Anxiety, Depression and Quality of Sleep Related to Fatigue in Patients Undergoing Hemodialysis

Background and Objective: Fatigue is one of the most common side effect in hemodialysis patients. This study aimed to assess the factors associated with fatigue in hemodialysis patients, such as demographic variables, anxiety, depression and quality of sleep. Material and Methods: This descriptive-analytic study was conducted on ۵۸ eligible, randomly selected patients of ۱۶۵ hemodialysis patients referred to Panje Azar Hospital in Gorgan. The instruments were a demographic checklist, Fatigue Severity Scale, Beck Anxiety Inventory, and the Beck Depression Inventory. The data was analyzed by SPSS ۱۷ software using Mann-Whitney, Kruskal-Wallis, Spearman's correlation coefficient and linear regression. Results: The mean average of fatigue in all patients was ۱.۶۶±۴.۷۶. Twenty-six of the participants (۴۴.۸%) expressed that they suffer from moderate anxiety, ۱۷ (۲۹.۳%) from severe depression and ۴۳ (۷۴.۱%) from poor quality of sleep. The relationship between fatigue and anxiety (P = ۰.۰۰۶, r = ۰.۳۵۳) and depression (P≤.۰۰۱, r=۰.۵۲۵) was directly significant whereas the relationship is not significant for sleep quality. Conclusion: Given the high prevalence of fatigue in hemodialysis patients and the impact of multiple factors, we strongly recommend that care providers should consider these factors to improve patients’ quality of life.