{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T01:01:55Z","timestamp":1790989315692,"version":"4.1.0"},"reference-count":18,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:00:00Z","timestamp":1790899200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:00:00Z","timestamp":1790899200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore the lived experiences of sleep disturbances and coping among kidney transplant recipients (KTRs), thereby providing a basis for developing individualized and targeted nursing interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative study using Interpretative Phenomenological Analysis (IPA) was conducted among 12 KTRs recruited through purposive sampling from the organ transplantation outpatient clinic of a tertiary hospital in Shenyang, China, between April and June 2025. Individual semi\u2010structured face\u2010to\u2010face interviews were conducted for data collection. Interview data were analysed using IPA to identify themes and subthemes representing participants' lived experiences of sleep disturbances and coping strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four overarching themes and 11 subthemes were identified: (1) disrupted nighttime sleep; (2) emotional distress associated with sleep disturbances; (3) receiving and lacking social support; and (4) self\u2010adjustment strategies amid sleep difficulties.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Kidney transplant recipients experienced multidimensional sleep disturbances that were closely intertwined with their emotional well\u2010being, social support, and self\u2010adjustment strategies. Participants differed in how they perceived and responded to their sleep difficulties. Future post\u2010transplant care should place greater emphasis on the assessment of sleep and psychosocial needs, strengthen family and professional support, and provide individualized sleep health education and non\u2010pharmacological interventions to help improve sleep experiences and quality of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.70577","type":"journal-article","created":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T00:49:26Z","timestamp":1790988566000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Kidney Transplant Recipients\u2019 Experiences of Sleep and Coping Strategies: An Interpretative Phenomenological Study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-8307-911X","authenticated-orcid":false,"given":"Jiaxin","family":"Zhu","sequence":"first","affiliation":[{"name":"Department of Organ Transplantation and Hepatobiliary Surgery The First Hospital of China Medical University  Shenyang China"},{"name":"Cardiovascular Intensive Care Unit (CCU) Liaoning Provincial People's Hospital  Shenyang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1810-5579","authenticated-orcid":false,"given":"Ling","family":"Deng","sequence":"additional","affiliation":[{"name":"Anesthesia and Surgery Center South China Hospital, Medical School, Shenzhen University  Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3540-4166","authenticated-orcid":false,"given":"Mao","family":"Ye","sequence":"additional","affiliation":[{"name":"Surgical Outpatient Clinic The First Hospital of China Medical University  Shenyang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8395-9775","authenticated-orcid":false,"given":"Xiaofei","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Organ Transplantation and Hepatobiliary Surgery The First Hospital of China Medical University  Shenyang China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,2]]},"reference":[{"issue":"3","key":"e_1_2_16_2_1","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1111\/jorc.12443","article-title":"Experiences of Adults Living With a Kidney Transplant\u2014Effects on Physical Activity, Physical Function, and Quality of Life: A Descriptive Phenomenological Study","volume":"49","author":"Antoun J.","year":"2023","journal-title":"Journal of Renal Care"},{"issue":"3","key":"e_1_2_16_3_1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0248117","article-title":"The Association Between Perceived Stress With Sleep Quality, Insomnia, Anxiety and Depression in Kidney Transplant Recipients During Covid\u201019 Pandemic","volume":"16","author":"Barutcu Atas D.","year":"2021","journal-title":"PLoS One"},{"issue":"1","key":"e_1_2_16_4_1","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2369-14-220","article-title":"Self\u2010Reported Sleep Disturbances in Renal Transplant Recipients","volume":"14","author":"Burkhalter H.","year":"2013","journal-title":"BMC Nephrology"},{"issue":"2","key":"e_1_2_16_5_1","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/0165-1781(89)90047-4","article-title":"The Pittsburgh Sleep Quality Index: A New Instrument for Psychiatric Practice and Research","volume":"28","author":"Buysse D. 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J.","year":"2016","journal-title":"American Journal of Kidney Diseases"},{"issue":"5","key":"e_1_2_16_9_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.xkme.2025.100986","article-title":"Insights Into Health\u2010Related Quality of Life of Kidney Transplant Recipients: A Narrative Review of Associated Factors","volume":"7","author":"Knobbe T. J.","year":"2025","journal-title":"Kidney Medicine"},{"issue":"1","key":"e_1_2_16_10_1","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1093\/ndt\/gfad148","article-title":"Sleep Quality, Fatigue, Societal Participation and Health\u2010Related Quality of Life in Kidney Transplant Recipients: A Cross\u2010Sectional and Longitudinal Cohort Study","volume":"39","author":"Knobbe T. J.","year":"2023","journal-title":"Nephrology, Dialysis, Transplantation"},{"issue":"7","key":"e_1_2_16_11_1","doi-asserted-by":"crossref","first-page":"2233","DOI":"10.1016\/j.ekir.2025.04.008","article-title":"Effect of Exercise or Combined Exercise and Diet Intervention on Sleep and Fatigue in Kidney Transplant Recipients","volume":"10","author":"Knobbe T. J.","year":"2025","journal-title":"Kidney International Reports"},{"key":"e_1_2_16_12_1","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/j.jpsychores.2016.12.013","article-title":"Quality of Sleep in Renal Transplant Recipients and Patients on Hemodialysis","volume":"93","author":"Liaveri P. 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