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Exploring Factors Associated with Sleep Quality After Lung Transplantation.

Seol Ju E Moon1, Megan Kazakoff1, Kristen B Jones1

  • 1University of Pittsburgh, School of Nursing, Pittsburgh, PA, USA.

Progress in Transplantation (Aliso Viejo, Calif.)
|June 24, 2025
PubMed
Summary

Poor sleep quality is common in lung transplant recipients, affecting recovery. Psychological distress and respiratory symptoms like wheezing significantly increase the odds of poor sleep.

Keywords:
lung transplantationphysical activitypsychological distressquantitative methodssecondary anlaysissleep quality

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Area of Science:

  • Medical research
  • Transplant surgery
  • Sleep medicine

Background:

  • Sleep quality is crucial for lung transplant recipient recovery, impacting overall health and exercise adherence.
  • Understanding factors influencing post-transplant sleep is vital for optimizing patient outcomes.

Purpose of the Study:

  • To investigate the associations between sleep quality and various factors in lung transplant recipients.
  • To identify clinical and psychological predictors of poor sleep quality in this population.

Main Methods:

  • Secondary analysis of data from a randomized controlled trial involving lung transplant recipients.
  • Collected baseline data on demographics, clinical characteristics, sleep quality (Pittsburgh Sleep Quality Index), physical activity, symptom burden, and psychological distress.
  • Utilized multivariate logistic regression to identify factors associated with poor sleep quality.

Main Results:

  • A high prevalence of poor sleep quality was observed, with 74% of participants meeting the criteria.
  • Psychological distress (anxiety, depression) and specific respiratory symptoms (cough, loud snoring, wheezing) were significantly associated with poor sleep quality.
  • Patients reporting any psychological distress had over 13 times increased odds of poor sleep (OR=13.72, P=.017); wheezing increased odds by nearly 11 times (OR=10.88, P=.037).

Conclusions:

  • Symptom burden and psychological distress are significant contributors to poor sleep quality in lung transplant recipients.
  • Clinical strategies should focus on detecting and managing these factors to improve sleep and optimize post-transplant recovery.
  • Further research is needed to develop targeted screening and treatment protocols for sleep disturbances in this patient group.