Objectives: Sleep quality in kidney transplant recipients is closely associated with symptoms of fatigue and depression. Although subjective assessment tools like the Pittsburgh Sleep Quality Index and the Richards-Campbell Sleep Questionnaire (RCSQ) are widely used to evaluate sleep quality, there is a lack of studies utilizing polysomnography for objective evaluation. This study aims to investigate the correlation between sleep quality, fatigue, and depression in kidney transplant recipients using both subjective and objective methods, providing scientific evidence for improving their quality of life.
Methods: The cross-sectional study conveniently sampled 50 kidney transplant recipients from a transplant center in a general hospital between August 2018 and March 2020. Subjective and objective sleep parameters were evaluated using the RCQS and polysomnography, respectively. The Fatigue Severity Scale was used to assess fatigue, and the Hamilton Depression Scale was employed to measure depression levels.
Results: A lower proportion of rapid eye movement (REM) sleep was associated with increased fatigue. Additionally, higher wake time percentages and poorer sleep quality were significantly correlated with greater depression severity.
Conclusions: This study underscores the critical importance of effectively managing sleep quality in kidney transplant recipients and addressing their fatigue and depression symptoms. These findings lay a foundation for developing targeted nursing and therapeutic strategies.
目的: 肾移植受者的睡眠质量与其疲劳和抑郁症状密切相关。尽管目前广泛采用主观评估工具如匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index)和理查兹-坎贝尔睡眠问卷(Richards-Campbell Sleep Questionnaire,RCSQ)来评估睡眠质量,但使用多导睡眠图进行客观评价的研究仍较为匮乏。本研究旨在综合主观与客观手段,深入探究肾移植受者的睡眠质量与疲劳、抑郁之间的关联,为改善此类患者的生活质量提供科学依据。方法: 本研究采用横断面设计,于2018年8月至2020年3月从某综合医院移植中心便利抽取了50名肾移植受者。采用RCSQ和多导睡眠图分别评估研究参与者的主观和客观睡眠参数。同时,利用疲劳严重程度量表评估疲劳状况,并采用汉密尔顿抑郁量表测量抑郁程度。结果: 较低的快速眼动睡眠比例与疲劳加重相关。此外,觉醒时间占比较高和睡眠质量较差与抑郁严重程度增加显著相关。结论: 本研究强调了有效管理肾移植受者睡眠质量、积极关注并干预其疲劳和抑郁症状的重要性,为制订针对性的护理和治疗策略奠定了基础。.
Keywords: depression; fatigue; kidney transplantation; psychology; sleep.