Patient-Reported Outcome Measures to Determine Sleep Problems in Adults With Chronic Kidney Disease: A Systematic Review

IF 1.5 4区医学 Q3 NURSING

Journal of renal care Pub Date : 2025-10-04 DOI:10.1111/jorc.70032

Wan-Shan Chiang, Louise Purtell, Katina Corones-Watkins, Ann Bonner

{"title":"Patient-Reported Outcome Measures to Determine Sleep Problems in Adults With Chronic Kidney Disease: A Systematic Review","authors":"Wan-Shan Chiang, Louise Purtell, Katina Corones-Watkins, Ann Bonner","doi":"10.1111/jorc.70032","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Adults with chronic kidney disease are prone to sleep problems, which can impact sleep quality and harm physical and mental wellbeing. Subjective sleep instruments help assess sleep quality and symptom severity. Evaluating the characteristics and psychometric properties of these instruments aids health practitioners in selecting suitable tools.</p>\n </section>\n \n <section>\n \n <h3> Objective</h3>\n \n <p>To identify optimal patient-reported outcome measures for assessing sleep quality and/or problems in the chronic kidney disease population.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>Systematic review.</p>\n </section>\n \n <section>\n \n <h3> Participants</h3>\n \n <p>Adults with chronic kidney disease.</p>\n </section>\n \n <section>\n \n <h3> Measurements</h3>\n \n <p>A comprehensive search was conducted in CINAHL, MEDLINE, Embase, the Cochrane Library, PsycINFO, and JBI for studies published between January 2010 and December 2023. Methodological quality was evaluated using COSMIN-COMIT guidelines.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Nineteen instruments were identified. The Pittsburgh Sleep Quality Index, assessing both sleep quality and problems, was used in 73.8% of studies and has only been validated in kidney transplant populations. The Athens Insomnia Scale and Epworth Sleepiness Scale, while useful for insomnia and daytime sleepiness, provide narrower coverage, and the STOP-BANG and Berlin Questionnaire target sleep apnoea risk but are less practical for broad sleep assessment. These limitations may explain their less frequent use compared with the Pittsburgh Sleep Quality Index.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Future research should validate sleep instruments in non-transplant chronic kidney disease populations through comprehensive psychometric testing. Clinicians and researchers should carefully select multiple instruments to assess both overall sleep quality and sleep disorder-specific symptoms.</p>\n </section>\n </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 4","pages":""},"PeriodicalIF":1.5000,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jorc.70032","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of renal care","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jorc.70032","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Adults with chronic kidney disease are prone to sleep problems, which can impact sleep quality and harm physical and mental wellbeing. Subjective sleep instruments help assess sleep quality and symptom severity. Evaluating the characteristics and psychometric properties of these instruments aids health practitioners in selecting suitable tools.

Objective

To identify optimal patient-reported outcome measures for assessing sleep quality and/or problems in the chronic kidney disease population.

Design

Systematic review.

Participants

Adults with chronic kidney disease.

Measurements

A comprehensive search was conducted in CINAHL, MEDLINE, Embase, the Cochrane Library, PsycINFO, and JBI for studies published between January 2010 and December 2023. Methodological quality was evaluated using COSMIN-COMIT guidelines.

Results

Nineteen instruments were identified. The Pittsburgh Sleep Quality Index, assessing both sleep quality and problems, was used in 73.8% of studies and has only been validated in kidney transplant populations. The Athens Insomnia Scale and Epworth Sleepiness Scale, while useful for insomnia and daytime sleepiness, provide narrower coverage, and the STOP-BANG and Berlin Questionnaire target sleep apnoea risk but are less practical for broad sleep assessment. These limitations may explain their less frequent use compared with the Pittsburgh Sleep Quality Index.

Conclusion

Future research should validate sleep instruments in non-transplant chronic kidney disease populations through comprehensive psychometric testing. Clinicians and researchers should carefully select multiple instruments to assess both overall sleep quality and sleep disorder-specific symptoms.

Abstract Image

查看原文本刊更多论文

确定成人慢性肾病患者睡眠问题的患者报告结果措施：一项系统综述

患有慢性肾脏疾病的成年人容易出现睡眠问题，这可能会影响睡眠质量，损害身心健康。主观睡眠仪器有助于评估睡眠质量和症状严重程度。评估这些仪器的特征和心理测量特性有助于卫生从业人员选择合适的工具。目的确定评估慢性肾病人群睡眠质量和/或问题的最佳患者报告结果指标。设计系统评审。参与者是患有慢性肾脏疾病的成年人。我们在CINAHL、MEDLINE、Embase、Cochrane图书馆、PsycINFO和JBI中进行了全面的检索，检索了2010年1月至2023年12月间发表的研究。采用COSMIN-COMIT指南评价方法学质量。结果共鉴定出19种仪器。评估睡眠质量和睡眠问题的匹兹堡睡眠质量指数（Pittsburgh Sleep Quality Index）被用于73.8%的研究，只在肾移植人群中得到验证。雅典失眠症量表和埃普沃斯嗜睡量表虽然对失眠和白天嗜睡很有用，但覆盖范围较窄，STOP-BANG和柏林问卷针对的是睡眠呼吸暂停风险，但对广泛的睡眠评估不太实用。与匹兹堡睡眠质量指数相比，这些限制可能解释了它们使用频率较低的原因。结论未来的研究应通过全面的心理测试来验证非移植慢性肾病人群的睡眠仪器。临床医生和研究人员应该仔细选择多种工具来评估整体睡眠质量和睡眠障碍的特定症状。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of renal care Nursing-Advanced and Specialized Nursing

CiteScore

3.50

自引率

5.30%

发文量

期刊介绍： The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.