Insomnia in patients on hemodialysis for a short versus long duration

Tetsu Tomita,1 Norio Yasui-Furukori,1 Masaki Oka,1 Takaaki Shimizu,2 Aya Nagashima,2 Kento Mitsuhashi,2 Hisao Saito,3 Kazuhiko Nakamura1 1Department of Neuropsychiatry, Graduate School of Medicine, 2School of Medicine, Hirosaki University, 3Department of Urology, Oyokyo Kidney Research Institute, H...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Tomita T, Yasui-Furukori N, Oka M, Shimizu T, Nagashima A, Mitsuhashi K, Saito H, Nakamura K
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Sleep Disorders Kidney Quality of Life Duration of hemodialysis Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/17f5af391dc04808a2995a0812b8809a
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:17f5af391dc04808a2995a0812b8809a
record_format	dspace
spelling	oai:doaj.org-article:17f5af391dc04808a2995a0812b8809a2021-12-02T08:32:08ZInsomnia in patients on hemodialysis for a short versus long duration1178-2021https://doaj.org/article/17f5af391dc04808a2995a0812b8809a2016-09-01T00:00:00Zhttps://www.dovepress.com/insomnia-in-patients-on-hemodialysis-for-a-short-versus-long-duration-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Tetsu Tomita,1 Norio Yasui-Furukori,1 Masaki Oka,1 Takaaki Shimizu,2 Aya Nagashima,2 Kento Mitsuhashi,2 Hisao Saito,3 Kazuhiko Nakamura1 1Department of Neuropsychiatry, Graduate School of Medicine, 2School of Medicine, Hirosaki University, 3Department of Urology, Oyokyo Kidney Research Institute, Hirosaki, Japan Background: Many studies have investigated insomnia and the factors associated with this condition in hemodialysis (HD) patients, although the influence of HD duration has not been thoroughly investigated. In the present study, we investigated the factors, especially the duration of HD, associated with insomnia in HD patients.Patients and methods: A total of 138 patients undergoing HD were recruited, and the Japanese version of the Pittsburgh Sleep Quality Index (PSQI) was used to assess the quality of sleep. Subjects with a total PSQI score up to 4 and those with a score of at least 5 were identified as normal subjects and subjects with insomnia, respectively. Additionally, we assessed restless legs syndrome, depression using the Center for Epidemiologic Studies Depression Scale, and health-related quality of life (QOL) using the Short Form 8 Health Survey. We divided the subjects into two groups according to the median HD duration.Results: The prevalence rate of insomnia was 54.3% among all the subjects. Twenty-one subjects (15.2%) had depression, 26 (18.8%) had restless legs syndrome, and 75 (54.3%) had insomnia. The median HD duration was 4 years. The scores of components 1 and 4 of the PSQI, subjective sleep quality and habitual sleep efficiency, did not show a significant difference between the normal and insomnia groups. The score of component 7, daytime dysfunction, showed a significant difference between the short and long HD duration groups. In multiple regression analysis, the score of the Short Form 8 Health Survey showed a significant association with the PSQI score in the long HD duration group, but no variable showed a significant association in the short HD duration group.Conclusion: Patients with a longer duration of HD indicated that insomnia has an influence on their daily activities, with a significant association between insomnia and QOL. Greater attention should be paid to poor QOL and troubles in daily activities caused by insomnia in patients with a longer HD duration. Keywords: sleep disorders, kidney, quality of life, duration of hemodialysisTomita TYasui-Furukori NOka MShimizu TNagashima AMitsuhashi KSaito HNakamura KDove Medical PressarticleSleep DisordersKidneyQuality of LifeDuration of hemodialysisNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 12, Pp 2293-2298 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sleep Disorders Kidney Quality of Life Duration of hemodialysis Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Sleep Disorders Kidney Quality of Life Duration of hemodialysis Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Tomita T Yasui-Furukori N Oka M Shimizu T Nagashima A Mitsuhashi K Saito H Nakamura K Insomnia in patients on hemodialysis for a short versus long duration
