Sleep Quality and Related Psychosocial Variables Among Renal Transplant Patients

Xie, Jingyu; Wang, L.; Tang, Xin; Yi, Young Hee; Yan, Jin; Wu, Xiaoxia; Liu, J.

doi:10.1016/j.transproceed.2018.06.030

Cited by 16 publications

(26 citation statements)

References 33 publications

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“…Sleep disorders are very common in kidney transplant patients; the causes can regard demographic factors, lifestyles, diseaserelated factors, and social factors (28,47,52). If not adequately treated, they interfere with a good post-transplant quality of life and so they have recently stimulated interest of the researchers, with the need to investigate non-pharmacological interventions, such as "Bright light therapy" (BLT) (50,58,66,69,78).…”

Section: Discussionmentioning

confidence: 99%

Psychological and Psychopathological Aspects of Kidney Transplantation: A Systematic Review

et al. 2020

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Kidney transplantation is a serious event that involves profound psychological, relational and social changes both for the patient and his family context. Assessment of personality profile, awareness of disease, family and social support of the patient candidate for kidney transplantation are necessary because factors not adequately considered, can influence the success of the transplant and alter the psychological stability of the patient. The present study aims to provide a systematic review of the literature of the last twelve years (2006-2018), focusing in particular on patient's readiness level and illness management and on possible psychopathology. Sixty-two studies were examined. Based on the Downs and Black checklist, most studies (n = 32) were of high quality; 15 of which related to lifestyle, health education, and therapeutic adherence in post-renal transplantation, 17 studies concerned the possible existence of psychopathology and cognitive impairment of renal deceased transplanted subjects. The literature used has shown that the population of kidney transplant patients is exposed to a high risk of psychiatric disorders with repercussions on the quality of life and the risk of rejection. Therefore, an adequate pre-transplant psychosocial assessment is necessary, which allows a more indepth knowledge of the candidate to plan coping strategies and possible posttransplant psychotherapy.

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Section: Discussionmentioning

confidence: 99%

Psychological and Psychopathological Aspects of Kidney Transplantation: A Systematic Review

et al. 2020

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“…Most studies suggested that sleep quality improved in kTx recipients (30%-52%) [1,7] than patients with ERDS (49%-78%) [8][9][10] . Our previous research [11] also showed the percentage of "poor sleep" in kTx recipients during follow-up was much lower about 29.2% (defining as global Pittsburgh sleep quality index (PSQI) >7). These results from previous reports all seem to be very good, but most of the subjects were only targeted at recipients with longer transplant times, none studies cared about individuals who stayed in ICU at earlier postoperative times.…”

Section: Introductionmentioning

confidence: 93%

Effect of kidney transplantation on sleep quality in patients admitted in ICU:a cross-section study in China

Long

Liu

Yan

et al. 2019

Preprint

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Background Although evidences showed that sleep disorder is common in patient with end stage renal disease (ESRD), less is known about their sleep quality after early post-kidney transplantation (kTx) especially in Intensive Care Unite (ICU). Thus, the purpose of this study is to investigate sleep quality of kTx recipients in ICU and explore factors related poor sleep, second, to measure the correlation of subjective sleep quality and sleep architecture assessed by PSG in kTx recipients. Methods This study recruited participants from ESRD patients registered in transplantation waiting list at the third xiangya hospital of central south university in China. Participants required to complete the Pittsburgh sleep quality index(PSQI) and demographic questionnaire as baseline data and received one night of Polysomnography (PSG) in the ICU within 96 hours of surgery, during which time sound and light data were monitored. After that Richards Campbell sleep questionnaires (RCSQ) also need completed.Results 26 participants self-reported sleep quality and sleep efficiency based on RCSQ was at middle level (49.2 ± 25.6mm), and 14/26(53.8%) kTx recipients in ICU were poor sleepers defined by RCSQ <50. PSG showed that most kTx recipients in ICU had shallow sleep with mainly stage 2 sleep time (80.90 ±70.10 min), lower total sleep time (136.50 ±86.41 min), higher awakening frequency after sleep onset (8.87 ±5.92 times) and long awaken time (94.67 ±75.09 min) when a sleep disruption occured. multiple linear regression analysis showed that self-reported noise and pain were the significant factor affecting sleep(P < 0.05).Conclusion Subjective sleep quality based on RCSQ scored better than objective one measured by PSG in kTx recipients, sleep disruption always remained a substantial problem and affected by selfreported noise and pain.

