Gencdal Işil Y
Department of Neurology, Dr. Sadi Konuk Research and Educational Hospital, Bakirkoy, Istanbul, Turkey.
Cogn Behav Neurol. 2019 Mar;32(1):25-30. doi: 10.1097/WNN.0000000000000182.
Sleep disturbances are common in hemodialysis (HD) patients, impeding their daily activities and reducing their overall quality of life. The aim of this study was to investigate sleep quality and excessive daytime sleepiness (EDS) in HD patients waitlisted for renal transplant.
The study included 137 patients (84 men and 53 women) undergoing HD three times per week; the mean age was 49.74±12.49 years. I used the Pittsburgh Sleep Quality Index (PSQI) to identify poor sleepers and the Epworth Sleepiness Scale (ESS) to identify those with EDS.
PSQI scores classified 87 of the 137 patients (63.5%) as poor sleepers, and ESS scores indicated that 47 patients (34.3%) had EDS. Among the 87 poor sleepers, 46% presented with EDS. Among the patients with EDS, 85% were also poor sleepers. Multivariate analysis revealed a positive correlation between the PSQI and ESS scores (P=0.002).
Poor sleep quality and EDS are quite common among patients receiving HD, but these sleep disturbances often go undiagnosed or untreated. Better awareness and treatment of SDs could improve quality of life for HD patients waitlisted for renal transplant.
睡眠障碍在血液透析（HD）患者中很常见，会妨碍他们的日常活动并降低其整体生活质量。本研究的目的是调查等待肾移植的HD患者的睡眠质量和日间过度嗜睡（EDS）情况。
该研究纳入了137例每周进行3次HD的患者（84例男性和53例女性）；平均年龄为49.74±12.49岁。我使用匹兹堡睡眠质量指数（PSQI）来识别睡眠不佳者，并使用爱泼华嗜睡量表（ESS）来识别患有EDS者。
PSQI评分将137例患者中的87例（63.5%）归类为睡眠不佳者，ESS评分表明47例患者（34.3%）患有EDS。在87例睡眠不佳者中，46%存在EDS。在患有EDS的患者中，85%也是睡眠不佳者。多因素分析显示PSQI与ESS评分之间存在正相关（P=0.002）。
睡眠质量差和EDS在接受HD的患者中相当常见，但这些睡眠障碍往往未被诊断或治疗。更好地认识和治疗睡眠障碍可以改善等待肾移植的HD患者的生活质量。
