Relationship Between Sleep Quality and Quality of Life in Hemodialysis Patients: A Literature Review


Poor sleep quality can worsen hypertension, type 2 diabetes and obesity, thereby increasing the incidence of cardiovascular disease, as well as accelerating the progression of end-stage kidney disease and reducing survival rates. In hemodialysis patients, many factors affect the patient’s quality of life start from a psychological, physiological, social, and economic perspective can decreased the patient’s quality of life. To know about the relationship between sleep quality and quality of life in hemodialysis patients, this study uses a literature review method, based on the results of an article published within the last 10 years. From 5 journals that met the criteria, it was found that there was relationship between sleep quality and quality of life. There is a significant relationship between sleep quality and quality of life in hemodialysis patients.


Keywords: Hemodialysis, Sleep quality, Quality of life.

[1] Nata, N. (2019). Analisis Praktik Klinik Keperawatan Pada Pasien CKD (Chronic Kidney Disease) Dengan Intervensi Inovasi Teknik Relaksasi. Universitas Muhammadiyah, Kalimantan Timur.

[2] Tannor, E. K., et al. (2017). Quality of Life in Patients on Chronic Dialysis in South Africa: A Comparative Mixed Methods Study. BMC Nephrology, vol. 18, issue 4, pp. 1–9.

[3] Yigit, Y., et al. (2020). The Relationship between Serum Bicarbonate, Ph Level and Sleep Quality in Haemodialysis Patients: A Cross-Sectional Study from Turkey. The Journal of the Pakistan Medical Association, vol. 70, issue 1, pp. 42 – 47.

[4] Dewi, A. (2019). Gambaran Kualitas Tidur Pasien Yang Menjalani Hemodialisis Di RSUD Keraton Pekalongan. (Bachelor Of Medicine, Universitas Diponegoro Semarang, 2019).

[5] Oktaviani, S. D. (2019). Faktor Faktor Yang Mempengaruhi Kualitas Tidur Pada Pasien Hemodialisa. (Bachelor Of Nursing, Universitas Islam Sultam Agung Semarang, 2019).

[6] Shen, Q., et al. (2016). Sleep Quality, Daytime Sleepiness and Health-Related Quality-Of-Life in Maintenance Haemodialysis Patients. Journal of International Medical Research, vol. 44, issue 3, pp. 698–709.

[7] Yuan, H., et al. (2019). The Health-Related Quality of Life among Patients on Maintenance Haemodialysis: Evaluation Using the “EQ-5D. Journal of Clinical Nursing, vol. 28, issue 21, pp. 4004–4011.

[8] Pan, K. C., et al. (2019). Social Support as a Mediator between Sleep Disturbances, Depressive Symptoms, and Health-Related Quality of Life in Patients Undergoing Hemodialysis. PLoS ONE, vol. 14, issue 4, pp. 1–14.

[9] Sari, D. K. (2017). Hubungan Lama Menjalani Terapi Hemodialisis Dengan Kualitas Hidup Pasien Penyakit Ginjal Kronik. (Bachelor Of Medicine, Universitas Lampung, Bandar Lampung, 2017).

[10] Kang, G. W., et al. (2015). Clinical and Psychosocial Factors Predicting Health-Related Quality of Life in Hemodialysis Patients. Hemodialysis International, vol. 19, issue 3, pp. 439–446.

[11] Zheng, C., et al. (2018). Effects of Sleep Disorders and Sedative – Hypnotic Medications on HealthRelated Quality of Life in Dialysis Patients. International Urology and Nephrology. Vol. 51, issue 1, pp. 163–174.

[12] Nasution, Y. I. (2017). Hubungan Kualitas Tidur dengan Kualitas Hidup pada Pasien Hemodialisis Reguler. (Bachelor Of Medicine, Universitas Sumatera Utara Medan, 2017).

[13] Karatas, A., Canakci, E. and Turkmen, E. (2018). X Sociodemographic Characteristics in Patients with Chronic Kidney Disease. Nigerian Journal of Clinical Practice., vol. 21, issue 11, pp. 1461–1467.