Key Associations Found in the Struggle with Sleep in Lung Transplant Recipients

Document Type

Article

Publication Date

12-1-2024

Publication Title

Progress in transplantation (Aliso Viejo, Calif.)

Abstract

INTRODUCTION: Gaps exist in the understanding of the etiology of poor sleep quality after lung transplantation. Research Question: What factors are associated with poor sleep quality in lung transplant recipients?

DESIGN: A quantitative, single-site, cross-sectional study used an anonymous survey based on 3 scales. The Pittsburgh Sleep Quality Index scale with scores dichotomized to poor versus good sleepers based on the cutoff score > 8. The Hospital Anxiety and Depression Scale evaluated symptoms of anxiety and depression, and the Short Form-12 measured health-related quality of life using the mental and physical component scores. Additional self-reported data included demographic and transplant-related variables.

RESULTS: The response rate was 38.4% (61/158), and 52.5% of the sample (32/61) evidenced a Pittsburgh Sleep Quality Index score > 8, suggestive of poor sleep quality. Bivariate analyses demonstrated that poor sleep was significantly related to symptoms of depression (P < .01), anxiety (P < .01), stressors of hospitalization (P < .05), and treatment of acute rejection (P < .05). Multivariate analysis demonstrated that anxiety was significantly associated with poor sleep (odds ratio = 1.34, P < .05).

CONCLUSION: Poor subjective sleep quality remains prevalent in lung transplant recipients. Individuals with anxiety symptoms were at a greater risk for poor sleep. Guidance for strategies to improve sleep quality requires further in-depth exploration before implementation of interventions.

Medical Subject Headings

Humans; Lung Transplantation; Female; Male; Cross-Sectional Studies; Middle Aged; Quality of Life; Adult; Anxiety; Depression; Surveys and Questionnaires; Sleep Quality; Transplant Recipients; Sleep Wake Disorders; Aged

PubMed ID

39403772

ePublication

ePub ahead of print

Volume

34

Issue

4

First Page

183

Last Page

191

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