The Relationship Between Vascular Access Type and Sleep Quality, Anxiety, Depression in Hemodialysis Patients

Objective: Depression, anxiety, and poor sleep quality are common problems in patients with chronic kidney disease 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.

Methods: The study included 101 patients. The patients were divided into 2 groups as patients with central venous catheter and with arterio-venous fistula. The basic demographics and laboratory data of the patients were recorded. Anxiety symptom, depressive symptom, and sleep quality were assessed using the Beck Anxiety Inventory, the Beck Depression Inventory, and Pittsburgh Sleep Quality Index, respectively. Regression analysis was used to determine the factors affecting poor sleep quality, depression, and anxiety symptoms.

Results: 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 central venous catheter, the number of patients with anxiety symptoms, suspicion of depression, and poor sleep quality were significantly higher than arterio-venous fistula group (96.8% vs 67.2%, P: .001, 90.3% vs 52.9%, P: .001, 80.6% vs 55.7%, P: .024, respectively). Regression analysis showed that a high Beck Anxiety Inventory score affected sleep quality; female gender and high Beck Depression Inventory and Pittsburgh Sleep Quality Index scores affected anxiety; and inflammation and malnutrition affected suspicion of depression.

Conclusion: Sleep disorders, depression, and anxiety are common in patients with chronic kidney disease. Although the rate of poor sleep quality, anxiety symptoms, and suspicion of depression was found to be significantly higher in the group with central venous catheter than in the group with arterio-venous fistula, no effect of vascular access was detected in the regression analysis.

Cite this article as: Büberci R, Karahisar Şirali S, Duranay M. The effect of vascular access type on sleep quality, anxiety, and depression in hemodialysis patients. Turk J Nephrol. 2023;32(2):160-167.