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Sleep Quality Among Iranian Hemodialysis: A Multicenter Study
Nephro-Urology Monthly Pub Date : 2014-12-29 00:00:00 , DOI: 10.5812/numonthly.23849
Behzad Einollahi , Mohsen Motalebi , Zohreh Rostami , Eghlim Nemati , Mahmood Salesi

Background: Sleep disorders are prevalent complication in patients with end-stage renal disease undergoing hemodialysis (HD). The factors affecting sleep quality (SQ) of patients on HD have not been completely recognized yet. In addition, some studies have shown that poor SQ increases the risk of mortality in patients on HD. Objectives: This study aimed to identify the prevalence of poor SQ and its associated risk factors in Iranian patients on HD. Patients and Methods: This cross-sectional and multicenter study was conducted on 6878 patients on HD from 132 dialysis centers in Iran. Sleep domain of disease specific core of KDCS-SF questionnaire and generic core of this questionnaire (SF-36) were used to assess patients’ SQ and quality of life (QoL), respectively. A poor SQ was defined as a score of ≤ 61.2. Logistic and linear regression analyses were applied to assess predictors of SQ and their associations. Results: The mean age of patients was 54.4 ± 17.1 years and 39.7% of patients were > 60 years old. The majority of our patients had poor SQ (60.6%). Patients with diabetes mellitus were significantly more likely to have poor quality of sleep (63.4%). In logistic regression analysis, there were significant correlation between good SQ and younger age, shorter dialysis vintage, less muscle cramp, high QoL, high cognitive function score, and high sexual function. In addition, linear regression showed a significant association among SQ, QoL, and hospital stay as an outcome. Conclusions: With improving some factors and QoL of patients on HD, we can promote SQ in these patients that it might lead to reduction in length of hospital stay.



中文翻译:

伊朗血液透析的睡眠质量:一项多中心研究

背景:睡眠障碍是接受血液透析(HD)的终末期肾脏疾病患者的普遍并发症。目前尚未完全认识到影响HD患者睡眠质量(SQ)的因素。此外,一些研究表明,SQ差会增加HD患者的死亡风险。目的:本研究旨在确定患有HD的伊朗患者的不良SQ患病率及其相关危险因素。患者和方法:这项横断面和多中心研究是对来自伊朗132个透析中心的6878例HD患者进行的。使用KDCS-SF调查表的疾病特定核心和本调查表的通用核心(SF-36)的睡眠域分别评估患者的SQ和生活质量(QoL)。SQ差定义为得分≤61.2。逻辑和线性回归分析用于评估SQ及其关联的预测指标。结果:患者的平均年龄为54.4±17.1岁,39.7%的患者> 60岁。我们的大多数患者的SQ较差(60.6%)。糖尿病患者的睡眠质量明显较差(63.4%)。在Logistic回归分析中,良好的SQ与年轻,透析时间短,肌肉痉挛少,QoL高,认知功能评分高和性功能高之间存在显着相关性。此外,线性回归结果显示,SQ,QoL和住院时间之间存在显着相关性。结论:通过改善HD患者的一些因素和QoL,我们可以提高这些患者的SQ,这可能导致住院时间缩短。
更新日期:2014-12-29
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