Correlates of sleep behavior among hemodialysis patients. The kidney outcomes prediction and evaluation (KOPE) study

Am J Nephrol. 2002 Jan-Feb;22(1):18-28. doi: 10.1159/000046670.

Abstract

Background: Given the importance of sleep to overall physical and mental well-being, we sought to identify the correlates of seven sleep disturbances in a cross-sectional study of a biracial population of male and female patients treated with hemodialysis.

Methods: Univariate and multivariate analyses of a cohort study of adult patients with end-stage renal disease. Demographic, psychosocial, clinical, and health and physical functioning variables were included.

Results: Waking up during the night (57%) and waking up too early (55%) were the most commonly reported sleep problems. Multivariate analyses consistently indicated that levels of pain, depressive symptoms, and physical functioning were consistently associated with the seven sleep disturbances.

Conclusion: Sleep disturbances are common in patients with end-stage renal disease. Physical and mental well-being were consistently related to the seven sleep disturbances.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Activities of Daily Living
  • Adult
  • Cohort Studies
  • Cross-Sectional Studies
  • Female
  • Health Status
  • Humans
  • Kidney Failure, Chronic / complications*
  • Kidney Failure, Chronic / therapy
  • Male
  • Middle Aged
  • Quality of Life
  • Regression Analysis
  • Renal Dialysis*
  • Sleep Wake Disorders / etiology*
  • Sleep Wake Disorders / psychology
  • Treatment Outcome