Sleep quality and spiritual well-being in hemodialysis patients

Abstract EN

Background : Sleep disorders are considered as one of the most important problems in hemodialysis patients, making their everyday life a serious hazard.

Sleep quality of hemodialysis patients and consequences of sleep disorders on other aspects of health such as spiritual well-being are important issues.

Objectives : This study examined the relationship between spiritual well-being and quality of sleep in hemodialysis patients in Isfahan, Iran.

Patients and Methods : This study was a correlation research, carried out on 190 hemodialysis patients.

Data collection Questionnaires included demographic forms, Pittsburgh sleep quality index (PSQI), and Ellison and Paloutzian spiritual well-being scale.

Data were analyzed using descriptive and inferential statistics (Pearson correlation and linear regression analysis) at P < 0.05 significance level, by SPSS software version 18.

Results : Of 190 study participants, 163 (85.78 %) with scores more than five index had sleep disturbances and 27 (14.12 %) had no sleep disturbance ; 3 (1.52 %) had mild, 163 (85.78 %) moderate, and 24 (12.30 %) good spiritual health conditions.

Pearson correlation test showed significant relationship between the sleep quality items of Pittsburg and spiritual well-being (P < 0.04, r = 0.149).

Through the regression analyses of spiritual health, family, education, financial status, marital status, occupation, and use of sleep medication, the predictive power of these variables was found 0.417 % and prediction of spiritual well-being was more than others (ß = 0.209).

Conclusions : Considering bed as one of the most vital physical, mental, and emotional needs, it is very important in mental and spiritual well-being of hemodialysis patients as an influencing factor in mental relaxation and reducing disease tensions.

Paying attention to sleep quality and spiritual well-being components of hemodialysis patients in formulating and promoting healthcare programs is recommended.