Sleep Quality and Related Factors in Hemodialysis Patients

Monday, 30 July 2012: 2:15 PM

Fang-Yu Lin, MS, RN
Department of Nursing, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan
Kwua-Yun Wang, PhD, RN
Nursing Department, Taipei Veterans General Hospital, Taipei, Taiwan
Tso-Hsiao Chen, PhD, MD
Department of Nephrology, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan
Kuan-Chia Lin, PhD
School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
Wu-Chang Yang, BS, MD
Department of Nephrology, Taipei Veterans General Hospital, Taipei, Taiwan

Learning Objective 1: The results may provide healthcare provider to understand hemodialysis patients sleep quality and related factors with holistic perspective.

Learning Objective 2: In advance, the evidence-based and appropriate nursing interventions will be developed to improve sleep quality and quality of life for hemodialysis patients.


  The purpose of this study investigated sleep quality and related factors in Taiwan hemodialysis patients.


      This study was a cross-sectional design with purposive sampling. One hundred and seventy patients were recruited from outpatient hemodyalysis centers of 2 medical centers in Taipei City. The structured questionnaires in including demographics, International restless legs rating scale(IRLS),Berlin questionnaire ,Epworth sleepiness scale(ESS), The Beck depression inventory-II(BDI-II) ,and Pittsburgh sleep quality index(PSQI) were need to collect data. Data were analyze by the frequency, percentage, independent t-test , chi-square and hierarchical logistic regression (combine with stepwise regression procedure) using SPSS software, Version 18.0. P<0.05 was considered as the statistically significant level.


 The results demonstrated that the average PSQI global score of the total patients subjects was 9.26±4.66. There were forty-one(24.1%) hemodialysis patients in good sleep quality(PSQI<5), and one hundred and twenty-nine hemodialysis patients in poor sleep quality(PSQI>5). The patients with eating hypnotic drug, suffering from RLS, higher score of EDS, SAS high risk, lower score of BUN, lower score of Hb, and depression had poor sleep quality.


  The results indicated that overall category of hypnotic drug, RLS, EDS, Hb, and depression were the significant predictors of sleep quality.