Poor sleep and reduced quality of life were associated with symptom distress in patients receiving maintenance hemodialysis.
BACKGROUND
The quality of life in patients receiving chronic hemodialysis is compromised despite of the substantial achievements in treatments. Quality of life in hemodialysis patients have been shown to be associated with decreased survival and increased hospitalization. Therefore, it is necessary to incorporate the managements of symptoms and patient self-perceived well-being as measurements of effective treatments for these patients.


METHODS
A survey of symptom distress, quality of sleep and quality of life was performed in 301 maintenance hemodialysis patients using Dialysis Symptom Index, Short Form-36, and Pittsburgh Quality of Sleep Index table. Patients were recruited from five hospitals in Guangdong area of China by convenience sampling.


RESULTS
The prevalence of various symptoms in maintenance hemodialysis patients was between 23.3 and 80.4 %. These patients had compromised sleep and poor quality of life. Moreover, poor quality of sleep and impaired quality of life were associated with high symptom burden of these patients.


CONCLUSIONS
The patients receiving chronic hemodialysis generally have heavy symptom distress, which could contribute to the disturbed sleep and impaired quality of life of these patients. Measurements of clinical outcomes for hemodialysis patients should include the management of symptoms and morbidity. The ultimate goal of treatments is to improve patient self-perceived quality of life.
The Blood Purification Center, Department of Nephrology, First Affiliated Hospital, Sun Yat-sen University, No.74 Zhongshan Rd.2, 510080, Guangzhou, Guangdong, People's Republic of China. raopingwang66@126.com.
Raoping
http://orcid.org/0000-0003-1085-5056
R
Wang
The Blood Purification Center, Department of Nephrology, First Affiliated Hospital, Sun Yat-sen University, No.74 Zhongshan Rd.2, 510080, Guangzhou, Guangdong, People's Republic of China.
Chunyuan
C
Tang
The Blood Purification Center, Department of Nephrology, First Affiliated Hospital, Sun Yat-sen University, No.74 Zhongshan Rd.2, 510080, Guangzhou, Guangdong, People's Republic of China.
Xiaofan
X
Chen
The Blood Purification Center, Department of Nephrology, First Affiliated Hospital, Sun Yat-sen University, No.74 Zhongshan Rd.2, 510080, Guangzhou, Guangdong, People's Republic of China.
Chunping
C
Zhu
The Blood Purification Center, Department of Nephrology, First Affiliated Hospital, Sun Yat-sen University, No.74 Zhongshan Rd.2, 510080, Guangzhou, Guangdong, People's Republic of China.
Wanna
W
Feng
College of Public Health, Sun-yat Sen University, Guangzhou, Guangdong, 510089, People's Republic of China.
Pengsheng
P
Li
College of Public Health, Sun-yat Sen University, Guangzhou, Guangdong, 510089, People's Republic of China.
Ciyong
C
Lu
D000328:Adult; D000368:Aged; D002681:China; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000523:psychology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011788:Quality of Life; D006435:Renal Dialysis / Q000009:adverse effects / Q000523:psychology*; D012893:Sleep Wake Disorders / Q000209:etiology*; D013315:Stress, Psychological / Q000209:etiology*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
Maintenance hemodialysis; Quality of life; Quality of sleep; Symptom distress