Background: The study assessed the Quality of Sleep (QoS) and associated health-related Quality of Life (QoL) of patients on hemodialysis and the impact of sleep education on the same.
Materials and Methods: 84 patients undergoing maintenance hemodialysis were assessed for their QoS and QoL using Pittsburgh sleep quality index and QoL SF-36 questionnaire respectively, at the baseline. The patients were given four educational sessions consecutively every 15 days focusing on sleep hygiene and were reassessed for their QoS and QoL at final follow-up after two months using the same tools. The differences in mean PSQI and QoL scores and the effect of education on quality of sleep from baseline to the follow up were assessed using paired T-test. A probability value of <0.05 was considered significant.
Results: The global PSQI was high at baseline which significantly decreased on intervention with sleep education, and the difference from baseline to the final follow-up was statistically significant (P<0.001). There was a significant increase in the mean scores of QoL components and the overall quality of life (P<0.001) from baseline to the final follow-up. A negative correlation was observed between global PSQI score and the overall QoL score of the study population both at baseline and at follow-up indicating a poor QoL with a poor sleep quality.
Conclusion: The quality of sleep was found to be poor in patients on maintenance hemodialysis which improved significantly by continuous education and training on sleep hygiene that in turn had a positive impact on their quality of life.
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