Factors related to insomnia among end-stage renal disease patients on hemodialysis in Jakarta, Indonesia

Objective: Insomnia is the most frequent sleep disorder experienced by patients with end-stage renal disease (ESRD). Sleep disorder is not only related with the decrease in the quality of life ESRD patients but are associated with health risk problems for ESRD. The purpose of this study was to examine the prevalence and factors related to insomnia in hemodialysis patients. Method: A total of 125 ESRD patients undergoing hemodialysis twice a week for at least had dialysis for one month at hospitals in East Jakarta, Indonesia were recruited in this study. The Insomnia Severity Index (ISI) questionnaire was used to assess the incidence of insomnia, the Numeric Visual Scale used to measure the level of depression. The gathered data were analyzed using descriptive and bivariate analysis. Results: More than a half (56%) of patients experiencing insomnia. The finding showed that two factors, the depression (p-value = 0.001) and the duration of hemodialysis (p-value = 0.042), were statistically significant. Conclusions: The prevalence of insomnia in this study tends to increase from previous studies. Depression is a common problem in hemodialysis (HD) patients and is associated with insomnia. Intervention to decrease depression level is needed to improve the quality of sleep ERSP patient on HD.