Examination of Dysfunctional Beliefs and Attitudes About Symptoms, Sleep Quality and Sleep in Patients Receiving Hemodialysis Treatment

Fatma Gündogdu; Halime Gökhan Hakverir; Hasip Hakverir

doi:10.31067/acusaglik.1347064

Research Article

Year 2024, , 81 - 88, 31.01.2024

Fatma Gündogdu , Halime Gökhan Hakverir Hasip Hakverir

https://doi.org/10.31067/acusaglik.1347064

Abstract

Supporting Institution

yok

Project Number

yok

Thanks

Çalışmaya görüllü olarak katılan hastalara teşekkür ederiz.

References

1. Hintistan S and Deniz A. Evaluation of Symptoms in Patients Undergoing Hemodialysis. Bezmialem Sci. 2018;6:112-8 DOI: 10.14235/bs.2018.1530.
2. Karasneh R, Al-Azzam S, Altawalbeh SM, et al. Predictors of symptom burden among hemodialysis patients: a cross-sectional study at 13 hospitals. Int Urol Nephrol. 2020;52(5):959-967. DOI: 10.1007/s11255-020-02458-2.
3. Merlino G, Piani A, Dolso P, et al. Sleep disorders in patients with end-stage renal disease undergoing dialysis therapy. Nephrol Dial Transplant. 2006;21(1):184-90. DOI: 10.1093/ndt/gfi144.
4. Al-Jahdali HH, Khogeer HA, Al-Qadhi WA, et al. Insomnia in chronic renal patients on dialysis in Saudi Arabia. J Circadian Rhythms. 2010; 8:7. DOI: 10.1186/1740-3391-8-7.
5. Parvan K, Lakdizaji S, Roshangar F, et al. Quality of sleep and its relationship to quality of life in hemodialysis patients. J Caring Sci. 2013;30:2(4):295-304. DOI: 10.5681/jcs.2013.035.
6. Akyol A, Yurdusever S, Kırkayak AT, et al. Investigate of the factors affecting sleep problems of hemodialysis patients. Journal of Nephrology Nursing. 2017;12(2): 59-67.
7. Flythe JE, Hilliard T, Lumby E, et al. Kidney health ınitiative prioritizing symptoms of ESRD patients for developing therapeutic ınterventions stakeholder meeting participants. fostering ınnovation in symptom management among hemodialysis patients: paths forward for ınsomnia, muscle cramps, and fatigue. Clin J Am Soc Nephrol. 2019: 7;14(1):150-160. DOI: 10.2215/CJN.07670618.
8. Edinger JD, Arnedt JT, Bertisch SM, et al. Behavioral and psychological treatments for chronic insomnia disorder in adults: an American Academy of Sleep Medicine clinical practice guideline. J Clin Sleep Med. 2021;17(2):255-262. DOI: 10.5664/jcsm.8986.
9. Weisbord SD, Fried LF, Arnold RM, et al. Development of a symptom assessment instrument for chronic hemodialysis patients: the Dialysis Symptom Index. J Pain Symptom Manage. 2004;27(3):226-40. DOI: 10.1016/j.jpainsymman.2003.07.004.
10. Önsöz HB and Yeşilbalkan ÖU. Reliability and validity of the Turkish version of the Dialysis Dymptom Index in chronic hemodialysis patients. Turk Neph Dial Transpl 2013; 22 (1): 60-67
11. Buysse DJ, Reynolds CF, Monk TH, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213.
12. Ağargün MY, Kara H, Anlar O. The validity and reliability of the Pittsburgh Sleep Quality Index. Turkish Journal of Psychiatry. 1996; 7:107-115.
13. Morin CM, Vallières A, Ivers H. Dysfunctional beliefs and attitudes about sleep (DBAS): validation of a brief version (DBAS-16). Sleep. 2007;30(11):1547-54. DOI: 10.1093/sleep/30.11.1547.
14. Boysan M, Merey Z, Kalafat T, et al. Validation of a brief version of the dysfunctional beliefs and attitudes about sleep scale in Turkish sample. Procedia-Social and Behavioral Sciences. 2010;5:314-317.
15. van der Willik EM, Hemmelder MH, Bart HAJ, et al. Routinely measuring symptom burden and health-related quality of life in dialysis patients: first results from the Dutch registry of patient-reported outcome measures. Clin Kidney J. 2020 Feb 3;14(6):1535-1544. DOI: 10.1093/ckj/sfz192.
