Factors influencing heart failure patients’ sleep quality

Wang, Tsae Jyy; Lee, Shu Chiung; Tsay, Shiow‐Luan; Tung, Heng Hsin

doi:10.1111/j.1365-2648.2010.05342.x

Cited by 53 publications

(124 citation statements)

References 27 publications

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“…Among "bad sleepers", it was the second most frequent report, together with being unable to sleep within 30 minutes (77.7%) ( Table 1). These results are compatible with those found in other studies involving samples of HF patients in various functional classes, without stratification, in which 78.2% (13) or 83.2% (12) of HF patients studied reported getting up at night to go to the bathroom as a difficulty to continue sleeping. Although its mechanism is not well understood, nocturia can be triggered not only by rest and other conditions in which the blood volume is dislocated to central body regions, but also by sleep apnea, involving the hormone system of sodium and water control (21) .…”

Section: Discussionsupporting

confidence: 82%

“…These results are similar to findings in another study of HF patients (13) , who mentioned that they did not sleep enough or did not have enough energy to work when they woke up the next morning. In general, sleeping problems cause fatigue, concentration loss and excessive sleepiness (12) .…”

Section: Discussionsupporting

confidence: 82%

“…One of the studies, developed in Taiwan, included 101 patients (mean age = 74 years SD = 9.4; Functional Class II = 63.4%), 81.2% of whom were classified as "bad sleepers" (13) . In the other study, also developed in Taiwan and involving 125 patients (mean age = 67.8 years SD = 12.2; Functional Class II = 72%), the frequency of "bad sleepers" corresponded to 74.4% (12) .…”

Section: Discussionmentioning

confidence: 99%

“…Despite the consensus on the high frequency of sleep disorders in HF patients (12)(13)(14) , little is known about the difficulties patients report as sleep impairing factors.…”

Section: Sleep Disorders Among Hf Patients Negativelymentioning

confidence: 99%

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Sleeping difficulties reported by patients with heart failure

Santos¹,

Guedes²,

Barbosa³

et al. 2012

Rev. Latino-Am. Enfermagem

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The study aimed to describe the reports of heart failure patients on the factors that cause difficulties to sleep and the association of these factors with the quality of sleep. This crosssectional study involved a non-probabilistic sample of 400 patients (mean age 57.8 years, 64.8% were men, average education of 6.1 years, 82.5% in functional class II or III) with heart failure. The main factors associated with sleeping difficulty were: nocturia, interrupted sleep at night and breathing difficulty. Sleeping difficulties in heart failure patients are diverse and there is an association between these difficulties and quality of sleep. Most of these disorders warrant professional nursing interventions.Descriptors: Nursing; Sleep; Heart Failure. Dificultades para dormir por los pacientes con insuficiencia cardíacaEl objetivo del estudio fue describir los informes de los pacientes con insuficiencia cardíaca en los factores que causan dificultades para dormir y la asociación de estos factores con la calidad del sueño. Se trata de un estudio transversal con muestra no probabilística de 400 pacientes (edad media de 57,8 años, 64,8% eran hombres, el promedio de escolaridad de 6,1 años, 82,5% en clase funcional II o III) con insuficiencia cardíaca. Los principales factores asociados con dificultad para dormir son: nicturia, interrupción del sueño en la noche y dificultad para respirar. Las dificultades en el sueño de los pacientes con insuficiencia cardíaca son diversas y existe una asociación entre estas dificultades y la calidad del sueño. Estos trastornos, la mayoría son susceptibles de intervención por el personal de enfermería.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

“…Despite the consensus on the high frequency of sleep disorders in HF patients (12)(13)(14) , little is known about the difficulties patients report as sleep impairing factors.…”

Section: Sleep Disorders Among Hf Patients Negativelymentioning

confidence: 99%

See 2 more Smart Citations

Sleeping difficulties reported by patients with heart failure

Santos¹,

Guedes²,

Barbosa³

et al. 2012

Rev. Latino-Am. Enfermagem

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“…21 In this study, it was reported 3 patients (6%) expressed palpitation and 8 patients (16%) expressed irritability/agitation. This study results supports the other studies in the literature about effects of noise on sleep.…”

