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Insomnia severity in chronic kidney disease patients with various therapies

100%

Knezevic M., Djordjevic V., Bivolarevic I., Jovic J., Djordjević V.

Open Medicine

2012

vol. 7

issue 1

112-117

The prevalence of insomnia is greater in end-stage renal disease. The aim of our study was to determine the frequency of insomnia and subclinical insomnia in patients with various dialysis therapy and kidney transplant recipients, in order to assess the severity of insomnia and examine whether there is a difference in severity among groups. In cross-sectional study, we evaluated 120 patients with terminal renal failure. Based on therapy, patients were divided into four groups: hemodiafiltration, standard bicarbonate dialysis, peritoneal dialysis and kidney transplant recipients. The severity of insomnia was evaluated through the use of the Insomnia Severity Index (ISI). Most patients who reported any kind of insomnia problems with ISI were on conventional dialysis (80%), followed by hemodiafiltration (76.7%) and peritoneal dialysis (63.3%). Transplant recipients had least difficulties with insomnia (46.7%). Insomnia Severity Index showed that insomnia in end-stage renal patients is not very severe. Most of the patients had “no clinically significant insomnia”. Our findings indicate that patients on hemodiafiltration and transplant recipients have a significantly lower score on Insomnia Severity Index. Patients with end-stage renal disease have high frequency insomnia problems. However, our study shows that insomnia in these patients is not severe. Insomnia is the most frequent and severest in patients on standard bicarbonate dialysis.

Incidence of depression, anxiety and sleep disorders in healthcare personal after the onset of Covid 19 pandemic - a survey based study

75%

Pasam T., Pasam C., Dake R., Kumar Soren D.

Critical Care Innovations

2021

vol. 4

issue 1

1-10

INTRODUCTION: Coronavirus disease 2019 (COVID-19) was first reported in Wuhan, China in December 2019. It was declared a global pandemic by WHO. There are 77.8 million reported cases of and 1.7 million deaths due to COVID-19 in the world at the time of writing this article. The main symptoms of COVID‐19 are fever, cough, fatigue, dyspnea, sore throat, headache and gastrointestinal disturbances. It has caused increased psychological impact to the society, particularly in healthcare personnel (HCPs). We aimed to assess the incidence of depression, anxiety and insomnia in healthcare personnel after the onset of COVID-19 Pandemic. MATERIAL AND METHODS: This was a survey-based study. A questionnaire was shared through emails and social media. The study instruments used were PHQ9 for depression, GAD7 for anxiety and Insomnia Severity Index for Insomnia. Data was collected from April 2020 to October 2020. RESULTS: The data was analyzed using IBM SPSS software version 26.0. The sample size was 312. A total of 26 (39.25%) respondents were single, 169 (52.64%) were male, 158 (49.2%) were between 20 and 29 years of age, 151 (47.04%) of respondents were doctors and 22 (6.8%) were nurses. Psychological impact was significantly more in paramedics and nurses. Severe psychological impact was seen in 24 (7.34%) of healthcare personnel. The study showed severe depression mostly in paramedics and surgical sub specialties while mild and moderate depression was more commonly reported by anesthesiologists, dentists and pathologists. The study also showed that people who had previous histories of depression, reported an increase in the severity of their symptoms as compared to those with no previous histories. CONCLUSIONS:COVID-19 pandemic has created fear and uncertainty. The health care workers and other front line workers who are at a greater risk of exposure and contraction of COVID-19 are subject to extensive physical and psychological trauma. The purpose of this study is to highlight the intensity and incidence of depression, anxiety and insomnia in health care personnel and to emphasize the need to support the mental health of these front line workers.

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1 Kumar Soren D.

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Insomnia severity in chronic kidney disease patients with various therapies

Incidence of depression, anxiety and sleep disorders in healthcare personal after the onset of Covid 19 pandemic - a survey based study