Collaborative Care Model effect on the patients' sleep quality with maintenance hemodialysis

Abstract

Introduction: Poor sleep quality affects many hemodialysis patients and can leave a significant negative impact on their quality of life and health status. The purpose of the present study was to evaluate the effect of a collaborative care model on sleep quality of hemodialysis patients. : Materials & Methods: A total of 52 patients with maintenance hemodialysis in this clinical trial study, were selected and randomly divided into two equal groups; intervention and control (26 patients per each group). Demographic Data Questionnaire and Pittsburgh Sleep Quality Index (PSQI) questionnaire were applied as instruments. Collecting data in the pre-test stage, a collaborative care model was developed for patients undergoing maintenance hemodialysis according to their four steps (motivation, readiness, involvement and evaluation) for the intervention group over : three months. the average score of sleep quality for one month after the intervention were compared against previous intervention. Data were analyzed using SPSS v. 19 and chi-square tests, t-independent, repeated values, Man-Whitney and Wilcox on. : Results: Repeated measures showed a significant difference between the means of Pediatrics PSQI dimensions in all aspects, except sleep disorders and hypnotic drug use (p?0.009). Moreover, the paired t-test showed a significant difference in the Pediatrics Pittsburgh Sleep Quality Index dimensions of the intervention group before and after the intervention (p : Conclusion: Overall, the findings revealed that the collaborative care model was effective on the increasing sleep quality in patients with undergoing maintenance hemodialysis. : Keywords: Collaborative Care Model; Hemodialysis; Sleep Quality