Sleeplessness in Patients with end-Stage Renal Disease Undergoing Dialysis Therapy in a Tertiary Care Center

Abstract

Introduction: Maintenance dialysis patients experience a high burden of physical and emotional symptoms that directly affect their quality of life and health care utilization. Patient with end stage renal disease (ESRD), 80% of them have reported with complaints of subjective sleep abnormalities. Frequent reports have documented in these patients such as sleep disturbances manifestation as insomnia, sleep apnea syndrome, restless leg syndrome (RLS) periodic limb movement disorders, and excessive day time sleepiness. Present study focused to find the quality of sleep and sleep abnormalities in patients with ESRD. Material and methods: Patient data were collected using Pittsburgh Sleep Quality Index(PSQI); The demographic and clinic questionnaire contained questions about age, gender, place of residence, dialysis frequency, HD (Haemodialysis) duration. Scoring of seven components answers is based on a 0 to 3 scale which reflects the various states of sleeping disorders. Results: Study showed that during the earlier stage of hemodialysis patients may have a high PSQI test score. In the period of 312-month patients are facing poor sleep quality; indicating that in the earlier period of treatment patients may have taken more stress and conscious to adjust with hemodialysis as a routine treatment procedure for the rest of the life. This may instigate to have a high score in PSQI test score. Conclusion: The current study indicates that RLS, poor quality sleep, and EDS are common in ESRD patients under hemodialysis. Additional studies involving the change of hemodialysis shift may provide a better understanding of the correlation between time duration dialysis and sleeping disturbances.