Effect of implementing continuous care model on sleep quality of hemodialysis patients in ilam


milad borji1 mohammad reza bastami2 1 - Student Research committee, Ilam University of Medical Sciences, Ilam, Iran 2 - Lecturer, Department of Nursing, School of Nursing and Midwifery, Ilam University of Medical Sciences,



Sleep disorder is associated with several physical, behavioral and psychological problems. There

are some evidences on disturbance of sleep quality in hemodialysis patients. For this, the present study

was to evaluate the effect of applying continuous care model on sleep quality of hemodialysis patients.

Methods This semi-experimental study was performed on hemodialysis patients of mostafa hospital of

ilam during 2012and 2013. 56 patients selected by census sampling method as study samples.

Data gathering was done by Pittsburg sleep quality questionnaire. The applied model contained four steps

(orientation, sensitization, control and evaluation). Patients were divided into five groups and 4-6 training

sessions during three weeks were held for each group. During the next 9 weeks, consultations for

continuous sleep monitoring, control and evaluation were performed. Immediately after the intervention

and one month later, questionnaires were filled out again. Data were analyzed through SPSS 15 and by

using descriptive and analytic statistics.

Results: According to that in Pittsburg questionnaire the less score shows the better situation, the mean

score of sleep quality before the intervention (15.42±3.33) was significantly (p<0.0001) more than that

before the intervention (7.864±3.35). Also, sufficient sleep was seen in 22.7% of patients before the

intervention that was increased significantly (p<0.0001) to 87% after the intervention.

Conclusion: Performing the continuous care model has positive effect on sleep quality of hemodialysis