Skip to main content
Log in

The effect of sleep hygiene training applied to hemodialysis patients on sleep quality and quality of life: randomized controlled trial

  • Original Article
  • Published:
Sleep and Biological Rhythms Aims and scope Submit manuscript

Abstract

Purpose

This study was carried out to reveal the effect of sleep hygiene training applied to individuals taking hemodialysis treatment on patients' sleep quality and quality of life.

Methods

The study was completed with 34 intervention group patients and 33 controls, being totally 67 patients. Intervention group was given sleep hygiene training once week for 3 weeks and individual interviews were conducted. Face-to-face interviews were used to collect the data through the initial follow-up before the training, the intermediate follow-up 1 month after the training, and the final follow-up 3 months after the training using Pittsburgh Sleep Quality Index (PSQI) and Kidney Disease Quality of Life Instrument (KDQOL™-36).

Results

The PSQI of intervention group decreased significantly compared to the control group after the intermediate follow-up and the final follow-up (p < 0.05). In addition, all sub-dimensions and total mean scores of KDQOLTM-36 indicated a significant increase in the intervention group in comparison to the control group at the final follow-up (p < 0.05).

Conclusions

The findings of our study showed that sleep hygiene training increases sleep quality and the quality of life in hemodialysis patients. In addition, the effective sleep hygiene training programs can improve sleep quality in hemodialysis patients with sleep problems.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. TR Ministry of Health. Turkey kidney disease prevention and control program 2014–2017. 2019

  2. Liyanage T, Ninomiya T, Jha V, Neal B, Patrice HM, Okpechi I, Zhao M, Lv J, Knight A, Rodgers A, Gallagher M, Kotwal S, Cass A, Perkovic V. Worldwide access to treatment for end-stage kidney disease: a systematic review. Lancet. 2015;385(9981):1975–82.

    Article  Google Scholar 

  3. Maruyama Y, Higuchi C, Io H, Wakabayashi K, Tsujimoto H, Tsujimoto Y, Yuasa H, Ryuzaki M, Ito Y, Nakamato H. Comparison of peritoneal dialysis and hemodialysis as first renal replacement therapy in patients with end-stage renal disease and diabetes: a systematic review. Ren Replace Therapy. 2019;5:44.

    Article  Google Scholar 

  4. Jain AK, Blake P, Cordy P, Garg AX. Global trends in rates of peritoneal dialysis. J Am Soc Nephrol. 2012;23(3):533–44.

    Article  Google Scholar 

  5. Akça NK, Doğan A. Problem experienced by hemodialysis patients and their home care. Bozok Med J. 2011;1(1):15–22.

    Google Scholar 

  6. Kara B. One of the priority ıssues in patients with end-stage renal failure undergoing hemodialysis: quality of life. TAF Prev Med Bull. 2012;11(5):631–8.

    Article  Google Scholar 

  7. Parvan K, Lakdizaji S, Roshangar F, Mostofi M. Quality of sleep and its relationship to quality of life in hemodialysis patients. J Caring Sci. 2013;2(4):295–304.

    PubMed  PubMed Central  Google Scholar 

  8. Harris TJ, Nazir R, Khetpal P, Peterson RA, Chava P, Patel SS. Pain, sleep disturbance and survival in hemodialysis patients. Nephrol Dial Transplant. 2012;27(2):758–65.

    Article  Google Scholar 

  9. Fonseca NT, Urbano JJ, Nacif SR, Silva AS, Peixoto RAO, Urbano GJ. A systematic review of sleep disorders in patients with chronic kidney disease undergoing hemodialysis. J Phys Therapy Sci. 2016;28(7):2164–70.

    Article  Google Scholar 

  10. Davison SN, Levin A, Moss AH, Jha V, Brown EA, Brennan F. Executive summary of the KDIGO controversies conference on supportive care in chronic kidney disease: developing a roadmap to improving quality care. Kidney Int. 2015;88(3):447–59.

    Article  Google Scholar 

  11. Lindner AV, Novak M, Bohra M, Mucsi I. Insomnia in patients with chronic kidney disease. Semin Nephrol. 2015;35:359–72.

    Article  Google Scholar 

  12. Giordano M, Ciarambino T, Pace M, Passavanti M, Viggiano A, Paolisso G. Relationship between pain tolerance/sleep disorders and quality of life in elderly diabetic haemodialysis patients. Int J Nephrol Kidney Fail. 2015;1(3):1–4.

    Google Scholar 

  13. Chu G, Szymanski K, Tomlins M, Yates N, Mcdonald VM. Nursing care considerations for dialysis patients with a sleep disorder. Ren Soc Australasia J. 2018;14(2):52–8.

    Google Scholar 

  14. Ricardo AC, Goh V, Chen J, Cedillo-Couvert E, Kapella M, Prasad B. Association of sleep duration, symptoms, and disorders with mortality in adults with chronic kidney disease. Kidney Int Rep. 2017;2(5):866–73.

    Article  Google Scholar 

  15. Ovayolu N. Evidence-based symptom management in hemodialysis patients: sleep disorders (in Turkish). Turkiye Klinikleri Intern Med Nurs-Special Topics. 2018;4(3):36–43.

    Google Scholar 

  16. Hou Y, Hu P, Liang Y, Mo Z. Effects of cognitive behavioral therapy on insomnia of maintenance hemodialysis patients. Cell Biochem Biophys. 2014;69(3):531–7.

    Article  CAS  Google Scholar 

  17. Maung SC, El Sara A, Chapman C, Cohen D, Cukor D. Sleep disorders and chronic kidney disease. World J Nephrol. 2016;5(3):224–32.

