and provide appropriate psychosocial and clinical support. |
| Databáze: | OpenAIRE |
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