Factors contributing to poor sleep quality as perceived by heart transplant recipients in taiwan
Journal
Transplantation Proceedings
Journal Volume
46
Journal Issue
3
Pages
903-906
Date Issued
2014
Author(s)
Abstract
Background The aims of this project were to explore the factors contributing to poor sleep quality at 1 to 3 years after heart transplantation (post-HT), and to explore economic problems and social support for HT recipients (HTRs). Methods This study used a cross-sectional retrospective triangulation approach combining qualitative and quantitative research method designs. Quantitative data included data from the visual analog scale and the Taiwanese version of the World Health Organization Quality of Life questionnaire. Qualitative data were derived from questions that explored physiological, psychological, and economic factors contributing to poor sleep quality postprocedure for HTRs. Results Sixty-four subjects (81% male, 19% female) participated in this research. Their ages ranged from 20 to 70 (M = 46.88 ± 12.12) years old. Their post-HT timeframe ranged from 1 to 4.10 years; 33% received preoperative extracorporeal membrane oxygenation support. Sleeping disturbances were reported by 72.7% of subjects after HT. Poor sleeping quality at 2 to 3 years post-HT (P =.028) was a complaint, and was worse than at 1 to 2 years post-HT (P =.008). Six physiological (62.5%) and 3 psychological (37.5%) contributing factors were further identified in qualitative interviews. Physiological factors were the major causes affecting their sleep quality 2 to 3 years after HT, whereas psychological factors arose from various family roles, responsibilities, and economic-related pressures. Conclusions Medical teams should find the causes that lead to sleep disturbances and use the findings to improve HTR sleep quality. When the family financial status is affected, these teams should offer assistance and suggestions for patients who are unable to work due to post-HT physical decline. Establishing and providing good family support systems or patient support groups may allow patients to obtain physical, psychological, and spiritual comfort. ? 2014 by Elsevier Inc. All rights reserved.
SDGs
Other Subjects
acute graft rejection; adult; aged; cardiac graft rejection; chronic graft rejection; conference paper; congestive cardiomyopathy; cross-sectional study; economic aspect; extracorporeal oxygenation; family; female; graft infection; graft recipient; heart failure; heart transplantation; human; ischemic cardiomyopathy; major clinical study; male; postoperative period; preoperative treatment; priority journal; psychological aspect; qualitative research; quality of life; quantitative analysis; questionnaire; retrospective study; semi structured interview; sleep quality; social support; spiritual care; support group; Taiwan; ventricular assist device; visual analog scale; world health organization quality of life questionnaire; middle aged; pathophysiology; sleep; Sleep Disorders; Adult; Cross-Sectional Studies; Extracorporeal Membrane Oxygenation; Female; Heart Transplantation; Humans; Male; Middle Aged; Retrospective Studies; Sleep; Sleep Disorders; Taiwan
Publisher
Elsevier USA
Type
conference paper