Examining the Relationship Between Sleep Quality and Quality of Life in Kidney Transplant Patients

Yıl 2023, , 69 - 77, 31.05.2023

Fatma Demir Korkmaz , Tuğba Nur Öden , Tuğçe Yeşilyaprak

https://doi.org/10.47565/ndthdt.2023.69

Öz

Objective: This study aimed to examine the relationship between sleep quality and quality of life in patients who had a kidney transplant.
Materials and Methods: The research has a cross-sectional and descriptive design. The sample of the study consisted of 77 patients who had a kidney transplant at a university hospital organ transplantation centre between August 2020 and August 2021 and were followed up in the outpatient clinic. An individual identification form, the Quality-of-Life Short Form, and the Pittsburgh Sleep Quality Index were used to collect research data. Descriptive statistics (percentage and number), Pearson’s correlation test, Student’s t-test for independent variables, ANOVA, and linear regression analysis were used in the research analysis.
Results: In the study, the mean age of the patients was 47.19±11.29 (min: 24, max: 73), and the mean transplantation time was 94.92±75.23 months. The mean PSQI and SF-36 scores of kidney transplant patients were 4.91±3.09 and 65.49±18.18, respectively. There was a statistically significant correlation between sleep quality and quality of life in kidney transplant patients (r=-0.511, p=0.0001).
Conclusions: In the study, the quality of life increased as the sleep quality of the patients increased.

Anahtar Kelimeler

kidney transplantation, sleep quality, quality of life

Examining the Relationship Between Sleep Quality and Quality of Life in Kidney Transplant Patients/ Böbrek Nakli Hastalarında Uyku Kalitesi ve Yaşam Kalitesi Arasındaki İlişkinin İncelenmesi

Öz

Amaç: Bu çalışmada böbrek nakli olan hastalarda uyku kalitesi ile yaşam kalitesi arasındaki ilişkinin incelenmesi amaçlandı.
Gereç ve Yöntem: Araştırma, kesitsel ve tanımlayıcı bir tasarıma sahiptir. Araştırmanın örneklemini bir üniversite hastanesinin organ nakli merkezinde Ağustos 2020-Ağustos 2021 tarihleri arasında böbrek nakli olan ve poliklinikte izlenen 77 hasta oluşturdu. Araştırma verilerinin toplanmasında bireysel tanımlama formu, Yaşam Kalitesi Kısa Formu ve Pittsburgh Uyku Kalitesi İndeksi kullanıldı. Araştırma analizinde tanımlayıcı istatistikler (yüzde ve sayı), Pearson korelasyon testi, bağımsız değişkenler için Student t-testi, ANOVA ve lineer regresyon analizi kullanıldı.
Bulgular: Çalışmada hastaların ortalama yaşı 47.19±11.29 (min: 24, max: 73), ortalama nakil süresi 94.92±75.23 ay idi. Böbrek nakli hastalarının ortalama PSQI ve SF-36 puanları sırasıyla 4.91±3,09 ve 65.49±18.18 idi. Böbrek nakli hastalarında uyku kalitesi ile yaşam kalitesi arasında istatistiksel olarak anlamlı bir ilişki vardı (r=-0.511, p=0.0001).
Sonuç: Çalışmada hastaların uyku kalitesi arttıkça yaşam kalitesinin arttığı görüldü.

