Angina severity predicts worse sleep quality after coronary artery bypass grafting

Yılmaz, Seyhan; Aksoy, Eray; Doğan, Tolga; Diken, Adem İlkay; Yalçınkaya, Adnan; Ozşen, Kelime

doi:10.1177/0267659115627690

Cited by 22 publications

(20 citation statements)

References 17 publications

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“…Severe preoperative coronary artery disease is also associated with worse sleep quality after surgery. In a small sample size study of Yilmaz et al [ 12 ], 52 patients undergoing coronary artery bypass graft surgery were assessed for postoperative sleep quality with Pittsburgh Sleep Quality Index. The results showed that patients with preoperative myocardial infarction had significantly worse sleep quality after surgery, and higher preoperative angina score was an independent predictor of poor sleep quality after surgery.…”

Section: Factors Associated With Postoperative Sleep Disturbancementioning

confidence: 99%

Improve postoperative sleep

Wang²

2018

Current Opinion in Anaesthesiology

157

105

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Purpose of reviewWe reviewed evidences regarding occurrence, risk factors, harmful effects, prevention, and management of sleep disturbances in patients after surgery.Recent findingsNormal sleep is important to maintain physical and mental health. Sleep disturbances frequently occur in patients after surgery. Factors associated with the development of postoperative sleep disturbances include old age, preoperative comorbidity, type of anesthesia, severity of surgical trauma, postoperative pain, environment stress, as well as other factors leading to discomfort of patients. Development of sleep disturbances produces harmful effects on postoperative patients, that is, leading to higher risk of delirium, increased sensitivity to pain, more cardiovascular events, and poorer recovery. Both nonpharmacological and pharmacological measures (such as zolpidem, melatonin, and dexmedetomidine) can be used to improve postoperative sleep. Recent evidences show that sleep promotion may improve patients’ outcome, but requires further evidences.SummarySleep disturbances are common in patients after surgery and produce harmful effects on postoperative recovery. Sleep-promotion therapy may be helpful to improve postoperative recovery, but long-term effects deserve further study.

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Section: Factors Associated With Postoperative Sleep Disturbancementioning

confidence: 99%

Improve postoperative sleep

Wang²

2018

Current Opinion in Anaesthesiology

157

105

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“…Regarding the main results of the articles included in the IR, they identified that patients with recent AMI had worse quality and quantity of sleep ( 11 , 24 , 32 ) and that a high angina score and length of stay in intensive care unit were predictors of poor sleep quality ( 24 ) . They also pointed out that during the hospitalization more than one third of the ACS patients had insomnia ( 29 ) .…”

Section: Resultsmentioning

confidence: 99%

Conceptual and operational definitions of the defining characteristics of the nursing diagnosis Disturbed Sleep Pattern

Manzoli

Correia

Duran

2018

Rev. Latino-Am. Enfermagem

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Objective to present the knowledge produced about sleep and Acute Coronary Syndrome in order to assist in the elaboration of the operational and conceptual definitions of the defining characteristics of the nursing diagnosis Disturbed Sleep Pattern (00198).Method integrative review in the following databases: COCHRANE; SCOPUS; MEDLINE (Medical Literature Analysis and Retrieval System Online) via Pubmed; LILACS (Latin American and Caribbean Health Science Literature Database); CINAHL (Cumulative Index to Nursing and Allied Health Literature) and EMBASE (The Excerpta Medical Database). At the end of the search, 2827 studies were found, 43 were selected for reading, and 10 were included in the review. The gray literature was also included.Results important findings related to clinical evidence and contributing factors of sleep were found in the review. However, in order to build definitions of the defining characteristics, it was necessary to use gray literature, such as a Portuguese dictionary and two textbooks about sleep.Conclusion the definitions will help nurses in their practice in the collection of information, in the determination of the nursing diagnosis studied here, and in directing care measures with respect to quantity and quality of sleep of Acute Coronary Syndrome inpatients. They will also assist in the next steps of the validation of this diagnosis to the referred population.

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“…Canadians with high angina scores had a 3.27-fold higher chance of poor sleep quality. (26) In addition, a cohort pointed out that individuals with short sleep duration or poor sleep quality are more likely to develop cardiovascular disease (angina: 1.62% in the Netherlands, 8.11% Suriname in South Asia, 5.4% in Africa, 5.14% in Ghanaians, 10.1% in Turkey and 7.35% in Morocco, as well as intermittent claudication and myocardial infarction), among other findings that accompanied other health-disease situations such as obesity, hormonal changes and stresses, identified as risk factors for irregular sleep. (27) In the psychic dimension, the association found in this study has been identified as a risk factor for changes in sleep patterns.…”

Section: Discussionmentioning

confidence: 99%

Qualidade e duração de sono entre usuários da rede pública de saúde

et al. 2019

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Resumo Objetivo Avaliar a qualidade e tempo de sono entre usuários da rede pública de saúde e fatores associados. Métodos Estudo transversal, realizado com 775 indivíduos de ambos os sexos, em um município da região Centro-Oeste do Brasil. Aplicou-se questionário semiestruturado para avaliar as características sociodemográficas, os hábitos de vida, as condições de saúde, o binge drinking e qualidade e duração do sono, avaliadas pelo Índice de Qualidade de Sono de Pittsburgh. Aplicou-se a regressão de Poisson para identificação dos fatores associados à qualidade do sono ruim e à duração de sono (curta e longa). Resultados Na análise múltipla, os fatores associados à qualidade de sono ruim foram sexo feminino (razão de prevalência: 1,10; intervalo e confiança de 95% − IC95% 1,05-1,16; p<0,00), binge drinking (razão de prevalência: 1,08; IC95% 1,03-1,13; p<0,01), uso de substâncias ilícitas (razão de prevalência: 1.06, IC95% 1.00-1.12; p=0.03), angina (razão de prevalência: 1,10;, IC95% 1,03-1,18; p<0,01) e depressão (razão de prevalência: 1,07 IC95% 1,00-1,14; p=0,02). A obesidade associou-se à curta duração do sono (razão de prevalência: 1,10 IC95% 1,02-1,17; p<0,01). Idade > 55 anos associou-se à longa duração do sono (razão de prevalência: 1,39, IC95% 1,00-1,92; p=0,04). Conclusão Ser mulher, ter idade >55 anos, consumir bebida alcoólica, usar substâncias ilícitas, angina, obesidade e depressão foram fatores de risco para alterações na qualidade e duração de sono. Os resultados do presente estudo reforçam a necessidade do desenvolvimento de ações voltadas para a prevenção dos agravos relacionados às alterações no sono na população estudada.

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Angina severity predicts worse sleep quality after coronary artery bypass grafting

Abstract: The severity of angina pectoris in the preoperative period is independently associated with worse sleep quality after elective isolated coronary artery bypass surgery.

Cited by 22 publications

References 17 publications

Improve postoperative sleep

Improve postoperative sleep

Conceptual and operational definitions of the defining characteristics of the nursing diagnosis Disturbed Sleep Pattern

Qualidade e duração de sono entre usuários da rede pública de saúde

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