Key Associations Found in the Struggle with Sleep in Lung Transplant Recipients
Recommended Citation
Simanovski J, Ralph J, and Morrell S. Key Associations Found in the Struggle With Sleep in Lung Transplant Recipients. Prog Transplant 2024; 15269248241289149.
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
