The association of anxiety, depression, sleep quality and intradialytic hypotension in hemodialysis patients: a cross-sectional study - Report - MDSpire
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The association of anxiety, depression, sleep quality and intradialytic hypotension in hemodialysis patients: a cross-sectional study
Clinical Report: Exploring the Relationship Between Anxiety, Depression, Sleep Quality, and Intradialytic Hypotension in Patients Undergoing Hemodialysis
Overview
This study investigates the prevalence of intradialytic hypotension (IDH), anxiety, depression, and sleep quality in patients undergoing maintenance hemodialysis (MHD). It finds that frequent IDH is significantly associated with higher levels of anxiety, depression, and poor sleep quality, emphasizing the need for integrated monitoring in MHD care.
Background
Patients on maintenance hemodialysis often experience high rates of psychological distress and sleep disturbances, which can adversely affect their overall health and treatment outcomes. Intradialytic hypotension is a common complication that may exacerbate these issues, yet its relationship with psychological and sleep-related symptoms has not been thoroughly explored. Understanding these associations is crucial for improving patient care and outcomes in this vulnerable population.
Data Highlights
Measure
Findings
IDH Incidence
11.7%
Frequent IDH (≥4 episodes)
26.3%
Anxiety Prevalence
30.4%
Depression Prevalence
44.3%
Poor Sleep Quality Prevalence
39.9%
Key Findings
11.7% of dialysis sessions were associated with intradialytic hypotension (IDH).
26.3% of patients experienced frequent IDH (≥4 episodes).
Anxiety was present in 30.4% of the study population.
44.3% of patients reported symptoms of depression.
39.9% of patients experienced poor sleep quality.
Frequent IDH correlated significantly with higher anxiety, depression, and poor sleep quality scores (P< 0.05).
Clinical Implications
The findings suggest that healthcare providers should routinely assess psychological and sleep-related symptoms in patients undergoing hemodialysis, particularly those experiencing frequent IDH. Integrating hemodynamic monitoring with mental health and sleep assessments may enhance patient care and improve overall treatment outcomes.
Conclusion
Frequent intradialytic hypotension is linked to increased anxiety, depression, and poor sleep quality in maintenance hemodialysis patients. Addressing these interconnected issues is essential for optimizing patient management and improving quality of life.
