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Better Sleep Quality and Less Daytime Symptoms in Patients on Evening Hemodialysis: A Questionnaire‐based Study
Author(s) -
Hsu ChungYao,
Lee ChienTe,
Lee YueJoe,
Huang TiaoLai,
Yu ChingYi,
Lee LungChih,
Lam KingKwan,
Chien YuShu,
Chuang FengRong,
Hsu KaoTai
Publication year - 2008
Publication title -
artificial organs
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 76
eISSN - 1525-1594
pISSN - 0160-564X
DOI - 10.1111/j.1525-1594.2008.00593.x
Subject(s) - epworth sleepiness scale , evening , medicine , morning , pittsburgh sleep quality index , hemodialysis , excessive daytime sleepiness , dialysis , insomnia , sleep (system call) , physical therapy , sleep quality , sleep disorder , polysomnography , psychiatry , physics , apnea , operating system , astronomy , computer science
The aims of this study were to investigate the prevalence of sleep disorders in patients with end‐stage renal disease (ESRD), and to assess the effect of dialysis schedule on sleep quality and the presence of daytime symptoms. We prospectively selected 150 long‐term hemodialysis (HD) patients in three groups (morning, afternoon, and evening dialysis) and gave them a sleep questionnaire, the Epworth sleepiness scale and the Pittsburgh sleep quality index. Snoring was the most common complaint (56%), followed by insomnia (38%) and restless legs syndrome (22.7%). The evening dialysis group experienced more sleep time in bed ( P = 0.02), required less hypnotic medication ( P = 0.049), had fewer daytime symptoms ( P < 0.01), and experienced less daytime sleepiness ( P = 0.034). Our study confirms the high prevalence of sleep disorders in ESRD patients, and indicates a beneficial effect of evening HD on sleep quality and reduction of daytime symptoms.