An Exploratory Study of Sleep Quality After Lung Transplantation Using the Pittsburgh Sleep Quality Index.
Jane Simanovski, Jody Ralph, Sherry Morrell
PMID 40525529WHAT IT FOUND
Sixty-one lung transplant recipients reported poor sleep: 64% scored above the threshold for poor quality.
Most woke to use the bathroom or had low sleep efficiency, and nearly half used sleep medications in the past month.
Key findings
01Sixty-four percent of participants had PSQI scores greater than 5, indicative of poor sleep quality.
02Eighty-eight point six percent reported having to get up to use the bathroom more than once per week.
03Forty-five percent reported using sleep medications at least once in the last month.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Single-center study with a small sample (n=61) and a low response rate (38.4%), which limits generalizability and introduces potential selection bias. Cross-sectional design prevents identifying causes or changes in sleep quality over time. Reliance on self-reported data introduces recall bias. The PSQI was not specifically validated in the lung transplant population.
Declared interests
Not reported.
The easy way to misread this
Do not assume that sleep problems in these patients are due to poor sleep habits or anxiety alone. The high prevalence of nocturia and low sleep efficiency suggests physiological drivers like diuretic use and post-transplant comorbidities are primary factors.