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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 …
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