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肝移植受者睡眠质量及不确定性不耐受情况的调查:一项横断面研究

Investigation of Sleep Quality and Intolerance of Uncertainty in Liver Transplant Recipients: A Cross-Sectional Study.

作者信息

Savsar Adile, Karayurt Özgül, Kiliç Murat, Kul Gülay Aksu

机构信息

Faculty of Health Science Department of Nursing, Izmir University of Economics, Izmir, Turkey.

Liver Transplant Center, Acibadem City Hospital, Izmir, Turkey.

出版信息

Nurs Health Sci. 2025 Mar;27(1):e70029. doi: 10.1111/nhs.70029.

DOI:10.1111/nhs.70029
PMID:39833657
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11752167/
Abstract

Liver transplant recipients experience many uncertainties after transplantation. Also, sleep problems are common among them. This study aimed to examine intolerance of uncertainty and sleep quality in liver transplant recipients. A descriptive and cross-sectional study was conducted with 117 liver transplant recipients followed in the outpatient clinic of a liver transplant center. Data were collected using a sociodemographic and clinical features form, the Intolerance of Uncertainty Scale-12 and the Pittsburgh Sleep Quality Index between May and September in 2023. The data were analyzed using descriptive statistics, correlation analysis and regression analysis. The recipients had a high mean score of 41.04 ± 13.11 (min-max: 12-60) on the Intolerance of Uncertainty Scale-12. Age was predictive of uncertainty. Indeed, young recipients had higher intolerance of uncertainty. The recipients had a low score of 7.33 ± 3.57 (min-max: 1-21) on the Pittsburgh Sleep Quality Index. The prevalence of sleep problems was 65%. Experiencing complications after transplantation was predictive of and worsened sleep quality. The sleep quality of the recipients had no relation with intolerance of uncertainty and inhibitory anxiety, but it had a relation with prospective anxiety.

摘要

肝移植受者在移植后会经历许多不确定性。此外,睡眠问题在他们当中也很常见。本研究旨在调查肝移植受者对不确定性的不耐受情况和睡眠质量。对一家肝移植中心门诊随访的117名肝移植受者进行了一项描述性横断面研究。于2023年5月至9月期间,使用社会人口学和临床特征表格、不确定性不耐受量表-12以及匹兹堡睡眠质量指数收集数据。采用描述性统计、相关性分析和回归分析对数据进行分析。受者在不确定性不耐受量表-12上的平均得分较高,为41.04±13.11(最小值-最大值:12-60)。年龄是不确定性的预测因素。事实上,年轻受者对不确定性的不耐受程度更高。受者在匹兹堡睡眠质量指数上的得分为7.33±3.57(最小值-最大值:1-21),得分较低。睡眠问题的患病率为65%。移植后出现并发症是睡眠质量的预测因素,且会使睡眠质量恶化。受者的睡眠质量与不确定性不耐受和抑制性焦虑无关,但与预期性焦虑有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b02a/11752167/c3af37c87d2c/NHS-27-e70029-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b02a/11752167/c3af37c87d2c/NHS-27-e70029-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b02a/11752167/c3af37c87d2c/NHS-27-e70029-g001.jpg

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本文引用的文献

1
The impact of socioeconomic deprivation on liver transplantation.社会经济剥夺对肝移植的影响。
Front Transplant. 2024 Feb 27;3:1352220. doi: 10.3389/frtra.2024.1352220. eCollection 2024.
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Is socioeconomic deprivation associated with worse quality of life, anxiety and depression in liver transplant recipients? A cross-sectional study in a national transplantation programme.
社会经济剥夺是否与肝移植受者的生活质量更差、焦虑和抑郁有关?一项全国性移植项目的横断面研究。
BMJ Open. 2023 Aug 9;13(8):e070422. doi: 10.1136/bmjopen-2022-070422.
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Sleep Quality and Related Factors Among Liver Transplant Recipients in Korea: A Cross-Sectional Study.韩国肝移植受者的睡眠质量及相关因素:一项横断面研究。
J Nurs Res. 2023 Aug 1;31(4):e286. doi: 10.1097/jnr.0000000000000567.
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Liver Transplantation 2023: Status Report, Current and Future Challenges.肝脏移植 2023:现状报告、当前和未来的挑战。
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7
Evaluation of sleep disorders before and after transplantation in patients undergoing hematopoietic stem cell transplantation.评价造血干细胞移植患者移植前后的睡眠障碍。
Eur Rev Med Pharmacol Sci. 2022 Dec;26(23):8935-8944. doi: 10.26355/eurrev_202212_30568.
8
The relationship between anxiety and stress levels with quality of sleep in patients after living donor liver transplantation.焦虑和压力水平与活体肝移植后患者睡眠质量的关系。
Transpl Immunol. 2022 Apr;71:101561. doi: 10.1016/j.trim.2022.101561. Epub 2022 Feb 25.
9
Self-reported poor quality of sleep in solid organ transplant: A systematic review.实体器官移植受者自述睡眠质量差:系统评价。
Transplant Rev (Orlando). 2021 Dec;35(4):100650. doi: 10.1016/j.trre.2021.100650. Epub 2021 Sep 14.
10
Patients' Experiences of Life Challenges After Liver Transplantation: A Qualitative Study.肝移植后患者应对生活挑战的经历:一项定性研究。
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