Impact of Fatigue and Sleep Quality upon the Quality of Life of Haemodialysis Recipient Patients

Abstract

Background: Patients with End-stage renal failure face many challenges due to their condition, which may leave them feel fatigued, depressed and lack in sleep quality associated with poor quality of life.

Objective: Determining the impact of fatigue and sleep quality upon the quality of life of haemodialysis recipient patients.

Methodology: The study was conducted in haemodialysis unit at Sohag University Hospital of January 2014 to June 2014. A purposive sample of 221 patients with ESRD were treated by Haemodialysis. Personal Information Form (PIF), QoL Short Forme-36 (SF-36), Pittsburgh Sleep Quality Index (PSQI) and Fatigue Severity Scale (FSS) tools are used for data collection. Data was analyzed through descriptive statistical approach(frequency and percentage) and inferential approach (mean of score, Pearson correlation coefficient, ANOVA test and independent samples t-test).

Results: The mean age ± SD of patients was 42.3 ± 13.1 years. The study found that 87.3% of patients were poor sleepers (global PSQI ≥5), 84.2% were suffering of fatigue, and quality of life mean was 33.6 ±17.5. According to age and sex, it was found that the younger and male patients were less complaining of fatigue and poor sleep. They have better quality of life compared to other groups. There was a significant positive correlation between age and both physical and mental components scores, sleep and fatigue. Also a negative correlation was found between physical and mental components scores and sleep and fatigue.

Conclusions: Haemodialysis patients had poor quality of mental and physical health. The quality of life was impaired as seen by poor sleep and fatigue. It is suggested that these patients require the attention of health caregivers for the need of possible psychological support.