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Year : 2015  |  Volume : 16  |  Issue : 2  |  Page : 50-56

A mixed method research on sleep, fatigue, and quality of life among patients undergoing hemodialysis: A pilot study

1 Associate Professor, Samaritan College of Nursing, Ernakulam, India
2 Professor, College of Nursing, CMC, Vellore, India

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Source of Support: None, Conflict of Interest: None

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The aim of the pilot study was to analyze the concepts related to sleep, fatigue, and quality of life (QOL) among patients undergoing hemodialysis and to assess the effect of Cognitive Behavioural Therapy (CBT) on their sleep, fatigue, and QOL in a selected hospital at Kerala. The design was an inductive phenomenological concept analysis of three semi structured interviews. The two group pre-test post-test control group design was tested specifically to increase the outcomes in a proposed larger study. Using van Manen’s concept analysis, the concepts related to sleep disturbances, fatigue, and QOL were identified. For the interventional study, group randomization was done to allocate the subjects to experimental and control group. The sample size included 10 in experimental group and 10 in control group. Group CBT was administered for about 40 to 60 minutes to subjects in experimental group for 4 weeks (twice weekly). Post assessment was done at 2 weeks, 6 weeks, and 10 weeks after the 8th session. Repeated measure ANOVA demonstrated the mean difference for sleep, fatigue, and QOL as significant between the groups (p < .0001***). The results support the need for further investigation of CBT as a method to positively influence the QOL and the commonly experienced symptoms of sleep disorders and fatigue.

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