Article2007

Quality of Sleep and Psychosocial Factors for Patients Undergoing Peritoneal Dialysis

Ju‐Yeh Yang · Jenq‐Wen Huang · Yu‐Sen Peng · Shou-Shang Chiang · Chwei‐Shiun Yang · Chin-Ching Yang +5 more

42 citations0/0 files storedPeritoneal Dialysis International

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Abstract

OBJECTIVES: Sleep disorders are common in end-stage renal disease patients. This study examined the relationship between self-reported quality of sleep (QoS) and certain psychosocial domains for patients on peritoneal dialysis (PD). METHODS: The study subjects included 190 PD patients from 7 urban dialysis clinics in Northern Taiwan, from whom we obtained biochemical parameters and demographic data. QoS, quality of life (QoL), religious/spiritual activity, and depression were assessed using the Pittsburgh Sleep Quality Index (PSQI) questionnaire, Medical Outcomes Study Short Form (SF-36) for QoL, the Royal Free Questionnaire, and the Beck Depression Inventory, respectively. RESULTS: The average PSQI score was 9.1 +/- 4.1 and, in total, 85.8% of all patients were poor sleepers (global PSQI > or =5). There was no difference in age, gender, and mode or duration of PD between good and poor sleepers. Biochemical data did not differ between the two groups. Widowed patients experienced significantly poorer QoS than patients with other marital status (PSQI scores: 12.3 +/- 4.9 vs 8.88 +/- 4.0, p = 0.006). The percentage of patients that held a bachelor's degree or above was significantly higher in good sleepers (55.6% vs 29.4%, p = 0.008). The PSQI value correlated negatively with the QoL scale in both physical (r = -0.295, p < 0.001) and mental domains (r = -0.410, p < 0.001), and correlated positively with the depression scale (r = 0.351, p < 0.001). There appeared to be no association between QoS and spiritual/religious activity (r = -0.097, p = 0.223). CONCLUSIONS: Psychosocial factors including depression, patients' perceptions regarding QoL, marital status, and educational background correlated significantly to the subjective QoS for PD patients. When dealing with sleep disorders in PD patients, physicians should pay considerable attention to their psychosocial backgrounds.

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References

1988Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation 1993The MOS 36-Item Short-Form Health Survey (SF-36)2002Test–retest reliability and validity of the Pittsburgh Sleep Quality Index in primary insomnia 2002Quality of sleep and health-related quality of life in haemodialysis patients 1990Reliability and factorial structure of the chinese version of the Beck Depression Inventory 2000Prevalence of Sleep Disturbance and Hypnotic Medication Use in Relation to Sociodemographic Factors in the General Japanese Adult Population 2003Sleep disturbances in dialysis patients 1999The Pittsburgh Sleep Quality Index (PSQI)

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2011Prevalence and risk factors of sleep disturbance in continuous ambulatory peritoneal dialysis patients in Guangzhou, southern China 2015Subjective sleep quality in sarcoidosis 2008Sleep Quality and Depression in Peritoneal Dialysis Patients

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