DOI: https://doi.org/10.14710/nmjn.v8i1.15741

Relating Factors of Insomnia among Haemodialysis Patients

*Henni Kusuma  -  Department of Nursing Science, Faculty of Medicine, Diponegoro University, Indonesia
Chandra Bagus Ropyanto  -  Department of Nursing Science, Faculty of Medicine, Diponegoro University, Indonesia
susana widyaningsih  -  Department of Nursing Science, Faculty of Medicine, Diponegoro University, Indonesia
Untung Sujianto  -  Department of Nursing Science, Faculty of Medicine, Diponegoro University, Indonesia
Open Access Copyright (c) 2018 Nurse Media Journal of Nursing

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Abstract

Background: Insomnia is a sleep disturbance which commonly occurs in haemodialysis patients. Some factors contribute to insomnia in dialysis patients such as demographic, biological, psychological, lifestyle, and dialysis factors. However, there are limited studies which investigate the relating factors of insomnia in haemodialysis patients in Indonesia.
Purpose: This study aimed to analyze the relating factors of insomnia in haemodialysis patients in Semarang, Central Java, Indonesia.
Methods: This study was a cross-sectional study which involved 102 samples recruited by consecutive sampling technique from two dialysis units in Semarang, Central Java. Data were collected by questionnaires and analyzed using Chi-square and multiple logistic regression to know the most relating factors of insomnia.
Results: The result showed that insomnia occurred in 63 respondents (61.8%). Further analysis indicated that insomnia was related to anxiety (p=0.034, OR=2.36) and age (p=0.049; OR=1.75). There was no relationship between insomnia and the other factors such as gender, education level, occupation status, marital status, haemoglobin level, smoking and coffee consumption habit, and dialysis factor (period of dialysis). Moreover, anxiety was the most relating factors of insomnia among haemodyalsis patients.
Conclusion: This study concluded that anxiety and age were independent factors related to insomnia. This study recommends that anxiety screening should be performed on haemodialysis  patients. Anxiety in haemodialysis  patients needs to be treated properly so that it will not develop into insomnia.

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Keywords: Chronic kidney disease; haemodialysis; insomnia

