The association between the prevalence of restless leg syndrome, fatigue, and sleep quality in patients undergoing hemodialysis

被引:28
|
作者
Turk, Ayla C. [1 ]
Ozkurt, Sultan [3 ]
Turgal, Ebru [2 ]
Sahin, Fusun [4 ]
机构
[1] Hitit Univ, Dept Phys Med & Rehabil, Fac Med, Corum, Turkey
[2] Hitit Univ, Dept Biostat, Fac Med, Corum, Turkey
[3] Osmangazi Univ, Fac Med, Dept Nephrol, Eskisehir, Turkey
[4] Pamukkale Univ, Fac Med, Dept Phys Med & Rehabil, Denizli, Turkey
关键词
STAGE RENAL-DISEASE; MULTIPLE-SCLEROSIS; DIALYSIS PATIENTS; SEVERITY SCALE; EPIDEMIOLOGY; DIAGNOSIS; MORTALITY; SYMPTOMS;
D O I
10.15537/smj.2018.8.22398
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: To determine the prevalence of restless legs syndrome (RLS) in patients with chronic renal failure (CRF) and to compare CRF patients with or without RLS in terms fatigue and sleep quality. Methods: A cross-sectional study was conducted on 220 patients (18-75 years) who were undergoing dialysis 3 times weekly in Corum Province, Corum, Turkey, between January 2014 and January 2016. The diagnosis of RLS was based on the diagnostic form proposed by the international RLS study group. Sleep quality was evaluated using the Pittsburgh sleep quality index (PSQI), and severity of fatigue was determined by using fatigue severity scale (FSS). Results: Of all the participants, 16.8% (n=37) (Group 1) were found to have RLS, while 183 patients had no RLS (Group 2). The mean ages were similar between groups. With respect to laboratory analyses, a p-value of <0.05 was considered in Group 1 than in Group 2. Restless legs syndrome was mild (7.1%), moderate (46.4%) and severe (39.3%) in patients with RLS. Factors associated with the severity of RLS included weight, duration of dialysis, anuria, iron, total iron binding capacity, calcium and transferrin saturation. The PSQI and FSS scores were significantly worse in Group 1 (p<0.001). Conclusion: Restless legs syndrome is a common condition in patients undergoing hemodialysis; the results of our study confirm the adverse effects of RLS in terms of many aspects of sleep quality and fatigue.
引用
收藏
页码:792 / 798
页数:7
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