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Background: Patients with sleep disorders report worse self-perceived quality of life than those without the disorders. In addition, it has recently been shown that poor quality of sleep is a predictive factor of near-term mortality in patients with end stage renal disease (ESRD). The aim of this study was to evaluate possible relationships between sleep disorder, quality of life and chronic pain in elderly diabetic hemodialysis patients. Methods: In the present study, the following groups were enrolled: 36 non-haemodialysis patients (group Non-HD) and 38 hemodialysis patients (group HD). The Pittsburgh Sleep Quality Index (PSQ-I) for sleep disturbances and health-related quality of life (HRQoL) questionnaires were administered in all the patients and their tolerability of pain was objectively evaluatedwith an algometer. Results: In the HD group, a statistically significant positive correlation was observed between SF-36 and the maximum pain level (r: 0.723; p<0.05). Similarly, a statistically significant negative correlation was reported between the PSQI and maximum pain level (r: -0.795; p<0.05). Conclusion: These data suggest the existence of a close relationship between pain tolerance with sleep disorders and health-related quality of life, in elderly diabetic patients with ESRD. Thus, the appropriate management of chronic pain in these patients could significantly improve the quality of life and ameliorate the sleep disorder.

Relationship between Pain Tolerance/ Sleep Disorders and Quality of Life in Elderly Diabetic Haemodialysis Patients