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Enfermería Nefrológica
versão On-line ISSN 2255-3517versão impressa ISSN 2254-2884
Resumo
SERRANO-NAVARRO, Irene; MESA-ABAD, Patricia; TOVAR-MUNOZ, Lucía e CRESPO-MONTERO, Rodolfo. Sleep disorders in advanced chronic kidney disease patients. Enferm Nefrol [online]. 2019, vol.22, n.4, pp.361-378. Epub 10-Fev-2020. ISSN 2255-3517. https://dx.doi.org/10.4321/s2254-28842019000400003.
Objective:
To know the disturbances and/or sleep disorders in Advanced Chronic Kidney Disease patients.
Material and Method:
A search was made in the Google Scholar, Scielo, Science Direct, PubMed and Scopus databases. Scientific articles in Spanish and English and full-text available were included. Those articles dealing with sleep disorders in patients on pre-dialysis and renal replacement therapy were analyzed: Hemodialysis, Peritoneal Dialysis and Renal Transplantation.
Results:
30 articles published between 2013 and 2018 were included. Patients with Advanced Chronic Kidney Disease have a high prevalence of sleep disturbances, reaching a prevalence of almost 90% in patients on hemodialysis and peritoneal dialysis, and 62% in patients with renal transplantation; and between 44% and 77% in the pre-dialysis stage. The most frequent sleep disorders found were: insomnia, restless legs syndrome, sleep apnea and excessive daytime sleepiness. Pharmacological and non-pharmacological therapies and its combination were found as main measures and treatments for sleep disorders in these patients.
Conclusions:
Sleep disorders have a high prevalence in patients with Advanced Chronic Kidney Disease, both in pre-dialysis and in renal replacement therapy; being the most frequent insomnia, restless legs syndrome, obstructive sleep apnea and excessive daytime sleepiness. Among the most influential risk factors include: anxiety and depression, diabetes mellitus, high blood pressure, respiratory problems and dialysis time.
Palavras-chave : sleep disorders; hemodialysis; peritoneal dialysis; renal transplant; insomnia; restless legs syndrome; sleep apnea.