Observational Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 6, 2024; 12(25): 5713-5719
Published online Sep 6, 2024. doi: 10.12998/wjcc.v12.i25.5713
Sleep quality in middle-aged and elderly hemodialysis patients: Impact of a structured nursing intervention program
Ling-Ling Tao, Cai-Hua Zeng, Wen-Juan Mei, Yan-Li Zou
Ling-Ling Tao, Cai-Hua Zeng, Wen-Juan Mei, Yan-Li Zou, Blood Purification Room, The First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China
Co-first authors: Ling-Ling Tao and Cai-Hua Zeng.
Author contributions: Tao LL and Mei WJ conceptualized this study; Zou YL contributed to data collection; Zou YL and Zeng CH drafted the manuscript and contributed to formal analysis; Mei WJ provided guidance for this study and contributed to methodology and visualization together with Tao LL and Zou YL; Mei WJ, Zou YL, Tao LL, and Zeng CH validated this study; all authors participated in this study and jointly reviewed and edited the manuscript. Tao LL and Zeng CH, as the co-first authors, made equal contributions to this work. After discussion among all authors, it has been decided to designate Tao LL and Zeng CH as the first authors for three main reasons. First, this study was conducted as a collaborative effort, and it is reasonable to designate joint first authors. Designating two co-first authors will ensure effective communication and management of post submission matters, thereby improving the quality and reliability of the paper. Second, the co-first authors of the research team possess diverse professional knowledge and skills from different fields, and their appointments best reflect this diversity. It also promotes the most comprehensive and in-depth exploration of research topics, ultimately enriching readers' understanding by providing various expert perspectives. Third, Tao LL and Zeng CH made substantial and equal contributions throughout the entire research process. Choosing these researchers as co-first authors, acknowledging and respecting their equal contributions, demonstrates the spirit of collaboration and teamwork in this study. We believe that designating Tao LL and Zeng CH as co-first authors is suitable for our manuscript, as it accurately reflects the collaborative spirit, equal contribution, and diversity of our team.
Institutional review board statement: This study was approved by the Medical Ethics Committee of the First Affiliated Hospital of Nanchang University.
Informed consent statement: The patients provided written informed consent for participating in this study.
Conflict-of-interest statement: All authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Data sharing statement: No data available.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yan-Li Zou, BSc, Nurse, Blood Purification Room, The First Affiliated Hospital of Nanchang University, No. 17 Yongwaizheng Street, Nanchang 330006, Jiangxi Province, China. 171643724@qq.com
Received: May 18, 2024
Revised: June 14, 2024
Accepted: July 1, 2024
Published online: September 6, 2024
Processing time: 59 Days and 18.1 Hours
Abstract
BACKGROUND

Poor sleep quality is common among hemodialysis patients and can significantly impact their well-being. This study aimed to evaluate the effectiveness of a structured nursing intervention program in improving sleep quality in middle-aged and elderly hemodialysis patients.

AIM

To evaluate the impact of nursing intervention on sleep quality in hemodialysis patients.

METHODS

This cross-sectional study was conducted in a tertiary hospital, the First Affiliated Hospital of Nanchang University, in 2023. This study included 105 middle-aged and elderly hemodialysis patients aged ≥ 45 years who underwent maintenance hemodialysis for at least 3 mo, utilizing the Pittsburgh Sleep Quality Index (PSQI) to identify poor sleepers. Those identified underwent a 12-wk nursing intervention program focusing on education, relaxation techniques, and counseling. Post-intervention, sleep quality was reassessed using the PSQI.

RESULTS

The study found that 68.6% of hemodialysis patients were poor sleepers. Following the 12-wk nursing intervention program, there was a significant decrease in the mean global PSQI score from 8.9 ± 3.2 to 5.1 ± 2.7 (P < 0.001), indicating improved sleep quality. This demonstrated the effectiveness of the structured nursing intervention in enhancing sleep quality for middle-aged and elderly hemodialysis patients.

CONCLUSION

The structured nursing intervention program focusing on sleep hygiene education, relaxation techniques, and counseling effectively improved sleep quality among middle-aged and elderly hemodialysis patients. The significant decrease in the mean global PSQI score post-intervention indicates the positive impact of tailored nursing interventions in addressing poor sleep quality in this patient population. These findings emphasize the importance of implementing targeted nursing interventions to enhance the quality of life for hemodialysis patients by addressing the prevalent issue of poor sleep quality.

Keywords: Hemodialysis patients; Nursing intervention; Sleep quality; Elderly; Pittsburgh Sleep Quality Index; Patient well-being

Core Tip: A structured nursing intervention program focusing on education, relaxation techniques, and counseling significantly improved sleep quality in middle-aged and elderly hemodialysis patients. Tailored nursing interventions are crucial in addressing the common issue of poor sleep quality in this patient population, emphasizing the importance of targeted approaches to enhance patient well-being.