Quality of sleep and health‐related quality of life in haemodialysis patients

Background. Sleep complaints are common in haemodialysis patients. In the general population, insomnia impacts negatively on health‐related quality of life (HRQoL). The objective of this study was to examine the association between quality of sleep and HRQoL in haemodialysis patients independent of...

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Veröffentlicht in:Nephrology, dialysis, transplantation dialysis, transplantation, 2003-01, Vol.18 (1), p.126-132
Hauptverfasser: Iliescu, Eduard A., Coo, Helen, McMurray, Margo H., Meers, Carol L., Quinn, Margo M., Singer, Michael A., Hopman, Wilma M.
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container_end_page 132
container_issue 1
container_start_page 126
container_title Nephrology, dialysis, transplantation
container_volume 18
creator Iliescu, Eduard A.
Coo, Helen
McMurray, Margo H.
Meers, Carol L.
Quinn, Margo M.
Singer, Michael A.
Hopman, Wilma M.
description Background. Sleep complaints are common in haemodialysis patients. In the general population, insomnia impacts negatively on health‐related quality of life (HRQoL). The objective of this study was to examine the association between quality of sleep and HRQoL in haemodialysis patients independent of known predictors of HRQoL. Methods. Quality of sleep was measured using the Pittsburgh Sleep Quality Index (PSQI) and HRQoL was measured using the Medical Outcomes Study 36‐item Short Form (SF‐36) in 89 haemodialysis patients. Results. Sixty‐three (71%) subjects were ‘poor sleepers' (global PSQI >5). The SF‐36 mental component summary (MCS) and physical component summary (PCS) correlated inversely with the global PSQI score (MCS, r=−0.28, P
doi_str_mv 10.1093/ndt/18.1.126
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In the general population, insomnia impacts negatively on health‐related quality of life (HRQoL). The objective of this study was to examine the association between quality of sleep and HRQoL in haemodialysis patients independent of known predictors of HRQoL. Methods. Quality of sleep was measured using the Pittsburgh Sleep Quality Index (PSQI) and HRQoL was measured using the Medical Outcomes Study 36‐item Short Form (SF‐36) in 89 haemodialysis patients. Results. Sixty‐three (71%) subjects were ‘poor sleepers' (global PSQI &gt;5). The SF‐36 mental component summary (MCS) and physical component summary (PCS) correlated inversely with the global PSQI score (MCS, r=−0.28, P&lt;0.01; PCS, r=−0.45, P&lt;0.01). The PCS score also correlated with age (r=−0.24, P=0.02), haemoglobin (r=0.21, P=0.048) and comorbidity (r=−0.40, P&lt;0.01), and mean PCS was lower in depressed subjects (26.2 vs 35.9, P=0.02). Subjects with global PSQI &gt;5 had a higher prevalence of depression, lower haemoglobin and lower HRQoL in all SF‐36 domains. The global PSQI score was a significant independent predictor of the MCS and PCS after controlling for age, sex, haemoglobin, serum albumin, comorbidity and depression in multivariate analysis. Conclusions. Poor sleep is common in dialysis patients and is associated with lower HRQoL. We hypothesize that end‐stage renal disease directly influences quality of sleep, which in turn impacts on HRQoL.</description><identifier>ISSN: 0931-0509</identifier><identifier>ISSN: 1460-2385</identifier><identifier>EISSN: 1460-2385</identifier><identifier>DOI: 10.1093/ndt/18.1.126</identifier><identifier>PMID: 12480970</identifier><identifier>CODEN: NDTREA</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Analysis of Variance ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Cardiovascular Diseases - epidemiology ; chronic renal failure ; Comorbidity ; Cross-Sectional Studies ; Dementia - epidemiology ; Emergency and intensive care: renal failure. Dialysis management ; Emotions ; Female ; haemodialysis ; Health Status ; Hemiplegia - epidemiology ; Hospitals, General ; Humans ; Intensive care medicine ; Kidney Failure, Chronic - physiopathology ; Kidney Failure, Chronic - psychology ; Kidney Failure, Chronic - therapy ; Male ; Medical sciences ; Mental Health ; Middle Aged ; Multivariate Analysis ; Ontario ; Pain ; Quality of Life ; Renal Dialysis - adverse effects ; Renal Dialysis - psychology ; sleep ; Sleep - physiology ; Sleep Wake Disorders - epidemiology ; Surveys and Questionnaires</subject><ispartof>Nephrology, dialysis, transplantation, 2003-01, Vol.18 (1), p.126-132</ispartof><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c461t-c2db47fd53a0732a69d14f4bd30d30b7b0669da4aafd38ec837736587300ae903</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=14408773$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12480970$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Iliescu, Eduard A.