Sleep Disturbances in Older Adults Receiving Dialysis.

Nephrol Nurs J

Associate Professor, Biobehavioral Nursing Science, the College of Nursing, University of Illinois - Chicago, Chicago, IL.

Published: January 2024

AI Article Synopsis

  • Sleep disturbances in older adults with end-stage kidney disease can worsen kidney function and lead to negative health outcomes, especially for those on dialysis.
  • Key attributes of these disturbances identified in the analysis include difficulties with falling and staying asleep, restless sleep, and abnormal breathing during sleep.
  • There is a need for tailored interventions to improve sleep in this population, supported by findings from literature reviews and case studies for future research development.

Article Abstract

Sleep disturbances are serious issues in individuals with end stage kidney disease because they are associated with worsening kidney function and other negative health outcomes, especially in older adults. Our analysis aimed to provide clinicians with the conceptual clarity required for managing sleep disturbances in older patients who are receiving dialysis. A literature review revealed three attributes that define this population's sleep disturbances: sleep initiation and maintenance difficulties, restless sleep and short sleep, and abnormal breathing during sleep. Con sidering the serious consequences and correlates of sleep disturbances in older patients who are receiving dialysis, tailored interventions are needed to improve their sleep. Our literature review, concept analysis, and case studies provide key information for designing future mechanistic, clinical-translational, and interventional research.

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