Collaborative Care Model effect on the patients' sleep quality with maintenance hemodialysis

Introduction: Poor sleep quality affects many hemodialysis patients and can leave a significant negative impact on their quality of life and health status. The purpose of the present study was to evaluate the effect of a collaborative care model on sleep quality of hemodialysis patients.

Materials & Methods: A total of 52 patients with maintenance hemodialysis in this clinical trial study, were selected and randomly divided into two equal groups; intervention and control (26 patients per each group). Demographic Data Questionnaire and Pittsburgh Sleep Quality Index (PSQI) questionnaire were applied as instruments. Collecting data in the pre-test stage, a collaborative care model was developed for patients undergoing maintenance hemodialysis according to their four steps (motivation, readiness, involvement and evaluation) for the intervention group over

three months. the average score of sleep quality for one month after the intervention were compared against previous intervention. Data were analyzed using SPSS v. 19 and chi-square tests, t-independent, repeated values, Man-Whitney and Wilcox on.

Results: Repeated measures showed a significant difference between the means of Pediatrics PSQI dimensions in all aspects, except sleep disorders and hypnotic drug use (p?0.009). Moreover, the paired t-test showed a significant difference in the Pediatrics Pittsburgh Sleep Quality Index dimensions of the intervention group before and after the intervention (p<0.001).

Conclusion: Overall, the findings revealed that the collaborative care model was effective on the increasing sleep quality in patients with undergoing maintenance hemodialysis.

Keywords: Collaborative Care Model; Hemodialysis; Sleep Quality