16. Pan KC, Hung SY, Chen CI, et al. Social support as a mediator between sleep disturbances, depressive symptoms, and health-related quality of life in patients undergoing hemodialysis. PLoS One. 2019 Apr 29;14(4):e0216045. DOI: 10.1371/journal.pone.0216045.
17. Alkhuwaiter RS, Alsudais RA, Ismail AA. A prospective study on prevalence and causes of insomnia among end-stage renal failure patients on hemodialysis in selected dialysis centers in Qassim, Saudi Arabia. Saudi J Kidney Dis Transpl. 2020;31(2):454-459. DOI: 10.4103/1319-2442.284021.
18. Anwar N and Mahmud SN. Quality of sleep in CKD patients on chronic hemodialysis and the effect of dialysis shift. J Coll Physicians Surg Pak. 2018;28(8):636-639. DOI: 10.29271/jcpsp.2018.08.636.
19. Brekke FB, Waldum B, Amro A, et al. Self-perceived quality of sleep and mortality in Norwegian dialysis patients. Hemodial Int. 2014;18(1):87-94. doi: 10.1111/hdi.12066.
20. Al Naamani Z, Gormley K, Noble H, et al. Fatigue, anxiety, depression and sleep quality in patients undergoing haemodialysis. BMC Nephrol. 2021;22(1):157. DOI: 10.1186/s12882-021-02349-3.
21. Mirghaed MT, Sepehrian R, Rakhshan A, et al. Sleep quality in Iranian hemodialysis patients: a systematic review and meta-analysis. Iran J Nurs Midwifery Res. 2019 Nov 7;24(6):403-409. DOI: 10.4103/ijnmr.IJNMR_184_18.
22. Rehman IU, Chohan TA, Bukhsh A, Khan TM. Impact of pruritus on sleep quality of hemodialysis patients: a systematic review and meta-analysis. Medicina (Kaunas). 2019;55(10):699. DOI: 10.3390/medicina55100699.
23. You AS, Kalantar SS, Norris KC, et al.Dialysis symptom index burden and symptom clusters in a prospective cohort of dialysis patients. J Nephrol. 2022;35(5):1427-1436. DOI: 10.1007/s40620-022-01313-0. Epub 2022 Apr 16.
24. Jung HM and Kim HY. A health-related quality of life model for patients undergoing haemodialysis. J Clin Nurs. 2020;29(3-4):613-625. doi: 10.1111/jocn.15113.
25. Parsons CE, Zachariae R, Landberger C, et al. How does cognitive behavioural therapy for insomnia work? A systematic review and meta-analysis of mediators of change. Clin Psychol Rev. 2021;86:102027. DOI: 10.1016/j.cpr.2021.102027.
26. Espie CA, Inglis SJ, Harvey L. Predicting clinically significant response to cognitive behavior therapy for chronic insomnia in general medical practice: analysis of outcome data at 12 months posttreatment. J Consult Clin Psychol. 2001;69(1):58-66. DOI: 10.1037//0022-006x.69.1.58.
27. Ramfjord LS, Faaland P, Scott J, et al. Digital cognitive behaviour therapy for insomnia in individuals with self-reported insomnia and chronic fatigue: A secondary analysis of a large scale randomized controlled trial. J Sleep Res. 2023:e13888. DOI: 10.1111/jsr.13888.
28. Thakral M, Von Korff M, McCurry SM, et al. Changes in dysfunctional beliefs about sleep after cognitive behavioral therapy for insomnia: A systematic literature review and meta-analysis. Sleep Med Rev. 2020;49:101230. DOI: 10.1016/j.smrv.2019.101230.
29. Redeker NS, Jeon S, Andrews L, et al. Effects of cognitive behavioral therapy for ınsomnia on sleep-related cognitions among patients with stable heart failure. Behav Sleep Med. 2019;17(3):342-354. DOI: 10.1080/15402002.2017.1357120.
30. Park HY, Lee H, Jhee JH, et al. Changes in resting-state brain connectivity following computerized cognitive behavioral therapy for insomnia in dialysis patients: A pilot study. Gen Hosp Psychiatry. 2020;66:24-29. DOI: 10.1016/j.genhosppsych.2020.05.013.

