The effect of itching on sleep quality and comfort in patients with hemodialysis and renal transplantation: A multi-center cross-sectional study.

The aim of this study was to determine the effect of itching on sleep quality and comfort in hemodialysis (HD) and renal transplant (Tx) patients with itching. This descriptive, correlational seeking and cross-sectional study was conducted in four hospitals affiliated with a private health group in...

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Publicado en:Journal of Tissue Viability Vol. 33; no. 4; pp. 903 - 909
Autores principales: Ege, Tuğba, Ok, Elif, Ünver, Vesile
Formato: research Journal Article
Publicado: Elsevier B.V. Nov2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2024
      vid: 33
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      pub: Elsevier B.V.
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        181442472
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        10.1016/j.jtv.2024.09.003
        181442472
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        atl: The effect of itching on sleep quality and comfort in patients with hemodialysis and renal transplantation: A multi-center cross-sectional study.
      aug:
        au:
          Ege, Tuğba
          Ok, Elif
          Ünver, Vesile
        affil: Acıbadem Fulya Hospital, Quality Directorate. Dikilitaş Mah, Hakkı Yeten Cad, Yeşilşimen Sok, No: 23 Fulya, Beşiktaş, Istanbul, Türkiye
      sug:
        subj:
          Kidney Transplantation Adverse Effects
          Hemodialysis Adverse Effects
          Pruritus Psychosocial Factors
          Sleep Quality Evaluation
          Comfort Evaluation
          Human
          Dialysis Patients
          Transplant Recipients
          Multicenter Studies
          Cross Sectional Studies
          Descriptive Research
          Correlational Studies
          Turkiye
          Hospitals, Private Turkiye
          Questionnaires
          General Comfort Questionnaire
          Patient Attitudes Evaluation
      ab: The aim of this study was to determine the effect of itching on sleep quality and comfort in hemodialysis (HD) and renal transplant (Tx) patients with itching. This descriptive, correlational seeking and cross-sectional study was conducted in four hospitals affiliated with a private health group in Istanbul between April and June 2021. The sample of the study consisted of 42 patients receiving HD treatment and 49 patients with renal transplantation. Data were collected using the Patient Information Form, 5-D Itch Scale, Richards-Campbell Sleep Questionnaire and General Comfort Questionnaire. There was a significant difference between the HD and renal transplantation groups in the Direction (p = 0.01) and Disability dimension (p = 0.002) of the 5- D Itch scale in favor of the renal transplant group. The mean sleep quality and comfort scores of the groups were similar and moderate. Itching negatively affects sleep quality in patients receiving HD treatment, and 22 % of the change in sleep quality is explained by disability of itching (R2 = 0.22; p = 0.002). Itching negatively affects comfort in both groups. Itching explains 27 % of the change in comfort level in the HD group (R2 = 0.27; p = 0.002) and 25 % of the change in comfort level in the renal transplantation group (R2 = 0.25; p = 0.001). According the study results during the hemodialysis treatment process, itching is more intense in terms of distribution and disability and affects the quality of sleep of patients. Itching has a significant impact on patients' perception of comfort. Patients experience itching both during HD treatment and after renal transplantation, which significantly impairs their comfort. Therefore, itching should be carefully monitored during renal replacement therapy and its effects on patients should be evaluated. • Itching is a common and uncomfortable symptom in patients with chronic kidney disease. • Itching is more intense in patients undergoing hemodialysis than in patients with kidney transplantation. • Itching has a significant negative impact on sleep quality and comfort level in patients receiving hemodialysis. • Itching also has a significant negative impact on the comfort level in patients with kidney transplantation.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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