Patients with maintenance hemodialysis insomnia
Conditions
Interventions
Intervention group:Sleep hygiene education + Sleep Restriction Therapy (SRT). SRT is developed based on the protocol validated by Professor Simon Kyle from the University of Oxford and revised accordi
Sponsors
Shu Guang Hospital affiliated to Shanghai TCM College
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1.Meet the diagnostic criteria for end-stage renal disease (ESRD) and regularly receive maintenance hemodialysis (MHD) for at least 3 months, 2-3 times per week, with each session lasting 3-5 hours; 2.Have insomnia, defined as a score of >=10 on the Insomnia Severity Index (ISI).
Exclusion criteria
Exclusion criteria: 1. Patients with potential comorbid sleep disorders, including obstructive sleep apnea syndrome (STOP Bang score >=5), positive screening for Restless Legs Syndrome (International Restless Legs Scale [IRLS] score >=16), parasomnias (confirmed by detailed medical history), or circadian rhythm sleep-wake disorders (confirmed by detailed medical history); 2. Patients with severe complications, such as recent myocardial infarction (within 6 months), New York Heart Association (NYHA) Functional Classification Class III-IV, malignant tumors, acute heart failure, severe infections, severe anemia (hemoglobin [Hb] 160/100 mmHg); 3. Patients who are unable to sign informed consent or complete the intervention for any reason (e.g., with severe mental illness or cognitive impairment; cannot fully understand the content of the instruments or intervention or unwilling to participate); 4. Shiftworkers; 5. Severe depressive symptoms (Patient Health Questionnaire-9 >= 20).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recruitment rate;Enrollment rate;Adherence;Report completeness;Incidence of adverse events; | — |
Secondary
| Measure | Time frame |
|---|---|
| Insomnia symptom;Sleep parameters; | — |
Countries
China
Contacts
Public ContactXiaowei Pu
Shu Guang Hospital affiliated to Shanghai TCM College
Outcome results
None listed