Self-reported poor quality of sleep in solid organ transplant: A systematic review.

Self-reported poor quality of sleep in solid organ transplant: A systematic review.
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DOI:
10.1016/j.trre.2021.100650
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发表时间:
2021-12
期刊:
Transplantation reviews (Orlando, Fla.)
影响因子:
--
通讯作者:
Riegel B
Riegel B
中科院分区:
其他
文献类型:
--
作者:
Cordoza M;Koons B;Perlis ML;Anderson BJ;Diamond JM;Riegel B

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充足的高质量睡眠对整体健康和幸福至关重要。自我报告的睡眠质量差、睡眠时间不规律、频繁醒来或持续时间缩短,在整个实体器官移植过程中都很常见。本系统综述旨在总结有关实体器官移植候选人和接受者自我报告睡眠质量差率的现有文献。系统检索PubMed/MEDLINE、Embase、Web of Science、CINHAL和PsychInfo数据库中的已发表文献,无日期限制。使用标准化问卷对等待或接受实体器官移植(心、肺、肾、肝、胰腺或多实体器官)的成年人进行自我报告睡眠质量的英文原创文章被纳入研究。在潜在的2054篇文章中,44篇被纳入(63.6%的肾移植,20.5%的肝移植,11.4%的肺移植,4.5%的多器官移植人群),大多数(68.2%)只关注移植后人群。没有纳入单独关注心脏或胰腺移植人群的文章。平均而言,从移植候选者到移植后,睡眠质量改善最大的移植人群(报告为睡眠质量差、失眠、睡眠障碍或睡眠不满意)是肾移植患者(从移植前的53.5%到移植后的38.9%),其次是肝移植患者(从移植前的52.8%到移植后的46.3%),而肺移植患者在移植前和移植后保持相似(从移植前的55.6%到移植后的52%)。睡眠质量差通常与焦虑和抑郁、生活质量差、不宁腿综合征和更高的合并症有关。在所有实体器官移植人群中,无论是移植前还是移植后,睡眠质量差的报告都非常普遍。未来的研究应该在移植过程的所有阶段纵向评估睡眠质量,更多的研究应该集中在如何优化实体器官移植人群的睡眠上。
High quality sleep of sufficient duration is vital to overall health and wellbeing. Self-reported poor quality of sleep, sleep reported as irregular in timing, marked by frequent awakenings, or shortened in duration, is common across the solid-organ transplant trajectory. This Systematic Review aimed to summarize available literature on rates of self-reported poor quality of sleep among solid organ transplant candidates and recipients. A systematic search of published literature was conducted in PubMed/MEDLINE, Embase, Web of Science, CINHAL, and PsychInfo databases with no date restrictions. Original articles in the English language describing self-reported quality of sleep using standardized questionnaires in adults either waitlisted for, or who received a solid organ transplant (heart, lung, kidney, liver, pancreas, or multi-solid organ) were included. Of a potential 2,054 articles identified, 44 were included (63.6% renal transplant, 20.5% liver transplant, 11.4% lung transplant, and 4.5% included multiple organ transplant populations), with the majority (68.2%) focusing only on post-transplant populations. No included articles focused solely on heart or pancreas transplant populations. On average, the transplant population with the greatest improvement in quality of sleep (reported as poor sleep quality, insomnia, sleep disturbance, or sleep dissatisfaction) from transplant candidacy to post-transplantation were renal transplant (from 53.5% pre, to 38.9% post) followed by liver transplant patients (from 52.8% pre, to 46.3% post), while lung transplant patients remained similar pre- to post-transplantation (55.6% pre, to 52% post). Poor quality of sleep was frequently associated with anxiety and depression, poorer quality of life, restless legs syndrome, and higher comorbidity. Reports of poor quality of sleep are highly prevalent across all solid-organ transplant populations, both pre- and post-transplantation. Future studies should assess quality of sleep longitudinally throughout all phases of the transplantation trajectory, with more research focusing on how to optimize sleep in solid organ transplant populations.
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