</creatorcontrib><creatorcontrib>Coo, Helen</creatorcontrib><creatorcontrib>McMurray, Margo H.</creatorcontrib><creatorcontrib>Meers, Carol L.</creatorcontrib><creatorcontrib>Quinn, Margo M.</creatorcontrib><creatorcontrib>Singer, Michael A.</creatorcontrib><creatorcontrib>Hopman, Wilma M.</creatorcontrib><title>Quality of sleep and health‐related quality of life in haemodialysis patients</title><title>Nephrology, dialysis, transplantation</title><addtitle>Nephrol. Dial. Transplant</addtitle><description>Background. Sleep complaints are common in haemodialysis patients. In the general population, insomnia impacts negatively on health‐related quality of life (HRQoL). The objective of this study was to examine the association between quality of sleep and HRQoL in haemodialysis patients independent of known predictors of HRQoL. Methods. Quality of sleep was measured using the Pittsburgh Sleep Quality Index (PSQI) and HRQoL was measured using the Medical Outcomes Study 36‐item Short Form (SF‐36) in 89 haemodialysis patients. Results. Sixty‐three (71%) subjects were ‘poor sleepers' (global PSQI &gt;5). The SF‐36 mental component summary (MCS) and physical component summary (PCS) correlated inversely with the global PSQI score (MCS, r=−0.28, P&lt;0.01; PCS, r=−0.45, P&lt;0.01). The PCS score also correlated with age (r=−0.24, P=0.02), haemoglobin (r=0.21, P=0.048) and comorbidity (r=−0.40, P&lt;0.01), and mean PCS was lower in depressed subjects (26.2 vs 35.9, P=0.02). Subjects with global PSQI &gt;5 had a higher prevalence of depression, lower haemoglobin and lower HRQoL in all SF‐36 domains. The global PSQI score was a significant independent predictor of the MCS and PCS after controlling for age, sex, haemoglobin, serum albumin, comorbidity and depression in multivariate analysis. Conclusions. Poor sleep is common in dialysis patients and is associated with lower HRQoL. We hypothesize that end‐stage renal disease directly influences quality of sleep, which in turn impacts on HRQoL.</description><subject>Analysis of Variance</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Cardiovascular Diseases - epidemiology</subject><subject>chronic renal failure</subject><subject>Comorbidity</subject><subject>Cross-Sectional Studies</subject><subject>Dementia - epidemiology</subject><subject>Emergency and intensive care: renal failure. Dialysis management</subject><subject>Emotions</subject><subject>Female</subject><subject>haemodialysis</subject><subject>Health Status</subject><subject>Hemiplegia - epidemiology</subject><subject>Hospitals, General</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Kidney Failure, Chronic - physiopathology</subject><subject>Kidney Failure, Chronic - psychology</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental Health</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Ontario</subject><subject>Pain</subject><subject>Quality of Life</subject><subject>Renal Dialysis - adverse effects</subject><subject>Renal Dialysis - psychology</subject><subject>sleep</subject><subject>Sleep - physiology</subject><subject>Sleep Wake Disorders - epidemiology</subject><subject>Surveys and Questionnaires</subject><issn>0931-0509</issn><issn>1460-2385</issn><issn>1460-2385</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0MFqGzEQBmBREhrX6a3nsJf0lHVGK-1KeyxpkxQcgiGFkouYXc1ipfKus5KhvuUR8ox5kqrYxDAwMPMxDD9jXzjMONTisrfxkusZn_Gi-sAmXFaQF0KXR2yS1jyHEuoT9imEJwCoC6U-shNeSA21ggm7X2zQu7jNhi4LnmidYW-zJaGPy7eX15E8RrLZ80F511Hm-myJtBqsQ78NLmRrjI76GE7ZcYc-0Od9n7Jf1z8erm7z-f3Nz6tv87yVFY95W9hGqs6WAkGJAqvactnJxgpI1agGqjRCidhZoanVQilRlVoJAKQaxJR93d1dj8PzhkI0Kxda8h57GjbBqELrpOsEL3awHYcQRurMenQrHLeGg_kfoEkBGq4NNynAxM_2dzfNiuwB7xNL4HwPMLTouxH71oWDkxJ0-jW5fOdciPT3fY_jH1MpoUpz-_vRfFePd4tFCeZG_AOm14k3</recordid><startdate>200301</startdate><enddate>200301</enddate><creator>Iliescu, Eduard A.</creator><creator>Coo, Helen</creator><creator>McMurray, Margo H.</creator><creator>Meers, Carol L.</creator><creator>Quinn, Margo M.</creator><creator>Singer, Michael A.</creator><creator>Hopman, Wilma M.