TY - JOUR
T1 - Patient and caregiver perspectives on sleep in dialysis
AU - De Silva, Iresha
AU - Evangelidis, Nicole
AU - Hanson, Camilla S.
AU - Manera, Karine
AU - Guha, Chandana
AU - Scholes-Robertson, Nicole
AU - Craig, Jonathan C.
AU - Johnson, David
AU - Cho, Yeoungiee
AU - Viecelli, Andrea K.
AU - Tong, Allison
AU - for the SONG-HD, SONG-PD initiative
PY - 2021/8
Y1 - 2021/8
N2 - Sleep disturbances are common among patients receiving dialysis and are associated with an increased risk of mortality and morbidity, and impaired quality of life. Despite being highly prioritised by patients, sleep problems remain under-diagnosed and inadequately managed. The aim of the present study was to describe the perspectives of patients receiving dialysis and their caregivers on sleep. We extracted qualitative data on sleep from 26 focus groups, two international Delphi surveys, and two consensus workshops involving 644 patients and caregivers from 86 countries as part of the Standardised Outcomes in Nephrology-Haemodialysis and -Peritoneal Dialysis (SONG-HD/SONG-PD) initiatives. The responses were from patients aged ≥18 years receiving haemodialysis or peritoneal dialysis, and their caregivers. We analysed the data using thematic analysis with five themes identified: constraining daily living (with subthemes of: battling intrusive tiredness, exacerbating debilitating conditions, broken and incapacitated); roadblocks in relationships (unable to meet family needs, antipathy due to misunderstanding, wreaking emotional havoc); burden on caregivers (stress on support persons, remaining alert to help); losing enjoyment (limiting social contact, disempowerment in life); and undermining mental resilience (aggravating low mood, diminishing coping skills, reducing functional ability). Sleep disturbances are exhausting for patients on dialysis and pervade all aspects of their lives including the ability to do daily tasks, and maintaining relationships, mental and emotional well-being. Better assessment and management of sleep problems in dialysis is needed, which may lead to improvements in overall health and quality of life.
AB - Sleep disturbances are common among patients receiving dialysis and are associated with an increased risk of mortality and morbidity, and impaired quality of life. Despite being highly prioritised by patients, sleep problems remain under-diagnosed and inadequately managed. The aim of the present study was to describe the perspectives of patients receiving dialysis and their caregivers on sleep. We extracted qualitative data on sleep from 26 focus groups, two international Delphi surveys, and two consensus workshops involving 644 patients and caregivers from 86 countries as part of the Standardised Outcomes in Nephrology-Haemodialysis and -Peritoneal Dialysis (SONG-HD/SONG-PD) initiatives. The responses were from patients aged ≥18 years receiving haemodialysis or peritoneal dialysis, and their caregivers. We analysed the data using thematic analysis with five themes identified: constraining daily living (with subthemes of: battling intrusive tiredness, exacerbating debilitating conditions, broken and incapacitated); roadblocks in relationships (unable to meet family needs, antipathy due to misunderstanding, wreaking emotional havoc); burden on caregivers (stress on support persons, remaining alert to help); losing enjoyment (limiting social contact, disempowerment in life); and undermining mental resilience (aggravating low mood, diminishing coping skills, reducing functional ability). Sleep disturbances are exhausting for patients on dialysis and pervade all aspects of their lives including the ability to do daily tasks, and maintaining relationships, mental and emotional well-being. Better assessment and management of sleep problems in dialysis is needed, which may lead to improvements in overall health and quality of life.
KW - fatigue
KW - kidney disease
KW - patient perspective
KW - patient-centred care
KW - patient-centred outcome
KW - symptoms
UR - http://www.scopus.com/inward/record.url?scp=85093962592&partnerID=8YFLogxK
UR - http://purl.org/au-research/grants/NHMRC/1098815
UR - http://purl.org/au-research/grants/NHMRC/1092957
U2 - 10.1111/jsr.13221
DO - 10.1111/jsr.13221
M3 - Article
AN - SCOPUS:85093962592
VL - 30
JO - Journal of Sleep Research
JF - Journal of Sleep Research
SN - 0962-1105
IS - 4
M1 - e13221
ER -