The Japanese Journal of Clinical Dialysis Vol.28 No.9(2-5)

Theme Improving Plans for Lifestyle in Patients on Chronic Dialysis
Title Sleep disorders in hemodialysis patients
Publish Date 2012/08
Author Shigefumi Koike Toyohashi Mates Sleep Disorders Center / Toyohashi Mates Clinic
Author Yusuke Miki Toyohashi Mates Clinic
Author Masahiro Toyama Toyohashi Mates Clinic
Author Masaya Shibata Toyohashi Mates Clinic
[ Summary ] In order to improve quality of sleep, we educate hemodyalysis (HD) patients in relation to lifestyle. We teach them how to regulate waking times and mealtimes. We do not allow them to sleep during HD treatment. We encourage them to exercise appropriately during the day, and to have appropriate exposure to sunshine, not have long afternoon naps, and not to go to bed before 8:00 pm. Periods of long, uninterrupted sleep are also advised, especially for light sleepers. They should also be advised alcohol intake causes nocturnal awakening, and not to consume drinks containing caffeine in the evening.
Improvements in sleep patterns provide better HD control and overall quality of life. Adequate sleep helps suppress appetite, and helps patients control body weight, along with improved intake of potassium, phosphorus and calcium.
Sleep disorders also influence eating behavior, and as a result, increase the appetite. Furthermore, sleep disorders decrease the activity levels. Treatment for dialysis patients' sleep disorders can help improve not only vigor but also proper control of food and water intake. Regular daily habits help improve quality and quantity of sleep.
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