Evaluation of an individual sleep intervention programme in people undergoing peritoneal dialysis treatment
2012 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 21, no 23-24, 3402-3417 p.Article in journal (Refereed) Published
Objective: This study aimed at evaluate effects of a individually designed nonpharmacological intervention on sleep, activity and fatigue in peritoneal dialysis (PD) by use of both actigraphy registration and self-assessed questionnaires.
Design: A prospective multiple baseline single-case experimental design.
Methods: Two women and seven men with sleep problems, 48-77 years, treated with PD participated in a 17-week study. Two interventions were separately implemented. First, a pressure relieving mattress and second, a four week individual sleep hygiene and sleep scheduling intervention. The two interventions were evaluated both objectively by actigraphy and subjectively by questionnaires.
Results: Totally 315 sleep-wake cycles from nine individuals were evaluated. Of the nine measured outcome variables i.e. sleep onset latency, nocturnal sleep duration, numbers and duration of napping, movement and fragmentation index (MFI), number of steps, metabolic equivalent unit (METs), sleep efficiency and fatigue, three patients improved clinically significantly in five or more of the outcomes. The other six patients also showed improvements but to a lesser degree. Physical activity advice was the intervention that yielded most sleep improvements.
Conclusions: This study shows that patients on peritoneal dialysis treatment have a wide variety of sleep problems and that an individual sleep hygiene and sleep scheduling program can be applied with clinically significant improvements even in this heterogeneous and frail patient group. The intervention should be easy to use in daily clinical routines.
Place, publisher, year, edition, pages
Blackwell Publishing, 2012. Vol. 21, no 23-24, 3402-3417 p.
Peritoneal dialysis, single-case research design, sleep hygiene, nonpharmacological treatment, insomnia
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-68040DOI: 10.1111/j.1365-2702.2012.04282.xISI: 000310978000010OAI: oai:DiVA.org:liu-68040DiVA: diva2:415408