A systematic review and meta-analysis of sleep hygiene implementation and its effect on sleep quality and fatigue in patients undergoing
hemodialysis
Dublin Core
Title
A systematic review and meta-analysis of sleep hygiene implementation and its effect on sleep quality and fatigue in patients undergoing
hemodialysis
hemodialysis
Subject
fatigue, hemodialysis, sleep hygiene, sleep quality
Description
Introduction: The prevalence of patients undergoing hemodialysis who experience sleep disturbances and fatigue
is high. Pharmacologic management has consequences and adverse effects, therefore, integrative intervention is
important to be investigated. Sleep hygiene is one such integrative intervention that improves comfort including
enhancing sleep quality and reducing fatigue. However, none have synthesized the effect of sleep hygiene
intervention, particularly in the hemodialysis setting. This systematic review aims to synthesize the effectiveness of
sleep hygiene in improving sleep quality and fatigue in patients undergoing hemodialysis.
Methods: This is a systematic review and meta-analysis of randomized controlled trials and quasi-experimental
studies. Relevant studies were gathered by searching five databases from 2008-2023 using several keywords, such as
sleep hygiene, sleep quality and fatigue. Quality assessment was conducted using relevant tools from the Joanna
Briggs Institutes (JBI). Following that, synthesis of research findings was conducted using Review Manager version 5.4.
Results: Seven studies of 3,633 screened were included, with one high-quality study (88%) and six studies of
moderate quality (61-76%). The review indicated a significant difference in sleep quality (MD = -2.36; 95% CI = -4.28,
-0.44; p=0.016). However, there was no significant difference in fatigue (SMD = -0.08; 95% CI = -0.40, 0.24; p=0.61).
Conclusions: The evidence supports that sleep hygiene is effective in enhancing sleep quality. This systematic review
contributes evidence to support the inclusion of sleep hygiene into holistic nursing to assist patients in improving
sleep quality and reducing fatigue.
is high. Pharmacologic management has consequences and adverse effects, therefore, integrative intervention is
important to be investigated. Sleep hygiene is one such integrative intervention that improves comfort including
enhancing sleep quality and reducing fatigue. However, none have synthesized the effect of sleep hygiene
intervention, particularly in the hemodialysis setting. This systematic review aims to synthesize the effectiveness of
sleep hygiene in improving sleep quality and fatigue in patients undergoing hemodialysis.
Methods: This is a systematic review and meta-analysis of randomized controlled trials and quasi-experimental
studies. Relevant studies were gathered by searching five databases from 2008-2023 using several keywords, such as
sleep hygiene, sleep quality and fatigue. Quality assessment was conducted using relevant tools from the Joanna
Briggs Institutes (JBI). Following that, synthesis of research findings was conducted using Review Manager version 5.4.
Results: Seven studies of 3,633 screened were included, with one high-quality study (88%) and six studies of
moderate quality (61-76%). The review indicated a significant difference in sleep quality (MD = -2.36; 95% CI = -4.28,
-0.44; p=0.016). However, there was no significant difference in fatigue (SMD = -0.08; 95% CI = -0.40, 0.24; p=0.61).
Conclusions: The evidence supports that sleep hygiene is effective in enhancing sleep quality. This systematic review
contributes evidence to support the inclusion of sleep hygiene into holistic nursing to assist patients in improving
sleep quality and reducing fatigue.
Creator
Hesti Fathan Nurfais Fauziah1
, Erna Rochmawati1
* , and Aasim Padela2
, Erna Rochmawati1
* , and Aasim Padela2
Source
http://dx.doi.org/10.20473/jn.v19i4.63368
Date
27 November 2024
Contributor
PERI IRAWAN
Format
PDF
Language
ENGLISH
Type
TEXT
Files
Collection
Citation
Hesti Fathan Nurfais Fauziah1
, Erna Rochmawati1
* , and Aasim Padela2, “A systematic review and meta-analysis of sleep hygiene implementation and its effect on sleep quality and fatigue in patients undergoing
hemodialysis,” Repository Horizon University Indonesia, accessed February 21, 2026, https://repository.horizon.ac.id/items/show/11098.
hemodialysis,” Repository Horizon University Indonesia, accessed February 21, 2026, https://repository.horizon.ac.id/items/show/11098.