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  1. Ahmed, S. E. S., & Gehan, A. Y. (2014). Effect relaxation techniques on quality of sleep HD patients. International Journal of Innovative and Applied Research, 2(7), 83-94. http://www.journalijiar.com/uploads/2014-07-31_102535_59.pdf
  2. Al-Jahdali, H., Khogeer, H. A., Al-Qadhi, W.A., Baharoon, S., Tamim, H., Al-Jehaili, F.F., … & Al-Sayyari, A.A. (2010). Insomnia in chronic renal patients on dialysis in Saudi Arabia. Journal of Circadian Rhythms, 2(7), 83-94. https://www.jcircadianrhythms.com/article/10.1186/1740-3391-8-7/
  3. Chen, W.C, Lim, P. S, Wu, W. C, Chiu, H. C, Chen, C. H, Kuo, H. Y, ... Woods, H. F. (2006). Sleep behavior disorders in a large cohort of Chinese (Taiwanese) patients maintained by long-term haemodialysis. American Journal of Kidney Disease, 48 (2), 277–284. doi: 10.1053/j.ajkd.2006.04.079
  4. Coccossis, M.G., Theofilou, P., Synodinou, C., Tomaras, V., & Soldatos, C. (2008). Quality of life, mental health, and health beliefs in haemodialysis and peritoneal dialysis patients: investigating differences in early and later years of current treatment. BMC Nephrology, 9, 14. https://bmcnephrol.biomedcentral.com/articles/10.1186/1471-2369-9-14
  5. Danielle, F. M. E. H., Mahamat, M., Francois, K. F., Patrice, H. M., & Gloria, A. (2017). Sleep quality haemodialysis. Open Journal of Nephrology, 7, 61-68. http://www.scirp.org/journal/ojneph
  6. Elder, S. J., Pisoni, R. L., Akizawa, T., Fissell, R., Andreucci, V. E., Fukuhara, S ..., Saran, R. (2008). Sleep quality predicts quality of life and mortality risk in haemodialysis patients: results from the Dialysis Outcomes and Practice Patterns Study (DOPPS). Nephrology, Dialysis, Transplantation, 23(3), 998-1004. https://academic.oup.com/ndt/article/23/3/998/1829479
  7. Feroze, U., Martin, D., Reina-Patton, A., Kalantar-Zadeh, K., & Kopple J. D. (2010). Mental health, depression, and anxiety in patients on maintenance dialysis. Iranian Journal of Kidney Diseases, 4(3), 173–80. https://www.ncbi.nlm.nih.gov/pubmed/20622304
  8. Ishak, W. W., Bagot, K., Thomas, S., Magakian, N., Bedwani, D., Larson, D ..., Zaky, C. (2012). Quality of life in patients suffering from insomnia. Innovations in Clinical Neuroscience, 9(10), 13-26. https://www.ncbi.nlm.nih.gov/pubmed/23198273
  9. Kosmadakis, G. C., & Medcalf, J. F. (2008). Sleep disorders in dialysis patients. International Journal Artificial Organs, 31 (11), 919-927. https://www.ncbi.nlm.nih.gov/pubmed/19089793
  10. Krystal, A. D. (2012). Psychiatric disorders and sleep. Neurology Clinical, 30, 1389–1413. doi: 10.1016/J.Ncl.2012.08.018
  11. Lee, Y. J., Kim, M. S., Cho, S., & Kim, S. R. (2013). Association of depression and anxiety with reduced quality of life in patients with predialysis chronic kidney disease. Internasional Journal of Clinical Practice, 67(4), 363-378. doi: 10.1111/ijcp.12020
  12. Merlino, G., Piani, A., Dolso, P., Adorati, M., Cancelli, L., Valente, M., & Gigli, G. L. (2006). Sleep disorders in patients with end-stage renal disease undergoing dialysis therapy. Nephrology, Dialysis, Transplantation, 21, 184-190. https://www.ncbi.nlm.nih.gov/pubmed/16144846
  13. Mucsi, I., Molnar, M. Z., & Rethelyi, J. (2004). Sleep disorders and illness intrusiveness in patients on chronic dialysis. Nephrology, Dialysis, Transplantation, 19, 1815-1822. http://ndt.oxfordjournals.org/cgi/content/abstract/19/7/1815
  14. Mollaoglu, M. (2006). Perceived social support, anxiety, and self-care among patients receiving haemodialysis. Clinical Perspective. Dialysis & Transplantation, 35(3), 144-155. doi: 10.1002/dat.20002
  15. National Sleep Foundation. (2015). Insomnia & Older Adults. Retrieved from https://sleepfoundation.org/
  16. Notoatmodjo, S. (2014). Ilmu Perilaku Kesehatan [Health Behavior Science] (2ed.). Jakarta: Rineka Cipta
