Symptoms, Mood and Sleep Disturbance in Hemodialysis

혈액투석환자의 증상경험, 기분장애 및 수면장애

  • Received : 2010.04.14
  • Accepted : 2010.10.26
  • Published : 2010.12.31

Abstract

Purpose: The purpose of this study was to examine symptoms, mood and sleep disturbance in patients with hemodialysis. Method: A sample of 96 hemodialysis patients participated. Data were collected using symptom scale of hemodialysis patients, profile of mood state and the sleep scale. Statistical analytic methods included t-tes, ANOVA and Pearson correlation analyses. Results: Patients with spouse/partners experienced significantly less symptoms than those with no spouse (F=6.29, p=.003). Mood disturbance was not significantly correlated with age; but older patients experienced higher sleep disturbance (F=4.88, p=.010). Symptoms, mood and sleep disturbance are significantly related with each other. Conclusion: It is important to assess symptoms, mood and sleep disturbance in older hemodialysis patients with no spouse. It is needed to repeat extensive study and comparative study with other population in order to define clearly.

Keywords

References

  1. Baker, T. L. (1985). Medical clinics of north america. Philadelphia: Saunders.
  2. Bargiel-Matusiewicz, K. (2006). Psychological influence on the psychical state of hemodialysis patients. Journal of Physiology and Pharmacology, 57(4), 33-38.
  3. Cho, Y. I., & Choi, E. Y. (2005). Study on the factors affecting the sleep disorder of hemodialysis patients. The Korean Journal of Rehabilitation Nursing, 8(2), 94-101.
  4. Choi, E. H.(2007). Effects of aroma inhalation on muscle cramp and emotional distress of hemodialysis patients. Unpublished doctoral dissertation, Kyungbook University, Daegu.
  5. Finkelstein, F. O., Wuerth, D., Troidle, L. K., & Finkelstein, S. H. (2008). Depression and end-stage renal disease: A therapeutic challenge. Kidney International, 74(7), 843-845. https://doi.org/10.1038/ki.2008.222
  6. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). $G{\ast}Power$ 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175-191. https://doi.org/10.3758/BF03193146
  7. Hamilton, N. A., Affleck, G., Tennen. H., Karlson, C., Luxton, D., Preacher, K. J., et al. (2008). Fibromyalgia: the role of sleep in affect and in negative event reactivity and recovery. Health Psychology, 27(4), 490-497.
  8. Kim, E. J. (2001). Reliabilities and validities of the POMS(profile of mood states, Korean edition) for the normal high school and college students. Unpublished master's thesis, Chungbuk University, Cheongju.
  9. Kim, O. J., Kim, K. H., & Park, K. S. (2007). The effect of aroma inhalation on stress, anxiety and sleep pattern in patients with hemodialysis. Clinical Nursing Research, 13(2), 99-111.
  10. Kim, S. J., Jung, H. H., & Lee, J. H. (2005). Characteristics of sleep disturbances correlated with clinical parameters in hemodialysis patients with chronic renal failure. Journal of Korean Neuropsychiatric Association, 44(4), 489-496.
  11. Lee, H. M. (2008). The fatigue, depression, and sleep disorder of hemodialysis patients. Unpublished master's thesis, Chonnam University, Gwangju.
  12. Lim, H. W. (2007). A study on the hemodialysis patient's characteristics and sleep disorder. Unpublished master's thesis, Ewha womans university, Seoul.
  13. Lopes, A. A., Bragg, J., Young, E., Goodkin, D., Mapes, D., Combe, C., et al. (2002). Depression as a predictor of mortality and hospitalization among hemodialysis patients in the United States and Europe in dialysis outcomes and practice patterns study. Kidney International, 62(1), 199-207. https://doi.org/10.1046/j.1523-1755.2002.00411.x
  14. Lyvers, M., Thorberg, F. A., Dobie, A., Huang, J., & Reginald, P. (2008). Mood and interpersonal functioning in heavy smokers. Journal of Substance Use, 13(5), 308-318. https://doi.org/10.1080/14659890802040807
  15. Mapes, D., Lopes, A. A., McCullough, K. P., Goodkin, D. A., Locatelli, F., Fukuhara, S., et al. (2003). Health-related quality of life as a predictor of mortality and hospitalization: the dialysis outcomes and practice patterns study (DOPPS). Kidney International, 64(1), 339-349. https://doi.org/10.1046/j.1523-1755.2003.00072.x
  16. McNair, D. M., Lorr, M., & Droppleman, L. F. (1992). Manual for the profile of mood states. San Diego, CA: Educational and industrial testing service.
  17. Medina, A. M., Lederhos, C. L., & Lillis, T. A. (2009). Sleep disruption and decline in marital satisfaction across the transition to parenthood. Families, Systems & Health, 27(2), 153-160.
  18. Ministry for Health Welfare & Family Affairs (2008). Yearbook of health, welfare & family affairs statistics each year. Retrieved April 14, 2010, from http://www.kostat.go.kr.
  19. Moon, S. M. (2007). Assessment and management of quality of life according to sleep disturbance in hemodialysis patients. Unpublished master's thesis, Korea University, Seoul.
  20. Oh, J. J., Song, M. S., & Kim, S. M. (1998). Development and validation of Korean sleep scale A. Journal of Korean Academy of Nursing, 27(2), 444-453.
  21. Park, I. S.(2009). Stress, mood states and health related quality of life of elderly hemodialysis patients. Unpublished master's thesis, Hanyang University, Seoul.
  22. Poulos, A. R., Gertz, M. A., Pankratz, V. S., & Post-white, J. (2001). Pain, mood disturbance, and quality of life in patients with multiple myeloma, Oncology Nursing Forum, 28(7), 1163-1171.
  23. Shin, M. J. (1997). A study of the lived experiences of clients receiving long-term hemodialysis. Journal of Korean Academy of Nursing, 27(2), 444-453.
  24. Sigma theta tau lambda alpha chapter-at-large & Hospital nurses association (8th ed.). (2009). The Lippincott manual of nursing practice. Seoul: hyunmoonsa.
  25. Skaff, M. M., Mullan, J. T., Almeida, D. M., Hoffman, L., Masharani, U., Mohr, D., et al. (2009). Daily negative mood affects fasting glucose in type 2 diabetes, Health Psychology, 28(3), 265-272.
  26. Yang, M., Chen, Y., Kuo, B. I., & Wang, K. (2003). Quality of life and related factors for people living with HIV/AIDS in northern Taiwan. The Journal of Nursing Research, 11(3), 217-226. https://doi.org/10.1097/01.JNR.0000347638.41089.20
  27. Yang, S. J., Won, J. S., Pack, H. J., & Lee, S. J. (2007). Effects of the aroma massage on uremic pruritus in hemodialysis patients, Clinical Nursing Research, 13(2), 87-97.
  28. Ye, L., Liang, Z., & Weaver, T. (2008). Predictors of health-related quality of life in patients with obstructive sleep apnea. Journal of Advanced Nursing, 63(1), 54-63. https://doi.org/10.1111/j.1365-2648.2008.04652.x