Examination of Dysfunctional Beliefs and Attitudes About Symptoms, Sleep Quality and Sleep in Patients Receiving Hemodialysis Treatment

Year 2024, , 81 - 88, 31.01.2024

Fatma Gündogdu , Halime Gökhan Hakverir Hasip Hakverir

https://doi.org/10.31067/acusaglik.1347064

Abstract

Objective: This study was conducted to examine the relationship between symptoms, sleep quality, and dysfunctional beliefs and attitudes about sleep in patients receiving hemodialysis treatment.
Material and Methods: This descriptive and correlational study was conducted with 120 patients undergoing hemodialysis in a private hemodialysis center. Data were collected using the Descriptive Information Form, Dialysis Symptom Index (DSI), Pittsburgh Sleep Quality Index (PSQI), and Dysfunctional Beliefs and Attitudes About Sleep Scale-16 (DBAS-16). The statistical analysis of the data obtained as a result of the study was analyzed using number, percentage, standard deviation and arithmetic mean as descriptive statistics, Pearson correlation test and structural equation modeling in IBM SPSS 26 program. Ethics committee approval and permission from the research institution were obtained for the conduct of the study.
Results: The most common hemodialysis-related symptoms were fatigue (70.8%), feeling irritable (61.7%), difficulty falling asleep (60.8%). The mean PSQI Global sleep score of the patients was 7.40±5.02 points. Dialysis Symptom Index explained 26.5% of the change in PSQI Global sleep score in a statistically significant way (F=42.479 p<0.001). The DSI and the total score of the DBAS-16 explained 45.2% of the change in the PSQI Global sleep score in a statistically significant way (F=48.301 p<0.001).
Conclusion: As a result of this study, it was observed that symptom burden and dysfunctional beliefs and attitudes about sleep negatively affected sleep quality in hemodialysis patients. Studies on the management of sleep-related symptoms and regulation of dysfunctional beliefs and attitudes about sleep are recommended to improve sleep quality.