Section: Discussionmentioning

confidence: 54%

Determination of Factors that Cause Noise in Intensive Care Unit Environment

Çakir¹,

Aslan²,

Alhan³

2016

Turkiye Klinikleri J Nurs Sci

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A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : This study was conducted for determining the factors that cause noise in an intensive care unit (ICU). M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : The research was designed as a prospective, non probabilistic sample method to determine the factors cause in ICU. Between May and July 2012, a total of 50 consecutive patients who were over 18 years and had open heart surgery at the Cardiovascular Surgery Intensive Care Unit (CVSICU), Maslak Acibadem Hospital (Istanbul, Turkey) two months period were included the study. The noise intensity was measured by a device detects sound waves between 30-130 decibel (dBA). R Re es su ul lt ts s: : Forty three patients of total fifty patients expressed the CVSICU was noisy. The daily mean noise intensity was measured in 67,42 dBA, at nights 64,76 dBA and 70,08 dBA at daytime. It was stated the most of the complaints about the noise was related to monitor alarms. The mean noise intensity due to the monitor alarms was measured in 101,7 dBA. Other causes of noise were listed as door and telephone rings, IV pumping noises and noise of the staff, respectively. C Co on nc cl lu us si io on n: : In this study; it was determined that ICU environment was noisy, monitor alarms were the main noise source and noise caused changes sleep habits of patients. In order to overcome these problems, it's suggested that technologies might be developed enable monitor alarms can be only heard by related staff, deck telephones may only be heard by health professionals via activating vibration systems and unnecessary communications should be avoided. K Ke ey y W Wo or rd ds s: : Noise; voice, transportation Ö ÖZ ZE ET T A Am ma aç ç: : Bu çalışma yoğun bakım ortamında gürültüye neden olan faktörleri belirlemek amacıyla tanımlayıcı olarak yapıldı. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Araştırma, yoğun bakımda gürültüye neden olan faktörleri belirlemek amacıyla olasılıksız örneklem yöntemiyle prospektif olarak planlandı. Mayıs ve Haziran 2012, iki aylık süreyi kapsayan tarihlerde, Maslak Acıbadem Hastanesi Kalp Damar Cerrahisi Yoğun Bakım Ünitesi'nde (KVCYBÜ) (İstanbul/Türkiye) 18 yaş üzeri ve açık kalp ameliyatı olan 50 hasta çalışmaya dahil edildi. Gürültü şiddeti 30-130 desibel (dB) aralığındaki sesleri algılayan bir cihaz ile ölçüldü. B Bu ul lg gu ul la ar r: : Hastaların %86'sı yoğun bakım ortamının gürültülü olduğunu ifade etti. Günlük ortalama gürültü şiddeti 67,42 dB, gece 64.76 dB ve gündüz 70.08 dB olarak belirlendi. Gürültü yakınmalarının başında monitör alarmlarının geldiği saptandı. Bu nedenle ortaya çıkan gürültü şiddetinin 101.7 dB olduğu saptandı. Diğer gürültü nedenleri arasında sırasıyla kapı ve telefon sesleri, intravenöz pump sesleri ve çalışanların sesleri yer aldı. S So on nu uç ç: : Bu araştırmada yoğun bakımda gürültü gerçeğinin süregeldiği ve en önemli sorumlunun monitör alarmları olduğu, gürültünün hastaların uyku düzenini bozduğu belirlendi. Bu problemlerin üste-sinden gelebilmek adına mon...

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Associations of insomnia symptoms with sociodemographic, clinical, and lifestyle factors in persons with HF: Health and retirement study

Gharzeddine

McCarthy

et al. 2022

Research in Nursing & Health

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Insomnia symptoms are very common in persons with heart failure (HF). However, many of the correlates and predictors of insomnia symptoms in this population remain unclear. The purpose of this study is to investigate the associations of sociodemographic, clinical, and lifestyle factors with insomnia symptoms in persons with HF. A theoretical framework was adapted from the neurocognitive model of chronic insomnia to guide the study. Data from the health and retirement study were used for the analysis. Parametric and nonparametric bivariate and multivariate analyses were conducted to investigate these associations. Age, depressive symptoms, comorbidity, dyspnea, pain, and smoking had significant bivariate associations with all insomnia symptoms. Race, Hispanic ethnicity, marital status, household income, poverty, and physical activity were associated with difficulty initiating sleep (DIS) and early morning awakening (EMA). Female sex, education, and alcohol consumption had a significant bivariate association with DIS. Sleep-disordered breathing and body mass index were significantly associated with EMA. Multivariate analysis suggested that depressive symptoms, comorbidity, dyspnea, and pain had independent associations with each insomnia symptom. Age explained DIS and difficulty maintaining sleep, and significant interaction effects between age and physical activity on DIS and EMA were revealed. Results suggest that insomnia symptoms are associated with several sociodemographic, clinical, and lifestyle factors. Age below 70 years, depressive symptoms, comorbidity, dyspnea, and pain might be considered as a phenotype to identify persons with HF who are at increased risk for insomnia symptoms.

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Factors influencing heart failure patients’ sleep quality

Abstract: Patients with heart failure should be taught sleep hygiene and to increase leisure time activities, disease self-management, and emotional adjustment skills to improve their sleep quality. These patients should also be observed for night time safety risk due to nocturia.

Cited by 53 publications

References 27 publications

Sleeping difficulties reported by patients with heart failure

Sleeping difficulties reported by patients with heart failure

Determination of Factors that Cause Noise in Intensive Care Unit Environment

Associations of insomnia symptoms with sociodemographic, clinical, and lifestyle factors in persons with HF: Health and retirement study

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