Sleep Disturbance in Hemodialysis Patients.
- Author:
Jin Cheol KIM
;
Kwan Uk SONG
;
Ja Ryong KOO
;
Keun Ho KIM
;
Rho Won CHUN
;
Hyung Jik KIM
;
Dong Wan CHAE
;
Jung Woo NOH
- Publication Type:Original Article
- MeSH:
Erythropoietin;
Hematocrit;
Humans;
Malnutrition;
Parathyroid Hormone;
Plasma;
Prevalence;
Renal Dialysis*;
Restless Legs Syndrome;
Serum Albumin;
Surveys and Questionnaires
- From:Korean Journal of Nephrology
1999;18(6):953-958
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Sleep disturbance and restless legs syndrome (RLS) among uremic patients is known to be high, but data on the prevalence, clinical significance, and causative factors are limited. A semiquantitative sleep and RLS questionnaire was distributed to 62 chronic hemodialysis(HD) patients. 74.5N had sleep complaints and frequent awakening was the most frequent specific sleep complaints followed by daytime sleepiness. Presence of diabetes mellitus(DM), RLS, depres- sion, high CRP level, low intact parathyroid hormone level, low subjective global assessment score, and short HD duration were associated with more sleep complaints. 58.3N had RLS and presence of DM, low serum albumin level were also associated with more severe RLS. But Kt/V, protein catabolic rate, hematocrit, plasma bicarbonate level, use of erythropoietin and sleep medication were not associated with sleep complaints and RLS. Sleep problems and RLS are comrnon in HD patients and seem to be associated with malnutrition. Presence of DM, de- pression, and RLS are likely to contribute the high prevalence of sleep disturbance.
