Effectiveness of Sleep Education Interventions on Sleep Problems in Adults Receiving Hemodialysis: Systematic Review and Meta-Analysis.

INTRODUCTION

Hemodialysis population commonly faces sleep problems. Sleep educational interventions are implemented to address these problems, yet evidence on their effectiveness is limited. This study aimed to evaluate the impact of sleep educational interventions on sleep problems in hemodialysis.

METHODS

Following Cochrane Guidelines and PRISMA 2020, 11 electronic databases were searched. Data synthesis was performed with Comprehensive Meta-analysis version 3.

RESULTS

This study examined six studies and revealed that sleep education significantly improved sleep quality, subjective sleep quality, sleep latency, sleep duration, sleep disturbance, and medium effect on sleep efficiency, with low to high quality of evidence. Subgroup analysis found no difference in sleep quality improvement between group and individual education methods or between using and not using educational materials. Additionally, three or fewer sessions were more effective than six in enhancing sleep quality.

CONCLUSION

This meta-analysis revealed that sleep education interventions positively improve sleep-related problems.

TRIAL REGISTRATION: PROSPERO: CRD42024523225.