  17. Novak, M., Shapiro, C. M., Mendelssohn, D., & Mucsi, I. (2006). Diagnosis and management of insomnia in dialysis patients. Seminar in Dialysis, 19 (1), 25-31. doi: 10.1111/j.1525-139X.2006.00116.x
  18. Nutt, D., Wilson, S., & Paterson, L. (2008). Sleep disorders as core symptoms of depression. Dialogues in Clinical Neuroscience, 10(3), 329-336. https://www.ncbi.nlm.nih.gov/pubmed/18979946
  19. Ohayon, M. M., & Roth, T. (2003). Place of chronic insomnia in the course of depressive and anxiety disorders. Journal of Psychiatric Research, 37(1), 9–15. https://www.ncbi.nlm.nih.gov/pubmed/12482465
  20. Pai, M. F., Hsu, S. P., Yang, S. Y., Ho, T. L., Lai, C. F., & Peng, Y. S. (2007). Sleep disturbance in chronic haemodialysis patients: the impact of depression and anemia. Renal Failure, 29(6), 673-687. doi: 10.1080/08860220701459642
  21. Paparrigopoulus, T., Tzavara, C., Theleritis, C., Psarros, C., Soldatos, C., & Tountas, Y. (2010). Insomnia and it’s correlates in a representative sample of the Greek population. BMC Public Health, 10, 531. doi: 10.1186/1471-2458-10-531
  22. Perl, J., Unruh, M. L., & Chan, C. T. (2006). Sleep disorders in ESRD: markers of inadequate dialysis?. Kidney International, 70(10), 1687-1693
  23. doi: 10.1038/sj.ki.5001791
  24. Reinhardt, J. P. (2001). Effect of positive & negative social support received and provided on adaptation to chronic visual impairment. Applied Developmental Science Journal, 5 (2). doi: 10.1207/S1532480XADS0502_3
  25. Rosdiana, I. (2011). Analisis faktor yang berhubungan dengan kejadian insomnia pada pasien gagal ginjal kronik yang menjalani hemodialisis di RSUD Kota Tasikmalaya dan Garut [Factors analysis related to the incidence of insomnia in patients with chronic renal failure undergoing haemodialysis in RSUD Tasikmalaya and RSUD Garut] (Master’s Thesis), University of Indonesia, Jakarta, Indonesia. Retrieved from http://lib.ui.ac.id/detail?id=20281435&lokasi=lokal#parentHorizontalTab5
  26. Sabbatini, M., Minale, B., Crispo, A., Pisani, A., Ragosta, A., Esposito, R., ... Andreucci, V. E. (2002). Insomnia in maintenance haemodialysis patients. Nephrology, Dialysis, Transplantation, 17, 852-856. http://ndt.oxfordjournals.org/cgi/content/short/17/5/852
  27. Sabry, A. A., Zenah, H. A., Wafa, E., Mahmoud, K., El-Dahshan, K., Hassan, A., ... Okasha, K. (2010). Sleep disorders in haemodialysis patients. Saudi Journal of Kidney Diseases and Transplantation, 21 (2), 300-305. http://www.sjkdt.org/text.asp?2010/21/2/300/60199
  28. Smeltzer, S. C., & Bare, B. G. (2002). Textbook of medical-surgical nursing (11th ed.). Philadelphia: Lippincott Williams & Wilkins
  29. Szentkiralyi, A., Madarasz, C. Z., & Novak, M. (2009). Sleep disorders: impact on daytime functioning and quality of life. Expert Review of Pharmacoeconomics & Outcomes Research, 9(1), 49-64. doi: 10.1586/14737167.9.1.49
  30. Thomas, N. (2002). Renal nursing (2nd ed.). London United Kingdom: Elsevier Science
  31. Unruh, M. L., Tamura, M. K., Larive, B., Rastogi, A., James, S., Schiller, B., ... Kliger, A. (2011). Impact of sleep quality on cardiovascular outcomes in haemodialysis patients: results from the frequent haemodialysis network study. American Journal of Nephrology, 33, 398–406. doi: 10.1159/000326343
  32. Vasiopoulou, C., Bourtsi, E., Giaple, S., Koutelekos, I., Theofilou, P., & Polikondrioti, M. (2015). Anxiety, depression, and QOL haemodialysis patients. Global Journal of Health Science, 8(1), 45-55. doi: 10.5539/gjhs.v8n1p45
  33. Xhulia, D., Gerta, J., Dajana, Z., Koutelekos, I., Vasilopoulou, C., Skopelitou, M., & Polikondrioti, M. (2016). Needs of HD patients. Global Journal of Health Science, 8(6), 109-120. doi: 10.5539/gjhs.v8n6p109

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