The Relationship between The Thoughts of Hemodialysis Patients on Sleep Quality, and Depression and Anxiety Levels

Authors : Selvi Ceran, Arda Bağcaz, Bahar Güçiz Doğan

Pages : 303-308

Doi:10.54005/geneltip.1584179

View : 33 | Download : 35

Publication Date : 2025-04-30

Article Type : Research Paper

Abstract :Background/aims: This study aims to determine the frequency of poor sleep quality among hemodialysis patients and examine its relationship with patients\\\' perceptions of their sleep quality, depression and anxiety symptoms, and demographic and clinical characteristics. Methods: The Pittsburgh Sleep Quality Index (PSQI), Beck Anxiety Inventory (BAI), and Beck Depression Inventory (BDI) were administered to 123 hemodialysis patients. Factors associated with sleep quality were analyzed using linear regression, with age, gender, education level, disease duration, hemodialysis duration, and depression and anxiety scores as independent variables. Results: The frequency of poor sleep quality among the patients was 47.2%, with 12.2% showing signs of possible depression and 30.1% indicating possible anxiety disorder. Notably, among those with poor sleep quality, only 40% perceived their sleep quality as poor. Patients with poor sleep quality had significantly higher levels of depression (U = 850.500, p < .001) and anxiety symptoms (U = 820.500, p < .001). The severity of depression symptoms showed the strongest association with poor sleep quality (β = 0.36, p = .005). Conclusion: A significant proportion of hemodialysis patients experience poor sleep quality, yet the majority are unaware of it. There is a strong association between diminished sleep quality and elevated mental health symptoms in this population. Routine sleep quality evaluation and collaboration with psychiatric professionals appear essential for this patient group.
Keywords : anxiety, sleep quality, hemodialysis