Psychological status and sleep quality among patients undergoing hemodialysis

INTRODUCTION: Patients undergoing renal dialysis complain of several psychological complications and poor sleep quality as a consequence of the procedure. This study aimed to identify the relationship between psychological status and sleep quality among Jordanian patients with end-stage renal diseases who are receiving hemodialysis.
METHODS: A descriptive, cross-sectional, and correlational design was used. A convenience sample of one hundred four patients receiving hemodialysis at two main public hospitals in Jordan was enrolled.
RESULTS: Three-quarters of participants reported mild to moderate depression, 63.5% had mild to extremely severe anxiety, and 55.8% had mild to moderate stress levels. The results of the Pittsburgh sleep quality index (PSQI) showed that most patients receiving hemodialysis had poor sleep quality. The results showed a significant correlation between the total global score of sleep quality and stress, anxiety, and depression (r=0.47, p<0.001; r=0.62, p<0.001; r=0.49, p<0.001), respectively. Higher levels of depression, anxiety, and stress were associated with a higher severity of sleep problems.
DISCUSSION AND CONCLUSION: Poor sleep quality is correlated with patients’ psychological outcomes; therefore, healthcare providers need to pay more attention to sleep quality in the assessment and nursing interventions in order to alleviate the levels of depression, anxiety, and stress among patients undergoing hemodialysis.