The perception of sleep quality in kidney transplant patients during the first year of transplantation

Abstract

OBJECTIVE:Poor sleep quality is one of the factors that adversely affects patient quality of life after kidney transplantation, and sleep disorders represent a significant cardiovascular risk factor. The objective of this study was to investigate the prevalence of changes in sleep quality and their outcomes in kidney transplant recipients and analyze the variables affecting sleep quality in the first years after renal transplantation.METHODS:Kidney transplant recipients were evaluated at two time points after a successful transplantation: between three and six months (Phase 1) and between 12 and 15 months (Phase 2). The following tools were used for assessment: the Pittsburgh Sleep Quality Index; the quality of life questionnaire Short-Form-36; the Hospital Anxiety and Depression scale; the Karnofsky scale; and assessments of social and demographic data. The prevalence of poor sleep was 36.7% in Phase 1 and 38.3% in Phase 2 of the study.RESULTS:There were no significant differences between patients with and without changes in sleep quality between the two phases. We found no changes in sleep patterns throughout the study. Both the physical and mental health scores worsened from Phase 1 to Phase 2.CONCLUSION:Sleep quality in kidney transplant recipients did not change during the first year after a successful renal transplantation.

Side Effects of Transplant Immunosuppressive Therapy in Post Renal Transplant Recipients, Mazandaran, Northern Iran

“…Our results indicate that 65 cases (34.5%) had trouble sleeping and sleep problems that was nearly to Silva study (36%) in Brazil [23]. It is expected that a successful kidney transplant in patients with unusual problems corrected this problem, but studies show that sleep disorders after 2…”

Psychological and Psychopathological Aspects of Kidney Transplantation: A Systematic Review

“…In the daily experience of transplanted patients, anxiety is a condition of alertness and apprehension that increases when infections occur, drug side effects and other conditions that expose the subject to a state of physical discomfort until the fear of rejection (44,52).…”

“…The prospective study by Silva et al (52) showed a high incidence of sleep disorders, with anxiety and depressive symptoms in 76 patients who underwent kidney transplantation, without significant changes in the two evaluation times (phase 1: 3-6 months; phase 2: 12 -15 months, after transplantation). Poor sleep prevalence, assessed with the "Pittsburg Sleep Quality Index" (PSQI) was slightly increased in the second evaluation time (36.7% in phase 1 and 38.3% in phase 2).…”

Non-pharmacological interventions for improving sleep quality in patients on dialysis: systematic review and meta-analysis

“…Previous studies showed a significant improvement in sleep apnea hypopnoea syndrome, restless legs syndrome and chronic insomnia after renal transplantation [23e26]. However, there are also emerging researches failed to find the improvement of general sleep quality after kidney transplantation [27,28]. When interpreting the results of these conflicting studies, we should be aware that fluid overload (mainly contributed to obstructive sleep apnea) remission and immune suppressive therapy after kidney transplantation are the main confounding factors.…”