Association between the fatigue and sleep quality of kidney transplant recipients: The mediating role of rumination

Autor: Xiao-Li Liu, Xin Li, Rong-Mei Zhang, ping zhang, Jing-Hua Yang
Rok vydání: 2021
Předmět:
DOI: 10.21203/rs.3.rs-959749/v1
Popis: Background Sleep disorders persist in renal transplant patients and are an important determinant of low quality of life. This study aims to investigate the mediating role of rumination in the relationship between fatigue and sleep quality in kidney transplant recipients. Method A descriptive cross-sectional research design was implemented from April to September 2021.A general information questionnaire, Pittsburgh Sleep Quality Index (PSQI), Multidimensional Fatigue Inventory (MFI-20), and Rumination Response Scale (RRS) were used to investigate 192 kidney transplant patients who were re-examined at the outpatient departments of three first-class hospitals in Jinan, Shandong Province, China. The Pearson’s correlation coefficient and mediation analyses were used for the statistical and descriptive statistics analyses. Results The prevalence of sleep disorders among kidney transplant recipients was 19.3%. With rumination as a mediator, fatigue indirectly affected the patients’ sleep quality. This indirect effect was 0.10 (95% confidence interval: 0.154, 0.419). Medical staff should focus on fatigue symptoms and rumination of patients to enhance sleep quality of kidney transplant recipients. Conclusions The incidence of sleep disorders after renal transplantation was high.Rumination exerts a mediating role between fatigue and sleep quality.
Databáze: OpenAIRE