Management of Insomnia in Hemodialysis Patients: A Literature Review

Nisrina Nur Aini(1*), Arina Maliya(2),

(1) Universitas Muhammadiyah Surakarta
(2) 
(*) Corresponding Author
DOI: https://doi.org/10.23917/bik.v13i2.11602

Abstract

Introduction: Hemodialysis (HD) therapy is the most common therapy for patients with End Stage Renal Disease (ESRD). Insomnia prevalent among dialysis patients which affects their quality of life and death. Although hemodialysis therapy has been proven to prolong survival, the action of hemodialysis therapy has complications that cause symptoms, one of which is sleep disturbance. Complaints of sleep disorders that are often encountered in dialysis units are experienced by 50-80% of dialysis patients. Of the various sleep disorders, insomnia is one of the symptoms that is often experienced by ESRD patients. Methods: A literature review comparing several literatures through the search of accredited journal sites such as PubMed, Elsevier, ResearchGate, and Neliti with the keywords management insomnia in hemodialysis patients in the 2015-2020 period. Research Results: Management of insomnia is reviewed with the aim of providing guidance to encourage treatment. In the six journals reviewed, education on sleep hygiene, CBT-I, relaxation therapy, massage therapy, and drug administration (with caution) improving the quality of sleep for hemodialysis patients. Conclusions: Pharmacological and non-pharmacological management to overcome insomnia in hemodialysis patients can be given by considering the factors that influence it. Management is advised to use a nonpharmacological approach first. The administration of pharmacological therapy is recommended only for short-term use, used with caution in hemodialysis patients.

Keywords

Hemodialysis; Insomnia; Sleep Disorder; Management; Chronic Kidney Failure

Full Text:

PDF

References

Borzou S, Khavari F, Tapak L. (2019). The Effects of Sleep Hygiene Education on Fatigue and Sleep Quality in Hemodialysis Patients: A Quasi Experimental Study. Avicenna J Nurs Midwifery Care, 27(1):25-34 doi: 10.30699/ajnmc.27.1.25

Chu, G., Szymanski, K., Tomlins, M., Yates, N., & McDonald, V. M. (2018). Nursing Care Considerations for Dialysis Patients With A Sleep Disorder. Renal Society of Australasia Journal, 14(2), 52-58 Retrieved from http://hdl.handle.net/1959.13/1394606

Elsayed, E. B. M., Radwan, E. H. M., Elashri, N. I. E. A., & El-Gilany, H. (2019). The Effect of Benson's Relaxation Technique on Anxiety, Depression and Sleep Quality of Elderly Patients Undergoing Hemodialysis. International Journal of Nursing Didactics, 9(02), 23-31. doi: https://doi.org/10.15520/ijnd.v9i02.2443

Ezzat, H., & Mohab, A. (2015). Prevalence of Sleep Disorders Among ESRD Patients. Renal Failure, 37(6), 1013–1019. doi: https://doi.org/10.3109/0886022X.2015.1044401

Flythe, J. E., Hilliard, T., Lumby, E., Castillo, G., Orazi, J., Abdel-Rahman, E. M., ... & Wilkie, C. M. (2019). Fostering Innovation in Symptom Management Among Hemodialysis Patients: Paths Forward for Insomnia, Muscle Cramps, And Fatigue. Clinical Journal of the American Society of Nephrology, 14(1), 150-160. doi: https://doi.org/10.2215/CJN.07670618

Hussain, F., & Zimbrean, P. C. (2018). Dialysis: Medical and Psychological Considerations. Psychosocial Care of End-Stage Organ Disease and Transplant Patients, 91–102. doi: https://doi.org/10.1007/978-3-319-94914-7_7

Hou, Y., Hu, P., Liang, Y., & Mo, Z. (2014). Effects of Cognitive Behavioral Therapy on Insomnia of Maintenance Hemodialysis Patients. Cell Biochemistry and Biophysics, 69(3), 531-537. doi: https://doi.org/10.1007/s12013-014-9828-4

Indonesia Renal Registry. (2018). 11th Report of Indonesian Renal Registry. Indonesia: Perkumpulan Nefrologi Indonesia. Retrieved from https://www.indonesianrenalregistry.org/data/IRR%202018.pdf

Kamil, A. R., & Setiyono, E. (2018). Symptoms Burden dan Kualitas Tidur Pada Pasien Hemodialysis. Indonesian Journal of Nursing Sciences and Practice, 1(1), 27-37. doi: https://doi.org/10.24853/ijnsp.v1i1.%25p

Levenson, J. C., Kay, D. B., & Buysse, D. J. (2015). The Pathophysiology of Insomnia. Chest, 147(4), 1179-1192. doi: https://doi.org/10.1378/chest.14-1617

Lindner, A. V., Novak, M., Bohra, M., & Mucsi, I. (2015). Insomnia In Patients With Chronic Kidney Disease. Seminars in Nephrology 35(4), 359-372. WB Saunders. doi: https://doi.org/10.1016/j.semnephrol.2015.06.007

