title: Relationship between dialysis adequacy and sleep quality in haemodialysis patients.
abstract: OBJECTIVE
  The aim of this study is to examine the relationship between dialysis adequacy and sleep quality in haemodialysis patients.
  
  
  BACKGROUND
  Sleep problems are common in haemodialysis patients. Dialysis adequacy is one of the factors associated with sleep quality. Studies evaluating the association between dialysis adequacy and sleep quality in haemodialysis patients present different results.
  
  
  METHODS
  Descriptive and cross-sectional study.
  
  
  METHODS
  This study was performed with a total of 119 patients who had applied to dialysis centres for haemodialysis treatment between January and March 2014. The data collection form consists of socio-demographic and medical characteristics as well as laboratory parameters. A modified Post-Sleep Inventory was used to examine sleep quality in the research.
  
  
  RESULTS
  There were no statistically significant relationship between sleep quality and dialysis adequacy (p > 0·05). When the Post-Sleep Inventory scores were evaluated according to sleep quality, 63·0% of patients had poor sleep quality, and 37·0% had good sleep quality. Sleep quality was worse in unemployed patients (X(2) = 4·852; p = 0·025) and patients who smoked heavily (Z = 2·289; p = 0·022).
  
  
  CONCLUSIONS
  In this study, there is no statistically significant relationship between dialysis adequacy and sleep quality. However, it was found that the majority of haemodialysis patients had poor sleep quality.
  
  
  CONCLUSIONS
  Even if the dialysis adequacy of patients is at the recommended level, their sleep qualities may be poor. Therefore, evaluations of the sleep quality of haemodialysis patients during the clinical practice must be taken into consideration.
authors.affiliation: Gulhane Military Medical Academy, School of Nursing, Ankara, Turkey.
authors.forename: Nuran
authors.initials: N
authors.lastname: Tosun
authors.affiliation: Gulhane Military Medical Academy, School of Nursing, Ankara, Turkey.
authors.forename: Nurten
authors.initials: N
authors.lastname: Kalender
authors.affiliation: Gulhane Military Medical Academy, School of Nursing, Ankara, Turkey.
authors.forename: Fatma Ilknur
authors.initials: FI
authors.lastname: Cinar
authors.affiliation: Gulhane Military Medical Academy, School of Nursing, Ankara, Turkey.
authors.forename: Gulcan
authors.initials: G
authors.lastname: Bagcivan
authors.affiliation: Can Dialysis Center, Ankara, Turkey.
authors.forename: Mujdat
authors.initials: M
authors.lastname: Yenicesu
authors.affiliation: Gulhane Military Medical Academy, School of Nursing, Ankara, Turkey.
authors.forename: Dilek
authors.initials: D
authors.lastname: Dikici
authors.affiliation: Gulhane Military Medical Academy, School of Nursing, Ankara, Turkey.
authors.forename: Dilek
authors.initials: D
authors.lastname: Kaya
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D012893:Sleep Wake Disorders / Q000175:diagnosis* / Q000453:epidemiology*; D016896:Treatment Outcome
keywords: Post-Sleep Inventory; dialysis adequacy; sleep quality