Turkish Journal of Nephrology
Original Article

The Effect of Vascular Access Type on Sleep Quality, Anxiety and Depression in Hemodialysis Patients


Ankara Training and Research Hospital, Nephrology Department, Ankara, Turkey

Turkish J Nephrol 1; 1: -
Read: 189 Published: 18 May 2022

Background:Depression, anxiety, and poor sleep quality are common problems in patients with chronic kidney disease(CKD) and are closely related to mortality and quality of life. The aim of this study is to investigate all factors, including vascular access type, that affect anxiety symptoms, depression and poor sleep quality in hemodialysis patients.

Material-Method:The study included 101 patients. The patients were divided into two groups as patients with central venous catheter (CVC) and with arterio-venous fistula (AVF). The basic demographics and laboratory data of the patients were recorded. Anxiety and depressive symptoms, and sleep quality were assessed using the Beck Anxiety Inventory(BAI), the Beck Depression Inventory(BDI) and Pittsburgh Sleep Quality Index(PSQI), respectively. Regression analysis was used to determine the factors affecting poor sleep quality, depression, anxiety symptoms

Result:Anxiety symptoms were found in 76.2%, suspicion of depression in 64.4%, and poor sleep quality in 63.4% of the patients. In the group of patients with CVC, the number of patients with anxiety symptoms, suspicion of depression and poor sleep quality were significantly higher than AVF group (96.8% vs 67.2%, p:0.001, 90.3% vs 52.9%, p:0.001, 80.6% vs 55.7%, p:0.024, respectively). Regression analysis showed that high BAI score affected sleep quality; female gender and high BDI and PSQI scores affected anxiety; and inflammation and malnutrition affected suspicion of depression.

Conclusion:Sleep disorders, depression and anxiety are common in CKD patients. Although the rate of poor sleep quality, anxiety symptoms, and suspicion of depression was found to be significantly higher in the group with CVC than in the group with AVF, no effect of vascular access was detected in the regression analysis.

EISSN 2667-4440