Insomnia severity in chronic kidney disease patients with various therapies |
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Authors: | Marinela Z Knezevic Vladimir V Djordjevic Ivana C Bivolarevic Jelena J Jovic Vidojko M Djordjević |
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Affiliation: | (1) Institute of Behavioral Sciences, Semmelweis University, 4 Nagyvarad ter, Budapest, Hungary;(2) Department of Transplantation and Surgery, Semmelweis University, Budapest, Hungary;(3) Fresenius Medical Care Dialysis Center, Semmelweis University, Budapest, Hungary;(4) Department of Psychiatry, University Health Network, University of Toronto, Toronto, Canada;(5) 1st Department of Internal Medicine, Semmelweis University, Budapest, Hungary; |
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Abstract: | The prevalence of insomnia is greater in end-stage renal disease. The aim of our study was to determine the frequency of insomnia
and subclinical insomnia in patients with various dialysis therapy and kidney transplant recipients, in order to assess the
severity of insomnia and examine whether there is a difference in severity among groups. In cross-sectional study, we evaluated
120 patients with terminal renal failure. Based on therapy, patients were divided into four groups: hemodiafiltration, standard
bicarbonate dialysis, peritoneal dialysis and kidney transplant recipients. The severity of insomnia was evaluated through
the use of the Insomnia Severity Index (ISI). Most patients who reported any kind of insomnia problems with ISI were on conventional
dialysis (80%), followed by hemodiafiltration (76.7%) and peritoneal dialysis (63.3%). Transplant recipients had least difficulties
with insomnia (46.7%). Insomnia Severity Index showed that insomnia in end-stage renal patients is not very severe. Most of
the patients had “no clinically significant insomnia”. Our findings indicate that patients on hemodiafiltration and transplant
recipients have a significantly lower score on Insomnia Severity Index. Patients with end-stage renal disease have high frequency
insomnia problems. However, our study shows that insomnia in these patients is not severe. Insomnia is the most frequent and
severest in patients on standard bicarbonate dialysis. |
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