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Self-reported sleep disturbances in renal transplant recipients

机译:肾移植受者自我报告的睡眠障碍

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Background Poor sleep quality (SQ) and daytime sleepiness (DS) are common in renal transplant (RTx) recipients; however, related data are rare. This study describes the prevalence and frequency of self-reported sleep disturbances in RTx recipients. Methods This cross-sectional study included 249 RTx recipients transplanted at three Swiss transplant centers. All had reported poor SQ and / or DS in a previous study. With the Survey of Sleep (SOS) self-report questionnaire, we screened for sleep and health habits, sleep history, main sleep problems and sleep-related disturbances. To determine a basis for preliminary sleep diagnoses according to the International Classification of Sleep Disorders (ICSD), 164 subjects were interviewed (48 in person, 116 via telephone and 85 refused). Descriptive statistics were used to analyze the data and to determine the frequencies and prevalences of specific sleep disorders. Results The sample had a mean age of 59.1?±?11.6?years (60.2% male); mean time since Tx was 11.1?±?7.0?years. The most frequent sleep problem was difficulty staying asleep (49.4%), followed by problems falling asleep (32.1%). The most prevalent sleep disturbance was the need to urinate (62.9%), and 27% reported reduced daytime functionality. Interview data showed that most suffered from the first ICSD category: insomnias. Conclusion Though often disregarded in RTx recipients, sleep is an essential factor of wellbeing. Our findings show high prevalences and incidences of insomnias, with negative impacts on daytime functionality. This indicates a need for further research on the clinical consequences of sleep disturbances and the benefits of insomnia treatment in RTx recipients.
机译:背景肾移植(RTx)接受者常见睡眠质量(SQ)和日间嗜睡(DS)。但是,相关数据很少。这项研究描述了RTx接收者自我报告的睡眠障碍的发生率和频率。方法这项横断面研究包括在三个瑞士移植中心移植的249位RTx受体。在先前的研究中,所有人都报告了不良的SQ和/或DS。通过睡眠调查(SOS)自我报告调查表,我们筛选了睡眠和健康习惯,睡眠历史,主要睡眠问题以及与睡眠有关的障碍。为了确定根据国际睡眠障碍分类(ICSD)进行初步睡眠诊断的基础,我们对164名受试者进行了访谈(当面48名,通过电话116名,拒绝85名)。描述性统计数据用于分析数据并确定特定睡眠障碍的发生频率和患病率。结果样本的平均年龄为59.1±11.6岁(男性为60.2%)。自Tx以来的平均时间为11.1±±7.0年。最常见的睡眠问题是难以入睡(49.4%),其次是入睡问题(32.1%)。最普遍的睡眠障碍是需要排尿(62.9%),而27%的人报告其白天功能下降。访谈数据显示,大多数人患有ICSD的第一类失眠。结论尽管在RTx接受者中经常被忽视,但睡眠是幸福的重要因素。我们的发现表明失眠的患病率和发病率很高,对白天的功能产生负面影响。这表明需要进一步研究RTx接受者睡眠障碍的临床后果和失眠治疗的益处。

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