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Acta Medica Iranica، جلد ۵۴، شماره ۳، صفحات ۱۷۶-۱۸۴
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عنوان انگلیسی Sleep Disorders in ESRD Patients Undergoing Hemodialysis
چکیده انگلیسی مقاله Kidney failure affects different aspects of normal life. Among different manifestations, sleep problem can be considered as a common complaint of ESRD (End Stage Renal Disease) patients. In this study, we aimed to investigate the interrelationship between sleep disorders in ESRD patients and their characteristics. Through a cross-sectional study (2010-2011), 88 ESRD patients undergoing maintenance hemodialysis thrice weekly were recruited to enter the study. We used a self-administered questionnaire into which the data were reflected. The patients selected their specific sleep disorders using a nine-item scale while the Epworth Sleepiness Scale (ESS) determined both the presence and severity of sleep disorders. The data was finally analyzed with their baseline characteristics, dialysis characteristics, medication/stimulants use, and clinical and biochemical parameters. Over 95% of the patients had, at least, one specific sleep disorder while the ESS revealed 36.36% of patients as normal, 59.09% as having mild sleep disorders, and 4.54% as having moderate to severe sleep disorders. Sleep disorders were significantly correlated with older ages ( P =0.035), dialysis dose ( P =0.001), blood creatinine levels ( P =0.037), upper airways obstruction ( P =0.035), hepatomegaly ( P =0.006), hepatic failure ( P =0.001), higher blood TSH levels ( P =0.039), history of hypothyroidism ( P =0.005), and the use of levodopa ( P =0.004), anti-hypertensive medications ( P =0.006), benzodiazepines ( P =0.006), Eprex (Erythropoietin) ( P =0.001), Venofer (Iron Sucrose Injection) ( P =0.013), and phosphate-binders agents ( P =0.018). Sleep disorders are common findings among ESRD patients and seem to be a more complicated issue than a simple accumulation of the wastes products in the body. Whatever the causes of sleep disorders are, disorder-specific treatments should be considered.
کلیدواژه‌های انگلیسی مقاله
نویسندگان مقاله محمد رضا عباسی | mohammad reza abassi
nephrology research center, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

امین صفوی | amin safavi
department of medicine, school of medicine, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

معصومه حق وردی | masoumeh haghverdi
department of medicine, school of medicine, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

بابک ساعدی | babak saedi
department of otolaryngology, school of medicine, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

نشانی اینترنتی http://acta.tums.ac.ir/index.php/acta/article/view/5551
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زبان مقاله منتشر شده en
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