Keywords

hemodialyse, symptom, sleep quality

Project Number

yok

References

1. Hintistan S and Deniz A. Evaluation of Symptoms in Patients Undergoing Hemodialysis. Bezmialem Sci. 2018;6:112-8 DOI: 10.14235/bs.2018.1530.
2. Karasneh R, Al-Azzam S, Altawalbeh SM, et al. Predictors of symptom burden among hemodialysis patients: a cross-sectional study at 13 hospitals. Int Urol Nephrol. 2020;52(5):959-967. DOI: 10.1007/s11255-020-02458-2.
3. Merlino G, Piani A, Dolso P, et al. Sleep disorders in patients with end-stage renal disease undergoing dialysis therapy. Nephrol Dial Transplant. 2006;21(1):184-90. DOI: 10.1093/ndt/gfi144.
4. Al-Jahdali HH, Khogeer HA, Al-Qadhi WA, et al. Insomnia in chronic renal patients on dialysis in Saudi Arabia. J Circadian Rhythms. 2010; 8:7. DOI: 10.1186/1740-3391-8-7.
5. Parvan K, Lakdizaji S, Roshangar F, et al. Quality of sleep and its relationship to quality of life in hemodialysis patients. J Caring Sci. 2013;30:2(4):295-304. DOI: 10.5681/jcs.2013.035.
6. Akyol A, Yurdusever S, Kırkayak AT, et al. Investigate of the factors affecting sleep problems of hemodialysis patients. Journal of Nephrology Nursing. 2017;12(2): 59-67.
7. Flythe JE, Hilliard T, Lumby E, et al. Kidney health ınitiative prioritizing symptoms of ESRD patients for developing therapeutic ınterventions stakeholder meeting participants. fostering ınnovation in symptom management among hemodialysis patients: paths forward for ınsomnia, muscle cramps, and fatigue. Clin J Am Soc Nephrol. 2019: 7;14(1):150-160. DOI: 10.2215/CJN.07670618.
8. Edinger JD, Arnedt JT, Bertisch SM, et al. Behavioral and psychological treatments for chronic insomnia disorder in adults: an American Academy of Sleep Medicine clinical practice guideline. J Clin Sleep Med. 2021;17(2):255-262. DOI: 10.5664/jcsm.8986.
9. Weisbord SD, Fried LF, Arnold RM, et al. Development of a symptom assessment instrument for chronic hemodialysis patients: the Dialysis Symptom Index. J Pain Symptom Manage. 2004;27(3):226-40. DOI: 10.1016/j.jpainsymman.2003.07.004.
10. Önsöz HB and Yeşilbalkan ÖU. Reliability and validity of the Turkish version of the Dialysis Dymptom Index in chronic hemodialysis patients. Turk Neph Dial Transpl 2013; 22 (1): 60-67
11. Buysse DJ, Reynolds CF, Monk TH, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213.
12. Ağargün MY, Kara H, Anlar O. The validity and reliability of the Pittsburgh Sleep Quality Index. Turkish Journal of Psychiatry. 1996; 7:107-115.
13. Morin CM, Vallières A, Ivers H. Dysfunctional beliefs and attitudes about sleep (DBAS): validation of a brief version (DBAS-16). Sleep. 2007;30(11):1547-54. DOI: 10.1093/sleep/30.11.1547.
14. Boysan M, Merey Z, Kalafat T, et al. Validation of a brief version of the dysfunctional beliefs and attitudes about sleep scale in Turkish sample. Procedia-Social and Behavioral Sciences. 2010;5:314-317.
15. van der Willik EM, Hemmelder MH, Bart HAJ, et al. Routinely measuring symptom burden and health-related quality of life in dialysis patients: first results from the Dutch registry of patient-reported outcome measures. Clin Kidney J. 2020 Feb 3;14(6):1535-1544. DOI: 10.1093/ckj/sfz192.
16. Pan KC, Hung SY, Chen CI, et al. Social support as a mediator between sleep disturbances, depressive symptoms, and health-related quality of life in patients undergoing hemodialysis. PLoS One. 2019 Apr 29;14(4):e0216045. DOI: 10.1371/journal.pone.0216045.
17. Alkhuwaiter RS, Alsudais RA, Ismail AA. A prospective study on prevalence and causes of insomnia among end-stage renal failure patients on hemodialysis in selected dialysis centers in Qassim, Saudi Arabia. Saudi J Kidney Dis Transpl. 2020;31(2):454-459. DOI: 10.4103/1319-2442.284021.
