The Effect of Fatigue Levels of Patients Undergoing Hemodialysis on Their Sleep Quality After Dialysis Treatment.

IF 1 4区医学 Q3 UROLOGY & NEPHROLOGY

Seminars in Dialysis Pub Date : 2025-07-01 Epub Date: 2025-08-07 DOI:10.1111/sdi.70006

Arzu Kavala, Neşe Özdemir, Ferda Çalişkan

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Abstract

Aim: This study aimed to investigate the effect of fatigue levels of patients undergoing hemodialysis on their sleep quality after dialysis treatment.

Materials and methods: This descriptive study was conducted with 100 patients who received treatment in a private dialysis center. The data were collected through face-to-face interviews between March and May 2024 using the Patient Diagnostic Form, Fatigue Severity Scale, and Pittsburgh Sleep Quality Index.

Findings: The FSS and PSQI mean scores of the participants were 5.17 ± 2.62 and 7.70 ± 3.57, respectively. 70% of the patients felt tired after dialysis treatment. Results of the study also revealed that the scores of the participants who were female, had a low educational level, were unemployed, had diabetes and hypertension as the primary causes of kidney disease, needed rest after dialysis treatment, could not sleep well at night, had difficulty sleeping at night on the days of dialysis treatment, and felt restless when they woke up in the morning had significantly higher FSS scores. As a result of regression analysis, the model showed that having difficulty sleeping at night on the days of dialysis treatment, reasons that made it difficult to sleep, taking pills to sleep, and feeling rested when waking up in the morning had significant effects.

Conclusion: This study revealed that fatigue levels of hemodialysis patients after dialysis treatment affected their sleep quality; sleeping problems were common in dialysis patients, and sleep quality was correlated with fatigue.

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血液透析患者疲劳程度对透析后睡眠质量的影响。

目的：探讨血液透析患者疲劳程度对透析治疗后睡眠质量的影响。材料和方法：本研究对100名在私人透析中心接受治疗的患者进行了描述性研究。数据是在2024年3月至5月期间通过面对面访谈收集的，使用患者诊断表、疲劳严重程度量表和匹兹堡睡眠质量指数。结果：参与者的FSS和PSQI平均得分分别为5.17±2.62和7.70±3.57。70%的患者在透析治疗后感到疲劳。研究结果还显示，女性、受教育程度低、失业、糖尿病和高血压是肾脏疾病的主要原因、透析治疗后需要休息、晚上睡不好觉、透析治疗期间夜间难以入睡、早晨醒来时感到不安的参与者的FSS得分明显较高。通过回归分析，模型显示透析治疗期间夜间难以入睡、难以入睡的原因、服用药物入睡、早晨醒来时感觉休息有显著影响。结论：血液透析患者在透析治疗后的疲劳程度影响其睡眠质量；睡眠问题在透析患者中很常见，睡眠质量与疲劳有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Dialysis 医学-泌尿学与肾脏学

CiteScore

3.00

自引率

6.20%

发文量

审稿时长

4-8 weeks

期刊介绍： Seminars in Dialysis is a bimonthly publication focusing exclusively on cutting-edge clinical aspects of dialysis therapy. Besides publishing papers by the most respected names in the field of dialysis, the Journal has unique useful features, all designed to keep you current: -Fellows Forum -Dialysis rounds -Editorials -Opinions -Briefly noted -Summary and Comment -Guest Edited Issues -Special Articles Virtually everything you read in Seminars in Dialysis is written or solicited by the editors after choosing the most effective of nine different editorial styles and formats. They know that facts, speculations, ''how-to-do-it'' information, opinions, and news reports all play important roles in your education and the patient care you provide. Alternate issues of the journal are guest edited and focus on a single clinical topic in dialysis.