Effects of Compression Stockings on the Risk of Obstructive Sleep Apnea (OSA) in Hemodialysis Patients

Astilia Astilia; Ria Bandiara; Cecep Eli Kosasih; Kusman Ibrahim

doi:10.14710/nmjn.v10i2.24527

DOI: https://doi.org/10.14710/nmjn.v10i2.24527

Effects of Compression Stockings on the Risk of Obstructive Sleep Apnea (OSA) in Hemodialysis Patients

*Astilia Astilia - Universitas Padjadjaran, Indonesia

Ria Bandiara - Universitas Padjadjaran, Indonesia

Cecep Eli Kosasih - Universitas Padjadjaran, Indonesia

Kusman Ibrahim - Universitas Padjadjaran, Indonesia

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

BibTex Citation Data :

@article{NMJN24527,
    author = {Astilia Astilia and Ria Bandiara and Cecep Kosasih and Kusman Ibrahim},
    title = {Effects of Compression Stockings on the Risk of Obstructive Sleep Apnea (OSA) in Hemodialysis Patients},
    journal = {Nurse Media Journal of Nursing},
  volume = {10},
    number = {2},
    year = {2020},
    keywords = {Compression stockings; fluid shift; hemodialysis; obstructive sleep apnea},
    abstract = {  Background:  Obstruction Sleep Apnea (OSA) in hemodialysis patients is a sleep disorder that involves stopping or decreasing air flow to breathe during sleep due to excess fluid in the leg. Compression Stockings (CS) with 30-40 mmHg are high pressure elastic stockings that are assumed to reduce foot fluid accumulation during the day and to prevent overnight fluid shifting to the neck.   Purpose  :  This study aimed to determine the effects of 30-40 mmHg CS on the risk of OSA in hemodialysis patients.   Method:  This research used a quasi-experimental pre-posttest with control group design. A purposive sampling was applied to recruit as many as 68 hemodialysis patients. The risk score of OSA was measured using STOP Bang questionnaire. High pressure CS were given for one week to the intervention group with two OSA measurements on the 4th and 7th days. The data then were analyzed using the Post Hoc Wilcoxon test and the Mann Whitney test.   Results:  There was a significant difference between the risk score for OSA before and after the use of 30-40 mmHg Compression Stocking in the intervention group on day 4 ( p =0.000) and day 7 ( p =0.000) compared to the control group.   Conclusion:   High pressure CS decreased the risk of OSA in hemodialysis patients by avoiding fluid retention in the legs, thus preventing fluid shifting to the neck. CS should be recommended as an alternative to prevent the risk of OSA in hemodialysis patients. },
   issn = {2406-8799},   pages = {211--221}  doi = {10.14710/nmjn.v10i2.24527},
    url = {https://ejournal.undip.ac.id/index.php/medianers/article/view/24527}
}

Citation Format:

Abstract

Background: Obstruction Sleep Apnea (OSA) in hemodialysis patients is a sleep disorder that involves stopping or decreasing air flow to breathe during sleep due to excess fluid in the leg. Compression Stockings (CS) with 30-40 mmHg are high pressure elastic stockings that are assumed to reduce foot fluid accumulation during the day and to prevent overnight fluid shifting to the neck.

Purpose: This study aimed to determine the effects of 30-40 mmHg CS on the risk of OSA in hemodialysis patients.

Method: This research used a quasi-experimental pre-posttest with control group design. A purposive sampling was applied to recruit as many as 68 hemodialysis patients. The risk score of OSA was measured using STOP Bang questionnaire. High pressure CS were given for one week to the intervention group with two OSA measurements on the 4th and 7th days. The data then were analyzed using the Post Hoc Wilcoxon test and the Mann Whitney test.

Results: There was a significant difference between the risk score for OSA before and after the use of 30-40 mmHg Compression Stocking in the intervention group on day 4 (p=0.000) and day 7 (p=0.000) compared to the control group.

Conclusion: High pressure CS decreased the risk of OSA in hemodialysis patients by avoiding fluid retention in the legs, thus preventing fluid shifting to the neck. CS should be recommended as an alternative to prevent the risk of OSA in hemodialysis patients.

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Keywords: Compression stockings; fluid shift; hemodialysis; obstructive sleep apnea

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In Vol 10, No 2 (2020): (August 2020)

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Effects of Compression Stockings on the Risk of Obstructive Sleep Apnea (OSA) in Hemodialysis Patients

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