FACTORS AFFECTING SLEEP DISTURBANCE FOR PATIENTS UNDERGOING HEMODIALYSIS AT MANSOURA UNIVERSITY HOSPITALS

Document Type : Original Article

Authors

1 Medical-Surgical Nursing Department, Faculty of Nursing, Mansoura University

2 Faculty of Medicine, Mansoura University.

Abstract

Background: End-stage renal disease (ESRD) is a worldwide public health problem with an increasing incidence, prevalence, poor outcomes, and high cost. Many patients with ESRD who are undergoing chronic hemodialysis treatment suffer from sleeping disturbance. Aim of this study: was to assess sleep pattern, the factors affecting sleeping disturbances for patients undergoing hemodialysis. Materials and method: This study design was a descriptive survey design. The study was conducted at hemodialysis unit in urology and nephrology center at Mansoura University Hospital . The study group was a convenience sample of 100 adult patients from both sex, ranged from18 to 60 years old, and undergoing maintenance hemodialysis program. Patients' assessment was done through using the following tools: 1) Sociodemographic characteristic and patient health status sheet, 2) The Pittsburgh sleeping Quality index. Results: There are many factors causing sleep disturbance among hemodialysis patients. Conclusions: Majority of patients undergoing hemodialysis (HD) program had sleeping disturbance. Recommendation: 1) Comprehensive simple Arabic booklet that includes instructions to improve sleep quality and how avoid sleep disturbance to be handled to all patients on hemodialysis treatment program.2)Developing an educational program for nurses about how to avoid sleeping disturbances and improving quality of sleep.3)Encourage nurses to apply complementary and alternative medicine (CAM) to improve sleeping disturbances among HD patients.4)Further researches to different geographical areas and large sample to assess types of sleeping disturbance, incidence, intensity, associated factors, therapeutic management, and to investigate treatment success to improve objective and subjective parameters of sleeping disorders for hemodialysis patients. Apply intervention that improves sleep quality in these patients.

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