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Effects of sleep disorders and sedative–hypnotic medications on health-related quality of life in dialysis patients

  • Nephrology - Original Paper
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Abstract

Purpose

Sleep disorders are very common among dialysis patients, leading patients to frequently take sedative–hypnotic medications; however, the effects of sleep disorders and the use of such drugs on health-related quality of life (HRQOL) have rarely been investigated.

Methods

The Pittsburgh Sleep Quality Index and Short Form-12 were used to assess sleep quality and patient health situations, respectively. Logistic regression was employed to identify factors associated with deterioration of the mental component summary (MCS) score and the physical component summary (PCS) score.

Results

A total of 461 patients undergoing dialysis were recruited. The prevalence of sleep disorders was 67.0%. Among the study population, 30.4% of patients took sedative–hypnotic medications to improve their sleep quality. Both the PCS (81.25 vs. 71.88, p < 0.001) and MCS scores (78.63 vs. 74.63, p < 0.001), which indicate HRQOL, were decreased among patients with sleep disorders compared with good sleepers. However, neither the PCS nor MCS scores showed any significant difference between patients with sleep disorders who used sedative–hypnotic medications and those who did not.

Conclusion

Sleep disorders were closely associated with deterioration of both mental HRQOL and physical HRQOL. Sedative–hypnotic medication use did not affect HRQOL among patients with sleep disorders undergoing dialysis.

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Acknowledgements

This work was supported by grants from the Wenzhou Committee of Science and Technology of China (ZS2017008 and Y20170055), the Zhejiang Province Natural Science Foundation (LY14H050006, Q19H050010 and LY16H150007), the Guangdong Medical Science and Technology Research Fund Project of China (A2018042), and the Guangzhou Science and Technology Project of China (20170420167).

Author information

Author notes

  1. Chenfei Zheng, Jinglin Xu and Chaosheng Chen contributed equally to this work.

Authors and Affiliations

  1. Department of Nephrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China

    Chenfei Zheng, Jinglin Xu, Chaosheng Chen, Fan Lin, Rongrong Shao, Ze Lin, Yi Liu & Ying Zhou

  2. Department of Nephrology, Taizhou First Person’s Hospital, Taizhou, 318020, China

    Jinglin Xu

Authors
  1. Chenfei Zheng
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  2. Jinglin Xu
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Correspondence to Yi Liu or Ying Zhou.

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The authors declare that they have no conflict of interest.

Appendix

Appendix

See Tables 6, 7, 8, 9, 10 and 11.

Table 6 Type and dosage of sedative–hypnotic drugs use in dialysis patients with sleep disorders (N = 94)
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Table 7 Characteristics of all dialysis patients
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Table 8 Univariate logistic regression model for factors associated with PCS among patients undergoing dialysis
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Table 9 Univariate logistic regression model for factors associated with MCS among patients undergoing dialysis
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Table 10 Multivariate logistic regression model for factors associated with PCS among patients undergoing dialysis
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Table 11 Multivariate logistic regression model for factors associated with MCS among patients undergoing dialysis
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Zheng, C., Xu, J., Chen, C. et al. Effects of sleep disorders and sedative–hypnotic medications on health-related quality of life in dialysis patients. Int Urol Nephrol 51, 163–174 (2019). https://doi.org/10.1007/s11255-018-2018-3

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  • DOI: https://doi.org/10.1007/s11255-018-2018-3

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