Background:Sleep disorders are one of the most commonly reported complaints with high prevalence rate among hemodialysis patients than general population. Aim: the study aimed to assess factors affecting sleep disturbance and suggest guidelines for patients undergoing hemodialysis.Design: Descriptive research design was utilized.Setting:The study was conducted in hemodialysis unit at Benha University Hospital. Sample: A convenience sample of 84 adult patients undergoing hemodialysis during 4 months of data collection was selected. Tools: data were collected using three tools, (1) patient's assessment questionnaire included (demographic characteristics, medical history data, hemodialysis feature and patients' knowledge about hemodialysis and sleep disturbances), (2) factors affecting quality of sleepscale, (3) Pittsburg Sleep Quality Index (PSQI). Results:67.8% of patients were poor sleepers (global PSQI>5). The most commonly reported factors that affect sleep disturbance among hemodialysis patientswereenvironmental, psychological factors, complaint of other diseases and factors that help sleep. Demographic and disease characteristics had no significant effect on sleep quality. Additionally, there is no statistically significant relation between total scores of PSQI components and hemodialysis patients’ sex except sleep quality and patients’ age except daytime dysfunction. Linear regression analysis showed that early cessation of hemodialysis decreased sleep quality and listening to Quran, taking a warm bath, relaxing and organizing the sleeping environment and commitment to the dietdecreased sleep disturbance. Conclusion: findings of the study showed thatmany factors such aslifestyle, environmental and physiological, psychological factors,as well, suffering from other diseases and factors associated with dialysisincreasedpatients' sleep disturbance.Recommendations: The study recommended developing health educational program for hemodialysis patients regarding avoidance of sleep disturbances and how to improve sleep quality. |
