Effect of Applying Continuous Care Model on Sleepiness in Patient Undergoing Hemodialysis in Shahinshahr Hemodialysis Center in 2009

Introduction: Sever daily sleepiness is one of the problems of patient with chronic renal failure. There are evidences indicating different sleep pathology in patients undergoing hemodialysis. This study was conducted to evaluate the effect of applying continuous monitoring model on sleepiness of hemodialysis patients in Shahinshahr/ Isfahan. Methods: This semi-experimental study was performed on 40 hemodialysis patients. Data gathering was done by Epwort Questionnaire. The questionnaire was used twice before the intervention with the interval of one month. 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 and during the remained 9 weeks, consultations for continuous sleep monitoring, control and evaluation were performed. The questionnaire was filled out immediately after the intervention and one month later. Data were analyzed through SPSS 15 through descriptive and analytic statistics. Results: The study findings revealed that mean score of sleepiness before intervention was 11/06 (± 3/32). Therefore, after intervention it increased significantly to 5.54 (± 2/85) (P=0/0001). The percentage of sleepiness before the intervention was 74/4 that decreased significantly to 38/8 % (p = 0/0001). Conclusion: Using continuous care model as an ethnic model can reduce many problems of patients. It is recommended to study monitoring model more elaborately in order to utilize it on other hemodialysis patients.