Volume 23 Issue 5
May  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(5): 871-875
LI Xiangru, LIU Hongxia, ZHAO Ying, LIN Keke, ZHANG Shuping, LIN Xiaohong. The effects of non-pharmacological interventions on sleep quality of kidney transplant recipients: a network meta-analysis[J]. Chinese Journal of General Practice, 2025, 23(5): 871-875. doi: 10.16766/j.cnki.issn.1674-4152.004021
Citation: LI Xiangru, LIU Hongxia, ZHAO Ying, LIN Keke, ZHANG Shuping, LIN Xiaohong. The effects of non-pharmacological interventions on sleep quality of kidney transplant recipients: a network meta-analysis[J]. Chinese Journal of General Practice, 2025, 23(5): 871-875. doi: 10.16766/j.cnki.issn.1674-4152.004021
shu

The effects of non-pharmacological interventions on sleep quality of kidney transplant recipients: a network meta-analysis

doi: 10.16766/j.cnki.issn.1674-4152.004021
  • 1.

    School of Nursing, Beijing University of Chinese Medicine, Beijing 100029, China

Funds:

 82072553

  • Received Date: 2024-10-22
    Available Online: 2025-08-14
    Abstract
  •   Objective  To evaluate the effects of different non-pharmacological interventions on sleep quality of kidney transplant recipients, and to provide evidence-based non-drug interventions for nursing practice.  Methods  Randomized controlled trials on the effects of non-pharmacological interventions on sleep quality of kidney transplant recipients were systematically searched from CNKI, Wanfang database, VIP database, Chinese Biomedical Literature Database, PubMed, Embase, and Cochrane Library. The search time limit was from the establishment of the database to August 2024. Network meta-analysis was performed using RStudio and Review Manager 5.4 software.  Results  Sixteen studies were ultimately included, including a total of 11 interventions, with a total of 1 262 kidney transplant recipients. Compared with the usual care group, rankings of interventions which showed significant effects on sleep quality of kidney transplant recipients were attribution training (SMD=-3.64, 95% CI: -4.34 to -2.93), tune therapy combined with point massage (SMD=-3.53, 95% CI: -4.31 to -2.75), high-quality care (SMD=-1.95, 95% CI: -2.84 to -1.06), mindfulness-based cognitive therapy (SMD=-1.68, 95% CI: -2.35 to -1.01), cognitive behavioral therapy (SMD=-1.52, 95% CI: -2.04 to -0.99). The area under the cumulative ranking probability map showed that attribution training is the best non-pharmacological intervention to improve the sleep quality of kidney transplant recipients.  Conclusion  Non-pharmacological interventions can improve the sleep quality of kidney transplant recipients, and it is suggested that clinical measures such as attribution training should be preferred to improve the sleep quality of kidney transplant recipients. And the characteristics of each intervention measure can be integrated to build a personalized and comprehensive intervention plan.

     

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