Sleep complaints and perceived health status in patients in long-term hemodialysis

Citation
F. Alvarez-ude et al., Sleep complaints and perceived health status in patients in long-term hemodialysis, NEFROLOGIA, 19(2), 1999, pp. 168-176
Citations number
33
Categorie Soggetti
Urology & Nephrology
Journal title
NEFROLOGIA
ISSN journal
02116995 → ACNP
Volume
19
Issue
2
Year of publication
1999
Pages
168 - 176
Database
ISI
SICI code
0211-6995(1999)19:2<168:SCAPHS>2.0.ZU;2-B
Abstract
The objective of this study was to evaluate the prevalence and characterist ics of sleep complaints in patients on long-term hemodialysis, and to analy se ifs relationship with perceived health status and other sociodemographic and clinical characteristics. Sociodemographic and clinical data, and data on restless legs syndrome (RLS) were collected from patients attending a h ospital dialysis unit and a satellite dialysis centre. Patients were asked to complete the Spanish versions of the Medical Outcome Study Sleep Scale, and the Nottingham Health Profile (NHP). 60 patients completed the study; 2 9 (48%) reported "fair" or "poor" sleep, and of these 48% attributed their sleep problems to their renal disease or to dialysis. 35% of patients were taking hypnotics or ansiolytics. 27% had restless legs syndrome. Hemodialys is patients scored significantly higher (worse sleep) on the sleep dimensio n of the NHP than a similarly age sample of the Spanish general population. Variables associated with sleep complaints were the comorbidity scale (r = 0.27, p < 0.05), marital status (single patients slept worse, p < 0.05), a nd the restless legs syndrome (patients with RLS slept worse, p < 0.001). B eing female, having higher scores on the Comorbidity Scale and sleep compla ints were all significantly and independently associated with higher scores (worse perceived health status) in the NHP. The high frequency of sleep co mplaints and their contribution to impaired quality of life, justify furthe r studies to improve the diagnosis and treatment of those disorders in pati ents on hemodialysis.