Sleep Quality and its Associated Factors Among Hemodialysis Patients in Wilayah Persekutuan Kuala Lumpur, Malaysia

Yeap, Ming Xuan (2021) Sleep Quality and its Associated Factors Among Hemodialysis Patients in Wilayah Persekutuan Kuala Lumpur, Malaysia. [Project Paper] (Submitted)

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Abstract

Poor sleep quality is prevalent among hemodialysis (HD) patients and is often linked to adverse health outcomes and affects health-related quality of life. Nevertheless, the magnitude of poor sleep quality and its determinants including nutrition-related factors among HD patients are relatively less explored in Malaysia. This study investigated sleep quality and its associated factors among Malaysian HD patients. A cross-sectional study was conducted among 74 HD patients in Wilayah Persekutuan Kuala Lumpur, Malaysia. Anthropometric measurements and clinical data were retrieved from medical and dialysis records with the assistance of nurses in the selected dialysis centres. Socio-demographic and lifestyle characteristics were self-reported by the patients. Depression, presence of restless-leg syndrome (RLS), treatment adherence and sleep quality were determined using the Beck Depression Inventory-II, single screening question for the diagnosis of RLS, modified version of Dialysis Diet Frequency questionnaire and Pittsburgh Sleep Quality Index questionnaire, respectively. IBM SPSS version 25 was used for statistical analysis with significance level set at p<0.05. Subjects were made up of 45.9% males and 54.1% females, with a mean age of 51 + 16 years old. Majority of the subjects presented with RLS and were not depressive, while more than half of the them skipped meals. Treatment adherence was poor as 40.9% of the subjects have mild deviation from the recommended guidelines. Poor sleep quality was prevalent among the HD patients in Malaysia, with more than two-third of the patients were poor sleepers. It is worth mentioning the magnitude of poor sleep was higher than earlier studies performed during non-pandemic. With regards to sleep components, sleep latency and daytime dysfunction affected patients the most whereas sleeping medication use was relatively low. Poor sleepers had significantly lower sleep efficiency regardless if it was on dialysis or non-dialysis days (p<0.001). Poor sleep quality was associated with old age, polypharmacy, increased disease burden, presence of RLS, shorter duration of kidney disease, inter-dialytic weight gain (IDWG), depression, greater number of days of non-adherence (diet and medication) and skipping dinner. Healthcare professionals should pay more concern on the modifiable risk factors identified against poor sleep quality while appropriate guidelines on sleep quality should be included in local healthrelated policy for planning future sleep therapeutic interventions. On the other hand, in light of limited studies on unhealthy dietary habits (meal skipping) and treatment adherence among HD patients, this warrants for more studies to improve the understanding on this aspect.

Item Type:	Project Paper
Faculty:	Faculty of Medicine and Health Science
Depositing User:	Mr Khoirul Asrimi Md Nor
Date Deposited:	21 Aug 2023 07:54
Last Modified:	21 Aug 2023 07:54
URI:	http://psaspb.upm.edu.my/id/eprint/910

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