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Asian Pacific Journal of Nursing

Volume 10, Issue 2, 2023
Mcmed International
Asian Pacific Journal of Nursing
Issn
XXX-XXXX (Print), 2349 – 0683 (Online)
Frequency
bi-annual
Email
editorapjn@mcmed.us
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Abstract
Title
COGNITIVE BEHAVIOURAL THERAPY FOR SLEEP DISTURBANCES AMONG PATIENTS UNDERGOING HEMODIALYSIS – A TRUE EXPERIMENTAL STUDY
Author
Rohini. T * and Punitha V. Ezhilarasu
Email
rohinit29@gmail.com
keyword
End Stage Renal Disease, Hemodialysis, Cognitive Behavioural Therapy, Sleep.
Abstract
Background: According to previous studies, 50 - 80% of dialysis patients have problems associated with sleep disorders, including difficulty in falling asleep, waking up early, daytime sleepiness, leg jerking and trembling [1]. Compared with the general population, the prevalence of sleep disorders is significantly higher in End Stage Renal Disease (ESRD) patients treated by dialysis [2] . Objective: The objective of this study was to determine the effect of Cognitive Behavioural Therapy (CBT) on sleep among patients undergoing Hemodialysis (HD) in selected Hospitals, Kerala. Methodology: A quantitative research approach was used with true experimental: pre-test post-test control group time series design. The sample size was 138 (69 each in experimental and control group). Pre-test was conducted using socio-demographic data and Pittsburgh sleep Quality Index. Experimental group received six sessions of CBT while the control group received the routine care. Posttests were done thrice (2, 6 and 10 weeks after the intervention). The collected data was analyzed using descriptive & inferential statistics. Results: CBT was found to be effective in making a statistically significant difference in sleep (P< 0.001) scores of dialysis patients. There was a significant association between sleep and the clinical variables, presence of diabetes mellitus and using sedatives. Interpretation & Conclusion: CBT was found to be effective in making a statistically significant difference in sleep among patients undergoing HD. This can be applied in nursing practice to improve the patient comfort.
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