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KMID : 0605720080140020185
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Journal of the Korean Society of Biological Therapies in Psychiatry
2008 Volume.14 No. 2 p.185 ~ p.193
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Quality of Sleep and Quality of Life in Patients with Chronic Renal Failure on Hemodialysis
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Park Young-Hyon
Moon Chi-Young
Lee Kyung-Kyu
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Abstract
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Objectives : Sleep problems are plentiful in patients with chronic renal failure on hemodialysis. It is known that low quality of sleep impacts negatively on health-related quality of life in the general population. The objective of this study is to examine the prevalence of low sleep quality and the association between quality of sleep and quality of life in hemodialysis patients.
Method: Ninety two pallents with chronic renal failure on hemodialysis were studied. Pittsburgh Sleep Quality Index(PSQI), 36-item Short-form Healthy Survey(SF-36), Epworth Sleepiness Scale(ESS), Beck Depression Inventory(BDI), and Beck Anxiety Inventory(BAI) were used for assessment. Statistically Spearman’s correlation test, ANCOVA, Mann-Whitney U test, and χ² test were used by SPSS 13.0.
Results: In the SF-36 subscales, physical functioning subscale was correlated inversely with age, BDI, BAI, ESS, and scores of total subscale, sleep onset latency subscale, sleep efficiency subscale, sleep disturbance subscale, and daytime dysfunction subscale of PSQI. Bodily pain subscale score of SF-36 was correlated with BDI, BAI, ESS, and total subscale, subjective sleep quality subscale, sleep onset latency subscale, sleep disturbance subscale, use of sleep medication subscale, daytime dysfunction subscale of PSQI, and correlated inversely with duration of dialysis. But the other subscales of SF-36 were not correlated significantly with PSQI total score. Sixty-two(69,66%) subjects were ’poor sleepers’(global PSQI＞5), and showed higher in BAI and BDI, lower in physical functioning subscale, role physical subscale and pain subscale of SF-36 than good sleepers(global PSQI＜5).
Conclusion : This study showed that lower quality of sleep is common in hemodialysis patients and is associated with lower subjective quality of life. We suggest that management of the sleep problems is helpful for patients with chronic renal failure on hemodialysis to increase the quality of life.
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KEYWORD
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Chronic renal failure, Hemodialysis, Quality of sleep, Quality of life
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