</creator><general>Oxford University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200301</creationdate><title>Quality of sleep and health‐related quality of life in haemodialysis patients</title><author>Iliescu, Eduard A. ; Coo, Helen ; McMurray, Margo H. ; Meers, Carol L. ; Quinn, Margo M. ; Singer, Michael A. ; Hopman, Wilma M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c461t-c2db47fd53a0732a69d14f4bd30d30b7b0669da4aafd38ec837736587300ae903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Analysis of Variance</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Cardiovascular Diseases - epidemiology</topic><topic>chronic renal failure</topic><topic>Comorbidity</topic><topic>Cross-Sectional Studies</topic><topic>Dementia - epidemiology</topic><topic>Emergency and intensive care: renal failure. Dialysis management</topic><topic>Emotions</topic><topic>Female</topic><topic>haemodialysis</topic><topic>Health Status</topic><topic>Hemiplegia - epidemiology</topic><topic>Hospitals, General</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Kidney Failure, Chronic - physiopathology</topic><topic>Kidney Failure, Chronic - psychology</topic><topic>Kidney Failure, Chronic - therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental Health</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Ontario</topic><topic>Pain</topic><topic>Quality of Life</topic><topic>Renal Dialysis - adverse effects</topic><topic>Renal Dialysis - psychology</topic><topic>sleep</topic><topic>Sleep - physiology</topic><topic>Sleep Wake Disorders - epidemiology</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Iliescu, Eduard A.</creatorcontrib><creatorcontrib>Coo, Helen</creatorcontrib><creatorcontrib>McMurray, Margo H.</creatorcontrib><creatorcontrib>Meers, Carol L.</creatorcontrib><creatorcontrib>Quinn, Margo M.</creatorcontrib><creatorcontrib>Singer, Michael A.</creatorcontrib><creatorcontrib>Hopman, Wilma M.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Nephrology, dialysis, transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Iliescu, Eduard A.</au><au>Coo, Helen</au><au>McMurray, Margo H.</au><au>Meers, Carol L.</au><au>Quinn, Margo M.</au><au>Singer, Michael A.</au><au>Hopman, Wilma M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quality of sleep and health‐related quality of life in haemodialysis patients</atitle><jtitle>Nephrology, dialysis, transplantation</jtitle><addtitle>Nephrol. Dial. Transplant</addtitle><date>2003-01</date><risdate>2003</risdate><volume>18</volume><issue>1</issue><spage>126</spage><epage>132</epage><pages>126-132</pages><issn>0931-0509</issn><issn>1460-2385</issn><eissn>1460-2385</eissn><coden>NDTREA</coden><abstract>Background. Sleep complaints are common in haemodialysis patients. In the general population, insomnia impacts negatively on health‐related quality of life (HRQoL). The objective of this study was to examine the association between quality of sleep and HRQoL in haemodialysis patients independent of known predictors of HRQoL. Methods. Quality of sleep was measured using the Pittsburgh Sleep Quality Index (PSQI) and HRQoL was measured using the Medical Outcomes Study 36‐item Short Form (SF‐36) in 89 haemodialysis patients. Results. Sixty‐three (71%) subjects were ‘poor sleepers' (global PSQI &gt;5). The SF‐36 mental component summary (MCS) and physical component summary (PCS) correlated inversely with the global PSQI score (MCS, r=−0.28, P&lt;0.01; PCS, r=−0.45, P&lt;0.01). The PCS score also correlated with age (r=−0.24, P=0.02), haemoglobin (r=0.21, P=0.048) and comorbidity (r=−0.40, P&lt;0.01), and mean PCS was lower in depressed subjects (26.2 vs 35.9, P=0.02). Subjects with global PSQI &gt;5 had a higher prevalence of depression, lower haemoglobin and lower HRQoL in all SF‐36 domains. The global PSQI score was a significant independent predictor of the MCS and PCS after controlling for age, sex, haemoglobin, serum albumin, comorbidity and depression in multivariate analysis. Conclusions. Poor sleep is common in dialysis patients and is associated with lower HRQoL. We hypothesize that end‐stage renal disease directly influences quality of sleep, which in turn impacts on HRQoL.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>12480970</pmid><doi>10.1093/ndt/18.1.126</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Analysis of Variance
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Cardiovascular Diseases - epidemiology
chronic renal failure
Comorbidity
Cross-Sectional Studies
Dementia - epidemiology
Emergency and intensive care: renal failure. Dialysis management
Emotions
Female
haemodialysis
Health Status
Hemiplegia - epidemiology
Hospitals, General
Humans
Intensive care medicine
Kidney Failure, Chronic - physiopathology
Kidney Failure, Chronic - psychology
Kidney Failure, Chronic - therapy
Male
Medical sciences
Mental Health
Middle Aged
Multivariate Analysis
Ontario
Pain
Quality of Life
Renal Dialysis - adverse effects
Renal Dialysis - psychology
sleep
Sleep - physiology
Sleep Wake Disorders - epidemiology
Surveys and Questionnaires
title Quality of sleep and health‐related quality of life in haemodialysis patients
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