Sleep Quality and Related Factors Among Liver Transplant Recipients in Korea: A Cross-Sectional Study

Background: Poor sleep quality is common after liver transplantation, which lowers health-related quality of life. However, the detection and management of sleeping difficulties in liver transplant recipients have been limited. Purpose: This study was designed to assess sleep quality in liver transp...

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Bibliographic Details
Published inThe Journal of Nursing Research Vol. 31; no. 4; p. 005
Main Authors Serah LIM, Mona CHOI, Heejung KIM, Jong Man KIM
Format Journal Article
LanguageChinese
Published 台灣 臺灣護理學會 01.08.2023
Subjects
depression
family support
liver transplantation recipients
MEDLINE
SCIE
Scopus
sleep quality
SSCI
symptom experience
TSCI
TSSCI
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Summary:Background: Poor sleep quality is common after liver transplantation, which lowers health-related quality of life. However, the detection and management of sleeping difficulties in liver transplant recipients have been limited. Purpose: This study was designed to assess sleep quality in liver transplant recipients in Korea and associated factors, including symptom experience, depression, and family support, using the theory of unpleasant symptoms as a theoretical framework. Methods: This cross-sectional study of 149 liver transplant recipients in a Korean tertiary hospital was conducted in 2019. Data were obtained using several structured self-report questionnaires, including the Pittsburgh Sleep Quality Index, Modified Transplant Symptom Occurrence and Symptom Distress Scale, Center for Epidemiologic Studies Depression Scale- Revised, and Family Support Scale. Multiple linear regression was used to determine the factors associatedwith sleep quality. Results: The prevalence of sleep disturbance was 55% in the sample. Low sleep quality was associated with being female and with having a higher symptom experience, higher depressive symptoms, and lower family support. In the multiple linear regression analysis, depression and symptom experience was shown to significantly affect sleep quality. Conclusions/Implications for Practice: The liver transplant recipients in this study reported poor sleep quality. The factors associated with the sleep quality included depression and symptom experience. To enhance sleep quality, interventions designed to reduce depression and symptoms related to liver transplantation should be provided. The results of this study may be used to develop nursing strategies to improve sleep quality in liver transplant recipients.
ISSN:1682-3141