ASN's Mission

To create a world without kidney diseases, the ASN Alliance for Kidney Health elevates care by educating and informing, driving breakthroughs and innovation, and advocating for policies that create transformative changes in kidney medicine throughout the world.

learn more

Contact ASN

1401 H St, NW, Ste 900, Washington, DC 20005

email@asn-online.org

202-640-4660

The Latest on X

Kidney Week

Abstract: FR-PO436

Impact of 10-Step Sleep Hygiene Intervention on Insomnia and Muscle Strength of ESRD Patients: A Quasi-Interventional Study

Session Information

Category: Dialysis

  • 801 Dialysis: Hemodialysis and Frequent Dialysis

Authors

  • Kazmi, Syed Muhammad Kashif, NIKUD Research Hospital, a Project of the Kidney Foundation, Karachi, Sindh, Pakistan
  • Ahfaz, Muzammil, NIKUD Research Hospital, a Project of the Kidney Foundation, Karachi, Sindh, Pakistan
  • Shaikh, Misbah Fatima, NIKUD Research Hospital, a Project of the Kidney Foundation, Karachi, Sindh, Pakistan
  • Rabab, Umm-e, NIKUD Research Hospital, a Project of the Kidney Foundation, Karachi, Sindh, Pakistan
  • Zaidi, Alizeh, NIKUD Research Hospital, a Project of the Kidney Foundation, Karachi, Sindh, Pakistan
  • Khan, Maheerah Qadeer, NIKUD Research Hospital, a Project of the Kidney Foundation, Karachi, Sindh, Pakistan
  • Luni, Mahnoor, NIKUD Research Hospital, a Project of the Kidney Foundation, Karachi, Sindh, Pakistan
  • Kanwal, Finza, NIKUD Research Hospital, a Project of the Kidney Foundation, Karachi, Sindh, Pakistan
Background

End-stage renal disease is a significant health issue that affects millions worldwide, the 10 step sleep hygiene interventions is a simple, low-cost strategy for better sleep habits that can potentially enhance the overall health of this patient group.
The purpose of this study is to evaluate the impact of a 10-step sleep hygiene intervention on hemodialysis patients and simultaneously evaluate its impact on insomnia severity and muscle power. There is dearth of research in this specific area therefore our study can provide valuable insights in this regard.

Methods

The study used a pre-post quasi-interventional design. Participants' demographic data, sleep quality, physical activity, depression score, medication and addiction history were collected using structured questionnaire before, and 1 month after the intervention. The muscle strength was measured using a handheld dynamometer. The intervention was a validated 10-step sleep hygiene strategy, which was delivered in a face-to-face physician-patient interview.

Results

Out of the 146 patients recruited, 141 completed the study. Majority of the participants were male, married, aged 35-55, had secondary education, and were retired. All of them engaged in mild physical activity, with average dynamometer readings of 10kg, and most were non-smoker with moderate insomnia, sleeping 5-6 hours per night.
After the intervention, insomnia scores significantly improved( p=0.004), and muscle power saw a slight improvement. Participants transitioned from moderate to subthreshold insomnia, and average sleep duration increased to 7 hours. However, muscle strength improved in only about 15% of participants and only 8% reported some improvement in depression score.

Conclusion

The study underscores the importance of sleep hygiene in routine care for hemodialysis patients. The 10-step sleep hygiene intervention was found to effectively improve sleep quality and slightly improve muscle strength in this population. The intervention was particularly effective in reducing insomnia in women and improving muscle power in men. Younger participants(18-35 years) showed the greatest overall improvement. This suggests that tailored, age-specific sleep hygiene interventions can yield better results in the future.