Anahtar Kelimeler

böbrek nakli, uyku kalitesi, yaşam kalitesi

Kaynakça

• 1. Barroso R, Silva-Filho AC, Dias CJ, Soares N, Mostarda A, Azoubel LA, et al. Effect of exercise training in heart rate variability, anxiety, depression, and sleep quality in kidney recipients: A preliminary study. J Health Psychol. 2019;24(3):299–308.
• 2. Burkhalter H, Brunner DP, Wirz-Justice A, Cajochen C, Weaver TE, Steiger J, et al. Self-reported sleep disturbances in renal transplant recipients. BMC Nephrol. 2013;14(1):1–12.
• 3. Patel SS, Jain V, Kimmel PL. Sleep and Quality of Life in Renal Disease. Sleep and Quality of Life in Clinical Medicine. 2008;389–99.
• 4. Liaveri PG, Dikeos D, Ilias I, Lygkoni EP, Boletis IN, Skalioti C, et al. Quality of sleep in renal transplant recipients and patients on hemodialysis. J Psychosom Res. 2017;93:96–101.
• 5. Rodrigue JR, Mandelbrot DA, Pavlakis M. A psychological intervention to improve quality of life and reduce psychological distress in adults awaiting kidney transplantation. Nephrology Dialysis Transplantation. 2011;26(2):709.
• 6. Brekke FB, Waldum-Grevbo B, von der Lippe N, Os I. The effect of renal transplantation on quality of sleep in former dialysis patients. Transpl Int. 2017;30(1):49–56.
• 7. Liu HX, Lin J, Lin XH, Wallace L, Teng S, Zhang SP, et al. Quality of sleep and health-related quality of life in renal transplant recipients. Int J Clin Exp Med. 2015;8(9):16191.
• 8. Lu M, Xia H, Ma J, Lin Y, Zhang X, Shen Y, et al. Relationship between adherence to secondary prevention and health literacy, self-efficacy and disease knowledge among patients with coronary artery disease in China. European journal of cardiovascular nursing. 2020;19(3):230–7.
• 9. Zhang P, Liu XL, Li X, Yang JH, Zhang RM. Association between the fatigue and sleep quality of kidney transplant recipients: The mediating role of rumination. 2021;
• 10. Health Research and Services Administration. Organ Donation Statistics. Erişim: https://www.organdonor.gov/learn/organ-donation-statistics Erişim tarihi: 02.04.2022
• 11. Turkey Tissue Organ Transplantation and Dialysis Services Department. Turkey Organ Transplantation Statistics. Erişim: https://organkds.saglik.gov.tr/dss/PUBLIC/Transplant_Kidney.aspx Erişim tarihi: 07.04.2022
• 12. Parajuli S, Tiwari R, Clark DF, Mandelbrot DA, Djamali A, Casey K. Sleep disorders: Serious threats among kidney transplant recipients. Transplant Rev (Orlando). 2019;33(1):9–16.
• 13. Kachuee H, Ameli J, Taheri S, Assari S, Riahipour F, Khedmat H, et al. Sleep quality and its correlates in renal transplant patients. Transplant Proc. 2007;39(4):1095–7.
• 14. Molnar MZ, Novak M, Szeifert L, Ambrus C, Keszei A, Koczy A, et al. Restless legs syndrome, insomnia, and quality of life after renal transplantation. J Psychosom Res. 2007;63(6):591–7.
• 15. Xie J, Wang L, Tang X, Yi Y, Ding S, Yan J, et al. Sleep Quality and Related Psychosocial Variables Among Renal Transplant Patients. Transplant Proc. 2018;50(10):3426–33.
• 16. George D, Paul Mallery with. SPSS for Windows Step by Step A Simple Guide and Reference Fourth Edition (11.0 update) Answers to Selected Exercises. 2010. 1–63 p.
• 17. Kocyigit G, Aydemir O, Fisek G, Memis A. Kısa Form – 36’nın kısa formunun güvenirlik ve geçerliliği. İlaç ve Tedavi Dergisi. 1999;12(2):101–6.
• 18. Agargun M, Kara H, Anlar O. The Validity and Reliability of the Pittsburgh Sleep Quality Index. Türk Psikiyatri Dergisi. 1996;7(2):107–15.
• 19. Hasanzamani B, Pourranjbar E, Ardani AR. Comparing Sleep Quality in Patients Before and After Kidney Transplantation. Iran J Kidney Dis. 2020;14:133–8.
• 20. Czyżewski, Frelik P, Wyzgał J, Szarpak. Evaluation of Quality of Life and Severity of Depression, Anxiety, and Stress in Patients After Kidney Transplantation. Transplant Proc. 2018;50(6):1733–7.
• 21. Jansz TT, Bonenkamp AA, Boereboom FTJ, Van Reekum FE, Verhaar MC, Van Jaarsveld BC. Health-related quality of life compared between kidney transplantation and nocturnal hemodialysis. PLoS One. 2018;13(9): 0204-405.
• 22. Fernández-Jiménez E, Pérez-San-Gregorio MA, Martín-Rodríguez A, Pérez-Bernal J, Izquierdo G. Evolution of quality of life in renal transplant recipients and patients with multiple sclerosis: a follow-up study. Transplant Proc. 2013;45(10):3616–9.
• 23. Sarhan AL, Jarareh RH, Shraim M. Quality of life for kidney transplant recipients and hemodialysis patients in Palestine: a cross-sectional study. BMC Nephrol. 2021;22(1):1–7.
• 24. Tamura Y, Urawa A, Watanabe S, Hasegawa T, Ogura T, Nishikawa K, et al. Mood Status and Quality of Life in Kidney Recipients After Transplantation. Transplant Proc. 2018;50(8):2521–5.
• 25. Milaniak I, Rużyczka EW, Dębska G, Król B, Wierzbicki K, Tomaszek L, et al. Level of Life Quality in Heart and Kidney Transplant Recipients: A Multicenter Study. Transplant Proc. 2020;52(7):2081–6.
• 26. Gentile S, Beauger D, Speyer E, Jouve E, Dussol B, Jacquelinet C, et al. Factors associated with health-related quality of life in renal transplant recipients: results of a national survey in France. Health Qual Life Outcomes. 2013;11(1):88.
• 27. Peipert JD, Caicedo JC, Friedewald LJ, Abecassiz MMI, Cella D, Lander DP, et al. Trends and predictors of multidimensional health related quality of life after living donor kidney transplantation. Quality of Life Research. 2020;29:2355–74.