    Article  Google Scholar 

  18. Wang R, Tang C, Chen X, Zhu C, Feng W, Li P, Lu C. Poor sleep and reduced quality of life were associated with symptom distress in patients receiving maintenance hemodialysis. Health Qual Life Outcomes. 2016;8–14(1):125.

    Article  Google Scholar 

  19. Maness DL, Khan M. Nonpharmacologic management of chronic insomnia. Am Fam Phys. 2015;92(12):1058–64.

    Google Scholar 

  20. Irish LA, Kline CE, Gunn HE, Buysse DJ, Hall MH. The role of sleep hygiene in promoting public health: a review of empirical evidence. Sleep Med Rev. 2015;22:23–36.

    Article  Google Scholar 

  21. American Sleep Association (ASA). Sleep hygiene tips. Retrieved January 10, 2020 from https://www.sleepassociation.org/about-sleep/sleep-hygiene-tips/

  22. Saeedi M, Shamsikhani S, Varvani FP, Haghverdi F. Sleep hygiene training program for patients on hemodialysis. Iran J Kidney Dis. 2014;8(1):65–9.

    PubMed  Google Scholar 

  23. Scherer JS, Combs SA, Brennan F. Sleep disorders, restless legs syndrome, and uremic pruritus: diagnosis and treatment of common symptoms in dialysis patients. Am J Kidney Dis. 2017;69(1):117–28.

    Article  Google Scholar 

  24. Soleimani F, Motaarefi H, Hasanpour-Dehkordi A. Effect of sleep hygiene education on sleep quality in hemodialysis patients. J Clin Diagn Res. 2016;10(12):LC01–4.

    PubMed  PubMed Central  Google Scholar 

  25. Borzou S, Khavari F. The Effects of sleep hygiene education on fatigue and sleep quality in hemodialysis patients: a quasi experimental study. Avicenna J Nurs Midwifery Care. 2019;27(1):25–34.

    Article  Google Scholar 

  26. Turgay G, Polat Ü. The effect of sleep hygiene training and progressive relaxation exercise on sleep, quality of life and depression in hemodialysis patients. Nephrol Dial Transplant. 2019;34(1):103–831.

    Google Scholar 

  27. Consort. CONSORT 2010 checklist of information to include when reporting a randomised trial. 2010. https://www.consort-statement.org/consort-2010.

  28. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.

    Article  CAS  Google Scholar 

  29. Ağargün MY, Kara H, Anlar O. The reliability and validity of the Pittsburgh Sleep Quality Index (in Turkish). Turk Psikiyatri Derg. 1996;7(2):107–15.

    Google Scholar 

  30. Hays RD, Kallich JD, Mapes DL, Coons SJ, Carter WB. Development of the kidney disease quality of life (KDQOL TM) instrument. Qual Life Res. 1994;3(5):329–38.

    Article  CAS  Google Scholar 

  31. Yıldırım A, Ogutmen B, Bekta G, Isci E, Mete M, Tolgay HI. Translation, cultural adaptation, ınitial reliability, and validation of the Kidney Disease and Quality of Life-Short Form (KDQOL-SF 13) in Turkey. Transplant Proc. 2007;39(1):51–4.

    Article  Google Scholar 

  32. Novak M, Shapiro CM, Mendelssohn D, Mucsi I. Diagnosis and management of insomnia in dialysis patients. Semin Dial. 2006;19(1):25–31.

    Article  Google Scholar 

  33. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39:175–91.

    Article  Google Scholar 

  34. Kimmel PL, Patel SS. Quality of life in patients with chronic kidney disease: focus on end-stage renal disease treated with hemodialysis. Semin Nephrol. 2006;26(1):68–79.

    Article  Google Scholar 

  35. Erdur FM, Yeksan M. Sleep quality and quality of life in hemodialysis patients. Turkiye Klinikleri J Nephrol-Special Topics. 2015;8(3):35–42.

    Google Scholar 

  36. Sert F, Bican Demir A, Bora İ, Yıldız A, Ocakoğlu G, Ersoy A. The research of sleep disorders and their effects on quality of life in patients with chronic renal failure and renal transplant (in Turkish). J Turk Sleep Med. 2015;1:15–9.

    Article  Google Scholar 

  37. Otsuka Y, Kaneita Y, Itani O, et al. A school-based sleep hygiene education program for adolescents in Japan: a large-scale comparative intervention study. Sleep Biol Rhythms. 2020;18:27–36.

    Article  Google Scholar 

  38. Tagaya H, Uchiyama M, Ohida T, et al. Sleep habits and factors associated with short sleep duration among Japanese high-school students: a community study. Sleep Biol Rhythms. 2004;2(1):57–64.

    Article  Google Scholar 

Download references

Acknowledgements

We would like to thank the hemodialysis patients who participated in our study.

Funding

This research did not receive any scientific grant from funding agencies in public, commercial, or non-profit sectors.

Author information

Authors and Affiliations

Authors

Contributions

Conceptualization: [GM]; Methodology: [GM], [GEY], [CY], [MD]; Formal analysis and investigation: [GM Writing—original draft preparation: [GM], [GEY], [CY], [MD]; Writing—review and editing: [GEY]; Supervision: [GM], [GEY].

Corresponding author

Correspondence to Gamze Muz.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Muz, G., Erdoğan Yüce, G., Yıldırım, C. et al. The effect of sleep hygiene training applied to hemodialysis patients on sleep quality and quality of life: randomized controlled trial. Sleep Biol. Rhythms 19, 227–236 (2021). https://doi.org/10.1007/s41105-020-00293-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s41105-020-00293-7

Keywords

Navigation