Volume 19 Issue 10
Oct.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(10): 1755-1759
PENG Fu-cong, WANG Han, HU Shu-jing, LI Xin, GUO Xue-jie, LIU Hong-xia. Association between frailty and sleep quality in kidney transplant recipients[J]. Chinese Journal of General Practice, 2021, 19(10): 1755-1759. doi: 10.16766/j.cnki.issn.1674-4152.002160
Citation: PENG Fu-cong, WANG Han, HU Shu-jing, LI Xin, GUO Xue-jie, LIU Hong-xia. Association between frailty and sleep quality in kidney transplant recipients[J]. Chinese Journal of General Practice, 2021, 19(10): 1755-1759. doi: 10.16766/j.cnki.issn.1674-4152.002160
shu

Association between frailty and sleep quality in kidney transplant recipients

doi: 10.16766/j.cnki.issn.1674-4152.002160
  • 1.

    School of Nursing, Beijing University of Chinese Medicine, Beijing 102488, China

Funds:

 81572235

  • Received Date: 2021-02-07
    Available Online: 2022-02-15
    Abstract
  •   Objective  To explore the association between frailty and sleep quality in order to provide evidence for the prevention and treatment of frailty in kidney transplant recipients.  Methods  A questionnaire survey was conducted among 200 renal transplant recipients. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI), and frailty was measured using the Tilburg frailty indicator. Non-parametric tests were used for comparing the differences of sleep quality between frail and non-frail recipients. Spearman correlations were used to analyse the relationship between sleep quality and frailty in kidney transplant recipients.  Results  The rate of frailty was 41%, with medianscores of 3 (2, 6). The highest score was recorded in the area of physical frailty. Twenty percent of recipients had poor sleep quality, with common sleep problems such as daytime dysfunction (39.50%), sleep latency (35.50%) and subjective sleep quality (22.50%). The results of non-parametric tests suggested that the sleep quality was significantly better in non-frail renal transplant recipients than in frail recipients (Z=-5.745, P < 0.001). The PSQI score of kidney transplant recipients was positively correlated with the TFI score, with a correlation coefficient of r=0.452 (P < 0.001). Physical and psychological frailty were related to several sleep problems. Amongst the components of the PSQI, daytime dysfunction and frailty had the strongest correlation (r=0.491, P < 0.001).  Conclusion  The incidence of frailty in kidney transplant recipients is high, and some of them face multiple sleep problems. Poor night-time sleep quality rather than inadequate sleep duration may be related to frailty. Recipients with poor sleep quality may experience frailty, suggesting that nurses should pay more attention to identifying sleep disorders, especially sleep irregularity, frequent nocturnal awakenings and sleep breathing disorders, so as to provide effective interventions and improve sleep quality in kidney transplant recipients.

     

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