Evidence map›Paper›PMID 33910523›Full record

ArticleBMC nephrology2021

Fatigue, anxiety, depression and sleep quality in patients undergoing haemodialysis.

Zakariya Al Naamani, Kevin Gormley, Helen Noble, Olinda Santin, Mohammed Al Maqbali

Abstract read
In one paragraph

Article in BMC nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Trial
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  7. A Visual Metaphor for Oral Health Education in Hemodialysis Patients: A Pilot Study.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
    Trial
  8. Article
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  11. Effect of core stability exercise training on activities of daily living, fatigue level and balance in haemodialysis patients: A randomised controlled study.Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao · 2026
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  16. Evaluating perioperative self-reported sleep quality in patients with a gynecologic malignancy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  19. Review
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4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Zakariya Al NaamaniSchool of Nursing and Midwifery, Queens's University Belfast, Belfast, UK. zalnaamani01@qub.ac.uk.
Kevin GormleyCollege of Nursing and Midwifery, Mohammed Bin Rashid University of Medicine and Health Science, Dubai, UAE.
Helen NobleSchool of Nursing and Midwifery, Queens's University Belfast, Belfast, UK.
Olinda SantinSchool of Nursing and Midwifery, Queens's University Belfast, Belfast, UK.
Mohammed Al MaqbaliMinistry of Health, Muscat, Oman.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePatients undergoing haemodialysis may experience troubling symptoms such as fatigue, anxiety, depression and sleep quality, which may affect their quality of life. The main objective of this study is to determine the prevalence of fatigue, anxiety, depression and sleep quality among patients receiving haemodialysis during the coronavirus disease 2019 (COVID-19) pandemic, and to explore the contributing predictors.

methodsA cross-sectional and descriptive correlational design using Qualtrics software was performed. Data were collected using the Functional Assessment of Cancer Therapy-Fatigue (FACT-F), the Hospital Anxiety and Depression Scale (HADS) and the Pittsburgh Sleep Quality Index (PSQI). Logistic regression analyses were used to explore the predictors that were associated with fatigue, anxiety, depression and sleep quality.

resultsOf the 123 patients undergoing haemodialysis who participated, 53.7% (n = 66) reported fatigue, 43.9% (n = 54) reported anxiety, 33.3% (n = 41) reported depression and 56.9% (n = 70) reported poor sleep. Fatigue, anxiety and sleep quality (P < .05) were significantly associated with being female, and whether family members or relatives were suspected or confirmed with COVID-19. Logistic regression showed that being within the age group 31-40, having a secondary education level, anxiety, depression and sleep quality were the main predictors affecting the fatigue group.

conclusionFatigue, anxiety, depression and sleep quality are significant problems for patients receiving haemodialysis during the COVID-19 pandemic. Appropriate interventions to monitor and reduce fatigue, psychological problems and sleep quality amongst these patients are needed. This can help to strengthen preparations for responding to possible future outbreaks or pandemics of infectious diseases for patients receiving haemodialysis.

Indexed as

COVID-19SleepAdolescentAdultAge FactorsAnxietyDepressionEducational StatusFamilyFatigueFemaleHumansKidney Failure, ChronicLogistic ModelsMaleMiddle AgedAnxietyCOVID-19DepressionFatigueHaemodialysisSleep quality

Identifiers

PMID33910523
PMCPMC8080199

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.