Simanovski Jane, Ralph Jody, Morrell Sherry
Faculty of Nursing, University of Windsor, Windsor, Ontario, Canada.
Transplant Institute, Henry Ford Hospital, Detroit, MI, USA.
Prog Transplant. 2025 Sep;35(3):150-157. doi: 10.1177/15269248251349752. Epub 2025 Jun 17.
Sleep is essential for maintaining optimal physical and mental health as it supports crucial functions such as cognition, immune system regulation, and overall well-being. A growing emphasis on the importance of sleep warrants an investigation of sleep quality after lung transplantation. What is the overall prevalence, nature, and severity of patient-reported disrupted sleep quality after lung transplantation using the Pittsburgh Sleep Quality Index (PSQI)? This study employed a single-site, exploratory, cross-sectional descriptive design involving lung transplant recipients who completed an anonymous survey. Sleep quality was assessed using the PSQI scale. Additionally, participants provided self-reported data on demographic and transplant-related variables. The response rate was 38.4% (61/158) and 64% of the respondents (39/61) demonstrated PSQI >5 with a mean PSQI score of 8.07 (SD = 4.5), suggestive of poor sleep quality. Lung transplant recipients reported difficulties across all components of sleep quality with more challenges in the categories of sleep duration, sleep latency, sleep efficiency, and the use of sleep medications. The prevalence of poor subjective sleep quality among lung transplant recipients highlighted the importance of continued investigation into this phenomenon. Further research employing standardized measures, larger sample sizes, and longitudinal study designs is warranted to enhance understanding of poor sleep post-lung transplant. Such endeavors are crucial for informing the development of effective assessment strategies and interventions aimed at improving sleep outcomes in patients after lung transplantation.
睡眠对于维持最佳身心健康至关重要，因为它支持认知、免疫系统调节和整体幸福感等关键功能。对睡眠重要性的日益重视使得有必要对肺移植后的睡眠质量进行调查。使用匹兹堡睡眠质量指数（PSQI）评估，肺移植后患者报告的睡眠质量受干扰的总体患病率、性质和严重程度如何？本研究采用单中心、探索性、横断面描述性设计，纳入完成匿名调查的肺移植受者。使用PSQI量表评估睡眠质量。此外，参与者提供了关于人口统计学和移植相关变量的自我报告数据。回应率为38.4%（61/158），64%的受访者（39/61）PSQI>5，平均PSQI得分为8.07（标准差=4.5），提示睡眠质量差。肺移植受者报告在睡眠质量的所有方面都存在困难，在睡眠时间、入睡潜伏期、睡眠效率和使用睡眠药物等方面面临更多挑战。肺移植受者中主观睡眠质量差的患病率凸显了持续调查这一现象的重要性。有必要采用标准化测量、更大样本量和纵向研究设计进行进一步研究，以加深对肺移植后睡眠不佳的理解。此类努力对于制定有效的评估策略和干预措施以改善肺移植患者的睡眠结果至关重要。
