The association of anxiety, depression, sleep quality and intradialytic hypotension in hemodialysis patients: a cross-sectional study - Summary - MDSpire
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The association of anxiety, depression, sleep quality and intradialytic hypotension in hemodialysis patients: a cross-sectional study
To examine the prevalence of intradialytic hypotension (IDH), anxiety, depression, and poor sleep in maintenance hemodialysis (MHD) patients, and to explore the association of IDH with these symptoms.
Key Findings:
IDH incidence was 11.7% across 16,812 dialysis sessions.
26.3% of patients experienced frequent IDH (≥4 episodes).
Anxiety was present in 30.4% of patients, depression in 44.3%, and poor sleep in 39.9%.
Frequent IDH was significantly associated with higher anxiety, depression, and poor sleep quality scores (P< 0.05).
Interpretation:
Frequent IDH correlates with greater symptom burden of anxiety, depression, and poor sleep quality in MHD patients.
Limitations:
Cross-sectional design limits causal inference.
Data collected from a single geographic area may affect generalizability.
Self-reported measures may introduce bias.
Conclusion:
Findings suggest the need for integrating hemodynamic monitoring with psychological and sleep assessments in MHD care.
