Measurement Structure of the Pittsburgh Sleep Quality Index and Its Association with Health Functioning in Patients with Coronary Heart Disease

Tan, Jonathan Jun Liang; Tay, Hung Yong; Lim, Cindy Khim Siang; Shen, Bo

doi:10.1007/s10880-019-09652-0

Cited by 7 publications

(10 citation statements)

References 35 publications

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“…Assessment of sleep quality is important because others have reported improving the quality of sleep, rather than simply increasing sleep duration, is important to quality of life and recovery in cardiac patients. 30 Other investigators have reported the prevalence of poor sleep quality in patients with AF not undergoing ablation to range widely from 31% to 49.7%. 14 We noted poor sleep quality in 75% of our sample at baseline, improving to 60% at the 1-month point and rising to 70% at 6 months.…”

Section: Discussionmentioning

confidence: 99%

“…Poor sleep quality, therefore, has been suggested as an important risk factor for the pathogenesis of AF because of its influence on autonomic tone 11,29 and may be an end point for future studies in predicting recurrences of AF after ablation. Assessment of sleep quality is important because others have reported improving the quality of sleep, rather than simply increasing sleep duration, is important to quality of life and recovery in cardiac patients 30 . Other investigators have reported the prevalence of poor sleep quality in patients with AF not undergoing ablation to range widely from 31% to 49.7% 14 .…”

Section: Discussionmentioning

confidence: 99%

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Self-reported Sleep Quality Before and After Atrial Fibrillation Ablation

2022

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Background: Poor sleep quality is highly prevalent in atrial fibrillation (AF) with reported links between worse sleep quality and higher AF severity. Little research has examined whether sleep quality changes after AF ablation despite it being a routinely performed procedure. Objective: The aim of this study was to evaluate self-reported sleep quality before and after AF ablation and to examine whether sleep quality differs by AF severity or sex. Methods: This longitudinal pilot study assessed sleep using the Pittsburgh Sleep Quality Index at preablation and at 1, 3, and 6 months after ablation. Atrial fibrillation disease severity was assessed by the Canadian Cardiology Society Severity of AF scale. Outcomes were analyzed using descriptive statistics, Spearman ρ correlations, and multilevel longitudinal models. Results: The sample (N = 20) was 55% female with a mean age of 65 (±7) years. Poor sleep quality (mean Pittsburgh Sleep Quality Index scores > 5) was evident at all time points. Improvement was noted at 3 months (moderate effect size d = 0.49); and negligible further improvement, from 3 to 6 months post ablation. Improvement was seen primarily in male subjects (large effect size d = 0.89 at 3 months), with smaller improvements for female subjects. Although Severity of AF scale scores were not correlated with sleep quality, Severity of AF scale severity scores did significantly improve over time. Conclusions: Patients with AF have poor sleep quality that improves for the first 3 months after AF ablation, with men showing more improvement than women. A more accurate understanding of the sleep challenges after AF ablation could lead to development of more realistic patient education and improve patient self-management.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Self-reported Sleep Quality Before and After Atrial Fibrillation Ablation

2022

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“…Sleep quality was measured by using Pittsburgh Sleep Quality Index (PSQI) and the scores more than 7 were regarded as poor sleep quality. [ 26 ] Anxiety and depression, and sleep quality measurement was performed at our hospital clinic before and after 3-month family nursing.…”

Section: Methodsmentioning

confidence: 99%

Family nursing with the assistance of network improves clinical outcome and life quality in patients underwent coronary artery bypass grafting

Jin¹,

Pan²,

Hu³

et al. 2020

Medicine

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Background: Family nursing with the assistance of network (FNAN) improves nurses’ practice and provides family/community-oriented nursing care. This study aimed to explore the effects of FNAN on the clinical outcome and life quality of coronary atherosclerotic heart disease (CHD) patients underwent coronary artery bypass grafting (CABG). Trial Design: This study is a randomized, placebo-controlled and double-blind trial. Methods: One-hundred and twelve patients underwent CABG were randomly divided into control group (CG, routine family nursing care) and experimental group (EG, FNAN) and the allocation ratio was 1:1. The situation of anxiety and depression were analyzed using the Hamilton Anxiety Scale (HAMA) scale and Hamilton Depression Scale (HAMD). Sleep quality was measured by using Pittsburgh Sleep Quality Index (PSQI). Lung function parameters were measured, including minute ventilation (MVV), partial pressure of oxygen (PaO 2 ), partial pressure of arterial carbon dioxide (PaCO 2 ), oxygen saturation measurement by pulse oximetry (SpO 2 ), forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC). Life quality was measured by using Chronic Obstructive Pulmonary Disease Assessment Test (CAT). Results: After a 3-month intervention, 10 and 6 patients were lost in the CG and EG groups, respectively. The scores of HAMA, HAMD, PSQI and CAT were reduced in the EG group when compared with the CG group ( P < .05). The values of MVV, PaO 2 , SpO 2 , FEV1 and FVC in the EG group was higher than those in the CG group whereas the levels of PaCO 2 in the EG group was lower than those in the CG group ( P < .05). PSQI score had a strong relationship with the values of MVV, PaO 2 , PaCO 2 , SpO 2 , FEV1, and FVC. Conclusion: FNAN improves the clinical outcome and life quality in the patients underwent CABG.

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“…The subjects complete quizzes that last around 5 to 10 minutes. 7 1.6.4 Coronary CT examination. The CT examination equipment used was Siemens 64-row CT coronary artery.…”

Section: Observation Indicatorsmentioning

confidence: 99%

Efficacy of Yangxin Recipe in Combination with Conventional Western Medicine in Treatment of Angina Pectoris of Coronary Heart Disease

Liu

Dong

2022

Clin Appl Thromb Hemost

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Objective To study the efficacy of Yangxin Recipe (YXR) in patients with stable angina pectoris of coronary heart disease and its impacts on coronary CT angiography. Methods A total of 78 patients with coronary heart disease and angina pectoris were randomly divided into a control group (n = 39) and a YXR group (n = 39). The control group adopted conventional Western medicine while the YXR group received conventional western medicine + oral administration of YXR. After six months of continuous treatment, the clinical efficacy, traditional Chinese medicine (TCM) syndrome scores, Pittsburgh Sleep Quality Index (PSQI), and the level of coronary CT vascular stenosis were observed. Results After treatment, the total effective rate of YXR was 92.31%, which was higher than ( P < 0.01) that of the western medicine control group. The total score of TCM syndromes in the YXR group was (14.44 ± 9.87), which was significantly lower than ( P < 0.001) that in the simple western medicine control group (22.44 ± 13.87). The degree of coronary stenosis in the YXR group decreased to (49.87 ± 7.82) %, which was significantly lower than ( P < 0.001) that in the western medicine control group (57.05 ± 9.92) %. Conclusion The efficacy of YXR + conventional western medicine in treating coronary heart disease and angina pectoris is significantly improved compared with the simple conventional western medicine.

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Measurement Structure of the Pittsburgh Sleep Quality Index and Its Association with Health Functioning in Patients with Coronary Heart Disease

Cited by 7 publications

References 35 publications

Self-reported Sleep Quality Before and After Atrial Fibrillation Ablation

Self-reported Sleep Quality Before and After Atrial Fibrillation Ablation

Family nursing with the assistance of network improves clinical outcome and life quality in patients underwent coronary artery bypass grafting

Efficacy of Yangxin Recipe in Combination with Conventional Western Medicine in Treatment of Angina Pectoris of Coronary Heart Disease

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