description	Tetsu Tomita,1 Norio Yasui-Furukori,1 Masaki Oka,1 Takaaki Shimizu,2 Aya Nagashima,2 Kento Mitsuhashi,2 Hisao Saito,3 Kazuhiko Nakamura1 1Department of Neuropsychiatry, Graduate School of Medicine, 2School of Medicine, Hirosaki University, 3Department of Urology, Oyokyo Kidney Research Institute, Hirosaki, Japan Background: Many studies have investigated insomnia and the factors associated with this condition in hemodialysis (HD) patients, although the influence of HD duration has not been thoroughly investigated. In the present study, we investigated the factors, especially the duration of HD, associated with insomnia in HD patients.Patients and methods: A total of 138 patients undergoing HD were recruited, and the Japanese version of the Pittsburgh Sleep Quality Index (PSQI) was used to assess the quality of sleep. Subjects with a total PSQI score up to 4 and those with a score of at least 5 were identified as normal subjects and subjects with insomnia, respectively. Additionally, we assessed restless legs syndrome, depression using the Center for Epidemiologic Studies Depression Scale, and health-related quality of life (QOL) using the Short Form 8 Health Survey. We divided the subjects into two groups according to the median HD duration.Results: The prevalence rate of insomnia was 54.3% among all the subjects. Twenty-one subjects (15.2%) had depression, 26 (18.8%) had restless legs syndrome, and 75 (54.3%) had insomnia. The median HD duration was 4 years. The scores of components 1 and 4 of the PSQI, subjective sleep quality and habitual sleep efficiency, did not show a significant difference between the normal and insomnia groups. The score of component 7, daytime dysfunction, showed a significant difference between the short and long HD duration groups. In multiple regression analysis, the score of the Short Form 8 Health Survey showed a significant association with the PSQI score in the long HD duration group, but no variable showed a significant association in the short HD duration group.Conclusion: Patients with a longer duration of HD indicated that insomnia has an influence on their daily activities, with a significant association between insomnia and QOL. Greater attention should be paid to poor QOL and troubles in daily activities caused by insomnia in patients with a longer HD duration. Keywords: sleep disorders, kidney, quality of life, duration of hemodialysis
format	article
author	Tomita T Yasui-Furukori N Oka M Shimizu T Nagashima A Mitsuhashi K Saito H Nakamura K
author_facet	Tomita T Yasui-Furukori N Oka M Shimizu T Nagashima A Mitsuhashi K Saito H Nakamura K
author_sort	Tomita T
title	Insomnia in patients on hemodialysis for a short versus long duration
title_short	Insomnia in patients on hemodialysis for a short versus long duration
title_full	Insomnia in patients on hemodialysis for a short versus long duration
title_fullStr	Insomnia in patients on hemodialysis for a short versus long duration
title_full_unstemmed	Insomnia in patients on hemodialysis for a short versus long duration
title_sort	insomnia in patients on hemodialysis for a short versus long duration
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/17f5af391dc04808a2995a0812b8809a
work_keys_str_mv	AT tomitat insomniainpatientsonhemodialysisforashortversuslongduration AT yasuifurukorin insomniainpatientsonhemodialysisforashortversuslongduration AT okam insomniainpatientsonhemodialysisforashortversuslongduration AT shimizut insomniainpatientsonhemodialysisforashortversuslongduration AT nagashimaa insomniainpatientsonhemodialysisforashortversuslongduration AT mitsuhashik insomniainpatientsonhemodialysisforashortversuslongduration AT saitoh insomniainpatientsonhemodialysisforashortversuslongduration AT nakamurak insomniainpatientsonhemodialysisforashortversuslongduration
_version_	1718398469068029952

Insomnia in patients on hemodialysis for a short versus long duration

Ejemplares similares