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. 2023 Dec 12:14:1272500.
doi: 10.3389/fpsyg.2023.1272500. eCollection 2023.

The influence of social support on sleep and fatigue level among patients receiving hemodialysis in Saudi Arabia: a cross-sectional correlational design

Bushra Alshammari  1 , Sameer A Alkubati  1   2 , Eddieson Pasay-An  1 , Awatif Alrasheeday  3 , Norah Madkhali  4 , J Silvia Edison  1 , Venkat Bakthavatchaalam  5 , Marim Saud Alshammari  6 , Amnah Ayed AlRashidi  7 , Farhan Alshammari  8
Affiliations

The influence of social support on sleep and fatigue level among patients receiving hemodialysis in Saudi Arabia: a cross-sectional correlational design

Bushra Alshammari et al. Front Psychol. .

Abstract

Background: Patients on hemodialysis (HD) are more likely to experience sleep problems and fatigue that may affect their health outcomes. Management of these patients with social support may improve their sleep quality and fatigue as well as their health.

Aim: This study aimed to assess the influence of social support on sleep quality and fatigue levels among HD patients.

Methods: A cross-correlational study was conducted among 260 conveniently sampled HD patients from four dialysis centers in Hail and Al-Qassim cities of Saudi Arabia from Jun 2022 to January 2023. Besides sociodemographic data, the Pittsburgh Sleep Quality Index (PSQI), the Multidimensional Assessment of Fatigue (MAF) and the Oslo Social Support Scale (OSSS-3) were used to assess sleep quality, fatigue levels and social support, respectively. Chi-square test was used to determine the association between categorical variables, while Pearson's correlation coefficient was used to test the correlation between sleep quality, fatigue, and social support.

Results: Poor sleep and high fatigue were significantly higher in older patients compared to younger patients (p <0.001), while strong social support was significantly lower in older patients than younger and middle-aged ones (p = 0.001). On the other hand, poor sleep and high fatigue were significantly higher in males than females (p = 0.022 and p <0.001, respectively), while strong social support was significantly higher in females than males (p <0.001). Married patients showed significantly poorer sleep than single ones (p = 0.019), but single patients received significantly stronger social support. Retired patients showed significantly poorer sleep, higher fatigue and weaker social support than other groups (p <0.001). There was a significant negative correlation between fatigue and sleep quality among HD patients, where patients with more fatigue had poorer sleep (r = -0.510, p <0.001). A significant positive correlation was found between social support and sleep quality, where patients with stronger social support had more normal sleep (r = 0.415, p <0.001). However, a significant negative correlation was found between social support and fatigue, where patients with stronger social support had lower levels of fatigue (r = -0.479, p <0.001).

Conclusion: Saudi patients on HD who have stronger social support have better sleep quality and reduced fatigue levels than those with less social support. There is a need to design and implement intervention studies with structured social support programs, and to evaluate their effectiveness on improving sleep and reducing fatigue among HD patients.

Keywords: Saudi Arabia; fatigue; hemodialysis; sleep quality; social support.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Emerging model of the impact of social support on sleep quality and fatigue among HD patients. Abbreviations: FD, fatigue domain; SD, sleep domain; OSS, Oslo Social Support.
See this image and copyright information in PMC

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References

    1. Abdul Rahim N., Zainol Abidin M. Z. A., Shalan N. A. A. M., Bin Karim Z., Abdul Aziz N. U., et al. . (2023). COVID-19 lockdown: physical activity, sedentary behaviour, and academic motivation among undergraduates university students in Malaysia. Ann. Appl. Sport Sci. 11:1047. doi: 10.52547/aassjournal.1047 - DOI
    1. Ahmed F. A., Catic A. G. (2018). Decision-making in Geriatric patients with end-stage renal disease: thinking beyond nephrology. J. Clin. Med. 8:5. doi: 10.3390/jcm8010005 - DOI - PMC - PubMed
    1. Åkerstedt T., Discacciati A., Miley-Åkerstedt A., Westerlund H. (2018). Aging and the change in fatigue and sleep – a longitudinal study across 8 years in three age groups. Front. Psychol. 9:234. doi: 10.3389/fpsyg.2018.00234, PMID: - DOI - PMC - PubMed
    1. Al Naamani Z., Gormley K., Noble H., Santin O., Al M. M. (2021). Fatigue, anxiety, depression and sleep quality in patients undergoing haemodialysis. BMC Nephrol. 22:157. - PMC - PubMed
    1. Alshammari B., Alkubati S. A., Pasay-An E., Alrasheeday A., Alshammari H. B., Asiri S. M., et al. . (2023). Sleep quality and its affecting factors among Hemodialysis patients: a Multicenter cross-sectional study. Healthcare (Basel). 11:2536. doi: 10.3390/healthcare11182536, PMID: - DOI - PMC - PubMed