الفهرس 
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Abstract
Background: Sleep pattern disturbance is a well-known disturbance with a significant frequency among hemodialysis patients with end-stage renal failure. Hemodialysis is the commonest modality of renal replacement therapy in Egypt and many other countries. Aim: The present study aims to; Explore factors affecting sleep pattern disturbance of hemodialysis patients in Port Said hospitals. Subjects and Methods: Design: Descriptive design was used to conduct the study in hemodialysis units at Port Said hospitals. Subjects: The study consisted of a purposive sample of 193 patients undergoing hemodialysis. Tools: Three tools were used consisted of; I) structured interview to collect data about socio-demographic, medical and family health history, current health status and types of sleep pattern disturbance of hemodialysis patients; II) The Pittsburgh sleep quality index, III) Factors affecting sleep pattern disturbance for hemodialysis patients’ sheet. Results: The current study revealed that restless leg syndrome was the highest persentage type of sleep (77.7%), while insomnia was the lowest persentage type of sleep (18.7%) among the studied patients, while, (76.7%) have poor quality of sleep. The most factors that affect sleep disturbance between the studied patients were life style factors (78.2%) and physiological factors (68.4%). Conclusion: patients were affected by physiological, psychological, medication, life style and hemodialysis factors. Whereas, the majority of hemodialysis patients were had poor sleeping quality. Recommendations: promoting programs that help change the life style, which helps to improve the sleep pattern of hemodialysis patients.