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“…Most participants were kidney transplant recipients [7,[15][16][17][18][19][20][21][22][23][24][25][26], followed by heart transplant recipients [5,[27][28][29], liver transplant recipients [30,31], and lung transplant recipients [32]. Three studies were not limited to specific organ transplant recipients [33][34][35].…”

Section: Research Aim and Participantsmentioning

confidence: 99%

“…One study focused on adolescents and pediatric recipients [18]. Eight studies assessed the psychological adjustment of organ transplant recipients [7,16,18,20,21,30,31,34], eight studies assessed both the quality of life and other aspects of transplant recipients' experiences [22][23][24]26,28,29,33,35], two studies assessed the sleep quality of transplant recipients [15,25], and six studies assessed patients' experiences and coping strategies, alongside the assistance they needed during the dark-recovery stage [5,17,19,27,28,32].…”

Section: Research Aim and Participantsmentioning

confidence: 99%

“…Eleven studies [5,7,16,19,21,25,26,28,[31][32][33] reported the psychological difficulties that patients experienced, such as emotional and psychological problems owing to the fear of organ rejection, infection, and graft dysfunction. Nine studies [5,19,21,25,26,28,[31][32][33] discovered that, after transplantation, patients experienced depression, distress, and anxiety, which influenced various aspects of their daily life and lowered their medical adherence. Causes of psychological difficulties included the stress of maintaining medical regimens, worries about the future, and fears of graft loss, as well as discomfort concerning medication side effects.…”

Section: Psychological Difficultiesmentioning

confidence: 99%

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The Difficulties and Needs of Organ Transplant Recipients during Postoperative Care at Home: A Systematic Review

Yang

Chen

Huang³

et al. 2020

IJERPH

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With recent advances in surgery and immunosuppressive drugs, organ transplantation has become a major treatment for irreversible organ failure. However, organ transplant recipients returning home after operation may face ongoing physiological, psychological, and social difficulties. To increase recipients’ quality of life, postoperative care at home is critical. Thus, the aim of this systematic literature review was to explore recipients’ difficulties and needs during postoperative care at home. Our search conformed to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and returned 23 relevant articles published from 1997–2020 in PubMed, MEDLINE, EBSCO, Cochrane, ProQuest, and CEPS, which were assessed using the Modified Jadad Scale or the 32 Consolidated Criteria for Reporting Qualitative Research (COREQ) appraisal indices and then synthesized through narration. The most common difficulties faced were psychological difficulties, followed by physiological, social, and other difficulties; the most common needs were psychological needs, followed by education and information training, social, and other needs. These results demonstrated that healthcare professionals can do more to provide patients with comprehensive care and promote successful self-management and quality of life at home. They also confirmed that collaboration between transplant teams, caregivers, and patients is necessary to optimize postoperative outcomes. We suggest that customized care may promote postoperative patients’ self-management and quality of life at home.

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Sleep Quality and Related Psychosocial Variables Among Renal Transplant Patients

Cited by 16 publications

References 33 publications

Psychological and Psychopathological Aspects of Kidney Transplantation: A Systematic Review

Psychological and Psychopathological Aspects of Kidney Transplantation: A Systematic Review

Effect of kidney transplantation on sleep quality in patients admitted in ICU:a cross-section study in China

The Difficulties and Needs of Organ Transplant Recipients during Postoperative Care at Home: A Systematic Review

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