18. Anwar N and Mahmud SN. Quality of sleep in CKD patients on chronic hemodialysis and the effect of dialysis shift. J Coll Physicians Surg Pak. 2018;28(8):636-639. DOI: 10.29271/jcpsp.2018.08.636.
19. Brekke FB, Waldum B, Amro A, et al. Self-perceived quality of sleep and mortality in Norwegian dialysis patients. Hemodial Int. 2014;18(1):87-94. doi: 10.1111/hdi.12066.
20. Al Naamani Z, Gormley K, Noble H, et al. Fatigue, anxiety, depression and sleep quality in patients undergoing haemodialysis. BMC Nephrol. 2021;22(1):157. DOI: 10.1186/s12882-021-02349-3.
21. Mirghaed MT, Sepehrian R, Rakhshan A, et al. Sleep quality in Iranian hemodialysis patients: a systematic review and meta-analysis. Iran J Nurs Midwifery Res. 2019 Nov 7;24(6):403-409. DOI: 10.4103/ijnmr.IJNMR_184_18.
22. Rehman IU, Chohan TA, Bukhsh A, Khan TM. Impact of pruritus on sleep quality of hemodialysis patients: a systematic review and meta-analysis. Medicina (Kaunas). 2019;55(10):699. DOI: 10.3390/medicina55100699.
23. You AS, Kalantar SS, Norris KC, et al.Dialysis symptom index burden and symptom clusters in a prospective cohort of dialysis patients. J Nephrol. 2022;35(5):1427-1436. DOI: 10.1007/s40620-022-01313-0. Epub 2022 Apr 16.
24. Jung HM and Kim HY. A health-related quality of life model for patients undergoing haemodialysis. J Clin Nurs. 2020;29(3-4):613-625. doi: 10.1111/jocn.15113.
25. Parsons CE, Zachariae R, Landberger C, et al. How does cognitive behavioural therapy for insomnia work? A systematic review and meta-analysis of mediators of change. Clin Psychol Rev. 2021;86:102027. DOI: 10.1016/j.cpr.2021.102027.
26. Espie CA, Inglis SJ, Harvey L. Predicting clinically significant response to cognitive behavior therapy for chronic insomnia in general medical practice: analysis of outcome data at 12 months posttreatment. J Consult Clin Psychol. 2001;69(1):58-66. DOI: 10.1037//0022-006x.69.1.58.
27. Ramfjord LS, Faaland P, Scott J, et al. Digital cognitive behaviour therapy for insomnia in individuals with self-reported insomnia and chronic fatigue: A secondary analysis of a large scale randomized controlled trial. J Sleep Res. 2023:e13888. DOI: 10.1111/jsr.13888.
28. Thakral M, Von Korff M, McCurry SM, et al. Changes in dysfunctional beliefs about sleep after cognitive behavioral therapy for insomnia: A systematic literature review and meta-analysis. Sleep Med Rev. 2020;49:101230. DOI: 10.1016/j.smrv.2019.101230.
29. Redeker NS, Jeon S, Andrews L, et al. Effects of cognitive behavioral therapy for ınsomnia on sleep-related cognitions among patients with stable heart failure. Behav Sleep Med. 2019;17(3):342-354. DOI: 10.1080/15402002.2017.1357120.
30. Park HY, Lee H, Jhee JH, et al. Changes in resting-state brain connectivity following computerized cognitive behavioral therapy for insomnia in dialysis patients: A pilot study. Gen Hosp Psychiatry. 2020;66:24-29. DOI: 10.1016/j.genhosppsych.2020.05.013.

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Details

Primary Language	English
Subjects	Health Services and Systems (Other)
Journal Section	Research Articles
Authors	Fatma Gündogdu 0000-0001-8147-220X Halime Gökhan Hakverir 0000-0003-1170-9165 Hasip Hakverir 0009-0009-2625-9495
Project Number	yok
Publication Date	January 31, 2024
Submission Date	August 23, 2023
Published in Issue	Year 2024

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EndNote	Gündogdu F, Gökhan Hakverir H, Hakverir H (January 1, 2024) Examination of Dysfunctional Beliefs and Attitudes About Symptoms, Sleep Quality and Sleep in Patients Receiving Hemodialysis Treatment. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 15 1 81–88.

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