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

  • Dnyelle Souza Silva Universidade de São Paulo; Faculdade de Medicina; Hospital das Clínicas; Renal Transplantation Service
  • Elisangela dos Santos Prado Andrade Universidade de São Paulo; Faculdade de Medicina; Hospital das Clínicas
  • Rosilene Motta Elias Universidade de São Paulo; Faculdade de Medicina; Hospital das Clínicas; Dialysis Unit
  • Elias David-Neto Universidade de São Paulo; Faculdade de Medicina; Hospital das Clínicas; Renal Transplantation Service Division of Urology
  • William Carlos Nahas Universidade de São Paulo; Faculdade de Medicina; Hospital das Clínicas; Renal Transplantation Service Division of Urology
  • Manuel Carlos Martins de Castro Universidade de São Paulo; Faculdade de Medicina; Hospital das Clínicas; Dialysis Unit
  • Maria Cristina Ribeiro de Castro Universidade de São Paulo; Faculdade de Medicina; Hospital das Clínicas; Heart Institute Renal Transplantation Service Laboratory of Immunology
Keywords: Quality of Life, Sleep, Renal 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.

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Published
2012-12-01
How to Cite
Silva, D., Andrade, E., Elias, R., David-Neto, E., Nahas, W., Castro, M., & Castro, M. (2012). The perception of sleep quality in kidney transplant patients during the first year of transplantation . Clinics, 67(12), 1365-1371. https://doi.org/10.6061/clinics/2012(12)04
Section
Clinical Sciences