People receiving dialysis in the morning have better subjective sleep quality than those who receive dialysis at other times
- Department of Medicine, University of Alberta, Edmonton, Alberta, Canada
- Correspondence to: Dr Stephanie Thompson, Department of Medicine, University of Alberta, RTF 3064 8308 114 Street, Edmonton, Alberta, Canada T6G2V2;
Commentary on: Wang MY, Chan SF, Chang LI, et al. Better sleep quality in chronic haemodialyzed patients is associated with morning-shift dialysis: a cross-sectional observational study. Int J Nurs Stud 2013;50:1468–73.
Implications for practice and research
Assessment of sleep quality, with attention to disease and treatment-related factors, should be incorporated into the routine care of haemodialysis patients.
Rigorous studies aimed at evaluating interventions for improved sleep in this population are needed.
Sleep disturbances are a common problem among haemodialysis patients, with an estimated prevalence of 50% to 80%.1 The implications of disturbed sleep are substantial; compared with haemodialysis patients who do not report sleep disturbances, poor sleep is independently associated with lower health-related quality of life and an increased relative risk in mortality of 16%.2 As the timing of the dialysis shift may influence sleep–wake …