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Sleep Quality, Fatigue, and Health-Related Quality of Life in Patients on Initial Peritoneal Dialysis and Multiple Modalities after Two Years: A Prospective Study
Department of Research and Development Unit, Department of Medical and Health Sciences, Linköping University, Sweden.
University of Skövde, School of Health and Education. University of Skövde, Health and Education. (Välbefinnande vid långvariga hälsoproblem (VeLHP), Wellbeing in Long-term Health Problems)ORCID iD: 0000-0002-7861-7735
Department of Nephrology and Medical and Health Sciences, Linköping University, Sweden / Region Östergötland, Linköping, Sweden / Department of Health Technologies, Tallinn University of Technology, Estonia.
Department of Medical and Health Sciences, Linköping University, Sweden.
2019 (English)In: Nephrology Nursing Journal : Journal of The American Nephrology Nurses Association, ISSN 1526-744X, E-ISSN 2163-5390, Vol. 46, no 6, p. 615-649Article in journal (Refereed) Published
Abstract [en]

The purpose of this study was to investigate changes in sleep quality, fatigue, mental health, and health-related quality of life (HRQoL) over a two-year period among patients undergoing peritoneal dialysis treatment at home. We further explored the extent to which sleep quality, fatigue, and mental health predicted health-related quality of life outcomes. This prospective study included 55 patients. Sleep parameters changed over two years, independently of treatment. Sleep variables at baseline, to some extent, predicted sleep quality after two years. Daytime sleepiness can be a long-term problem. Findings indicate improvements in nocturnal sleep over a two-year time period, independently of dialysis treatment. In contrast, fatigue remained unchanged over the same time period. Transplantation seems to generally benefit the outcome of HRQoL. Strategies to improve sleep and HRQoL may include systematic risk factor modification and efforts to optimise symptomatic treatment. 

Place, publisher, year, edition, pages
American Nephrology Nurses Association (ANNA) , 2019. Vol. 46, no 6, p. 615-649
Keywords [en]
dialysis, fatigue, health-related quality of life, kidney transplantation, sleep
National Category
Nursing Urology and Nephrology
Research subject
Wellbeing in long-term health problems (WeLHP)
Identifiers
URN: urn:nbn:se:his:diva-18123ISI: 000506716800007PubMedID: 31872992Scopus ID: 2-s2.0-85077204501OAI: oai:DiVA.org:his-18123DiVA, id: diva2:1384801
Available from: 2020-01-10 Created: 2020-01-10 Last updated: 2020-01-23Bibliographically approved

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