Quality and adequacy of sleep among dialysis patients

Abstract

Introduction and Aim: Chronic Kidney Disease (CKD) is a debilitating illness characterized by physical, mental, socioeconomic and psychosocial disability. Being a literature has documented evidences of increased risk of depression and sleep disturbances among these patients, which indirectly affect the quality of life. The present study was carried out to evaluate the burden of depression and sleep disturbances among dialysis patients. Methods: This cross-sectional study was carried out among 160 patients on maintenance dialysis. A structured proforma was used to document the particulars regarding CKD care. Sleep Quality, Depression status of patients were assessed using Pittsburgh Sleep Quality Index (PSQI), Beck’s Depression Inventory (BDI) and Kt/V formula respectively. Results: Hemodialysis inadequacy was prevalent among 79.4% of the participants. About 51.3% were suffering from moderate depression. Severe sleep disturbance was seen in 88.7% of the participants. The present study observed a statistically significant association between dialysis vintage and depression (p<0.05). Similar association was seen between frequency of dialysis and sleep disturbances (p<0.05). Conclusion: The prevalence of sleep disturbances and depression was higher among the maintenance hemodialysis patients receiving dialysis for more than 2 years and also with a frequency of twice a week. It may be inferred that by increasingthe frequency and the dosage of dialysis in patients the quality of sleep can be adequately improved and thereby it may lower the depressive state in patients.