Low, T. L., Choo, F. N., & Tan, S. M. (2020). The Efficacy of Melatonin and Melatonin Agonists in Insomnia – An Umbrella Review. Journal of Psychiatric Research, 121, 10–23. doi: https://doi.org/10.1016/j.jpsychires.2019.10.022

Malekshahi, F., Aryamanesh, F., & Fallahi, S. (2018). The Effects of Massage Therapy on Sleep Quality of Patients With End-Stage Renal Disease Undergoing Hemodialysis. Sleep and Hypnosis 20(2), 91-95. doi: http://dx.doi.org/10.5350/Sleep.Hypn.2017.19.0138

Maung, S. C., El Sara, A., Chapman, C., Cohen, D., & Cukor, D. (2016). Sleep Disorders and Chronic Kidney Disease. World Journal of Nephrology, 5(3), 224-232. doi: 10.5527/wjn.v5.i3.224

Nata, N., & Wijayanti, T. (2019). Analisis Praktik Klinik Keperawatan pada Pasien CKD (Chronic Kidney Disease) dengan Intervensi Inovasi Teknik Relaksasi Benson pada Kualitas Tidur Kombinasi dengan Terapi Musik yang Menjalani Hemodialisa di Ruang Hemodialisa RSUD Abdul Wahab Sjahranie Samarinda Tahun 2018. NERS Final Projects. Retrieved from https://dspace.umkt.ac.id/handle/463.2017/915

Novak, M., Shapiro, C. M., Mendelssohn, D., & Mucsi, I. (2006). Reviews: Diagnosis and Management of Insomnia in Dialysis Patients. In Seminars in Dialysis 19(1), 25-31. Malden, USA: Blackwell Science Inc. doi: https://doi.org/10.1111/j.1525-139X.2006.00116.x

Park, H. Y., Lee, H., Jhee, J. H., Park, K. M., Choi, E. C., An, S. K., … Park, J. T. (2020). Changes in Resting-State Brain Connectivity Following Computerized Cognitive Behavioral Therapy for Insomnia in Dialysis Patients: A Pilot Study. General Hospital Psychiatry, 66, 24–29. doi: https://doi.org/10.1016/j.genhosppsych.2020.05.013

Paul R., Anafi R.C. (2017) Insomnia in Patients with Comorbid Medical Problems. In: Attarian H. (eds) Clinical Handbook of Insomnia. Current Clinical Neurology. Springer, Cham doi: https://doi.org/10.1007/978-3-319-41400-3_11

Putri, A. D. S., Harjanto, T., & Nurjannah, I. (2017). Gambaran Indikator Klinis Diagnosis Keperawatan Insomnia Menggunakan Insomnia Severity Index pada Pasien Hemodialisis. Jurnal Keperawatan Klinis dan Komunitas, 1(3), 131-139. Retrieved from https://jurnal.ugm.ac.id/jkkk/article/view/56584 e-ISSN: 2614-4948

Ricardo, A. C., Goh, V., Chen, J., Cedillo-Couvert, E., Kapella, M., Prasad, B., ... Lash, J. P. (2017). Association of Sleep Duration, Symptoms, and Disorders with Mortality in Adults with Chronic Kidney Disease. Kidney International Reports 2(5), 866–873. doi: https://doi.org/10.1016/j.ekir.2017.05.002

Scherer, J. S., Combs, S. A., & Brennan, F. (2017). Sleep Disorders, Restless Legs Syndrome, and Uremic Pruritus: Diagnosis and Treatment of Common Symptoms in Dialysis Patients. American Journal of Kidney Diseases, 69(1), 117-128. doi: https://doi.org/10.1053/j.ajkd.2016.07.031

Soleimani, F., Motaarefi, H., & Hasanpour-Dehkordi, A. (2016). Effect of Sleep Hygiene Education on Sleep Quality in Hemodialysis Patients. Journal of Clinical and Diagnostic Research: JCDR, 10(12), LC01–LC04. doi: https://doi.org/10.7860/JCDR/2016/19668.8941

Sulistyaningsih, D. R., & Melastuti, E. (2016). The Effectiveness of Benson’s Relaxation Therapy to Decrease The Level of Insomnia on Chronic Kidney Disease Patients Undergoing Hemodialysis. Indonesian Nursing Journal Of Education And Clinic (INJEC), 1(1), 61-65. doi: http://dx.doi.org/10.24990/injec.v1i1.89

Vaidya SR, Aeddula NR. Chronic Renal Failure. [Updated 2019 Dec 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan. Available from: https://www.ncbi.nlm.nih.gov/books/NBK535404/

Yemina, L., Waluyo, A., & Sukmarini, L. (2018). Pengaruh Pendidikan Kesehatan Sleep Hygien Terhadap Peningkatan Kualitas Tidur dalam Konteks Asuhan Keperawatan Pada Pasien GGKTA dengan HD di RSCM Jakarta. Journal Scientific Solutem, 1(1), 7-14. http://ejurnal.akperbinainsan.ac.id e-ISSN : 2621-136X

Article Metrics

Abstract view(s): 1090 time(s)
PDF: 2181 time(s)

Refbacks

  • There are currently no refbacks.