Sleep Disturbance in People With Heart Failure

Redeker, Nancy S.

doi:10.1097/01.jcn.0000305094.20012.76

Cited by 52 publications

(46 citation statements)

References 80 publications

(88 reference statements)

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“…Heart failure (HF) is also associated with high levels of sleep disturbance and sleep disorders, including insomnia, periodic limb movements during sleep, and sleep disordered breathing. 18 One study was conducted by Johansson et al, on 331 elderly, to compare the prevalence of sleep disordered breathing and insomnia between elderly with heart failure and age and gender matched elderly without cardiovascular disease. They concluded that sleep disordered breathing, difficulties maintaining sleep and excessive daytime sleepiness were more common in elderly with heart failure.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of sleep disorders among ESRD patients

Ezzat

Mohab

2015

Renal Failure

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Sleep disorders are common among the patients undergoing dialysis in end stage renal disease (ESRD). Although variable, their prevalence has been reported to be higher when compared to the general population. The most frequently reported complaints are insomnia, restless leg syndrome (RLS), sleep-disordered breathing and excessive daytime sleepiness (EDS). The aim of this study was to assess the prevalence of sleep disorders in end stage renal disease patients on regular hemodialysis (group I with 30 patients) and CKD patients (group II with 30 patients) in comparison to 30 normal population (control group). In addition to laboratory investigations which included creatinine clearance using Cockroft and Gault formula, hemoglobin level (Hb), blood urea, serum creatinine, serum albumin, serum calcium and phosphorus and lipid profile, all subjects underwent one night of laboratory-based polysomnography (PSG) consisting of a standard montage of electroencephalography (EEG) (C3/A1 and O2/C3 or O1/C4), monopolar left and right electrooculography (EOG) referenced to the opposite mastoid, surface mentalis electromyography (EMG), respiratory airflow (measured by thermistor) and effort (piezoelectric sensors), electrocardiography (ECG), anterior tibialis EMG and pulse oximetry. For hemodialysis subjects, this study was performed on a night immediately following hemodialysis treatment. The results showed that patients on hemodialysis have sleep disorders, and that sleep disorders are common in group I and II than control group. The percentage of sleep disorders in hemodialysis patients were as follows: insomnia (69%), followed by obstructive sleep apnea syndrome OSAS (24%), RLS and periodic limb movement PLM (18%), nightmares (13%), EDS (12%), sleepwalking (2%), possible rapid eye movement behavior disorders RED (2%), possible narcolepsy (1.4%). While the percentage of sleep disorders in CKD patients were as follows: insomnia (54%), followed by RLS (19%), PLM (12%), OSAS (16%), nightmares (15%), EDS (15%), sleepwalking (4%), possible RBD (3%), possible narcolepsy (1%). There was inverse correlation between sleep disorders and Hb, albumin and creatinine clearance; also there was positive correlation between sleep disorder and phosphorus. We concluded that the sleep disorders are common in CKD patients either on conservative management or on regular hemodialysis. Treatment of anemia, hyperphosphatemia and hypoalbuminemia may improve sleep disorders among those patients.

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Section: Discussionmentioning

confidence: 99%

Prevalence of sleep disorders among ESRD patients

Ezzat

Mohab

2015

Renal Failure

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“…In this population, LVAD therapy has consistently resulted in superior survival and quality of life outcomes than use of maximum pharmacologic support [1][2][3][4][5][6][7]. Patients with advanced HF generally manifest fatigue at rest or with minimum exertion, bouts of psychological distress, and frequent sleep disturbance [8][9][10]. However, very little has been published on the course of these symptoms in LVAD recipients.…”

Section: Introductionmentioning

confidence: 96%

A preliminary investigation of symptom pattern and prevalence before and up to 6 months after implantation of a left ventricular assist device

Casida

Parker

2011

J Artif Organs

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Despite increased use of left ventricular assist devices (LVAD) in patients with advanced or end-stage heart failure; little is known about the reoccurrence of common heart failure symptoms (e.g., fatigue) after LVAD implantation. The objective of this study was to investigate the prevalence and pattern of selected heart failure symptoms and identify changes in symptom patterns before and up to 6 months after LVAD implantation. We used self-report questionnaires to collect data from patients (n = 12) and measure symptoms at baseline, 1 and 2 weeks, and 1, 3, and 6 months after LVAD. We found that high levels of fatigue, anxiety, depression, and sleep disturbance were prevalent during these periods. However, we did not find any significant changes in symptom pattern over time. The preliminary findings set the starting point for large-scale studies fundamental to advances in symptom-management research in LVAD and for other patients living with artificial organs.

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“…Additional research has shown how self-care behaviors provided an effective mechanism to reduce heart-failure patient expenses and to ameliorate negative patient health outcomes; however, those individuals with low SES still faced extenuating circumstances that exacerbated negative self-care (Macabasco-O'Connell, Crawford, Stotts, Stewart, & Froelicher, 2008). People with heart failure also suffered from disordered sleep, which had a negative impact on self-care (Redeker, 2008). …”

mentioning

confidence: 99%

The Daily Lives of People With HIV Infection: A Qualitative Study of the Control Group in an Expressive Writing Intervention

Metaweh¹,

Ironson²,

Barroso³

2016

Journal of the Association of Nurses in AIDS Care

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Emotional disclosure is an expressive writing technique used in psychotherapy to process traumatic and stressful life experiences. While emotional disclosure interventions frequently use control groups, there are few qualitative analyses of these control groups. Our study's purpose was to analyze the control essays written by HIV-infected informants about their daily activities in an augmented written emotional disclosure intervention. Latent and manifest qualitative content analyses revealed prevalent contextual themes within the data. The emergent themes were socioeconomic status (SES), self-care, religiosity/spirituality, and social support. Emotional disclosure control subjects contributed substantial findings in terms of SES, self-care, resiliency, religiosity/spirituality, and social support and altruism.

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Sleep Disturbance in People With Heart Failure

Cited by 52 publications

References 80 publications

Prevalence of sleep disorders among ESRD patients

Prevalence of sleep disorders among ESRD patients

A preliminary investigation of symptom pattern and prevalence before and up to 6 months after implantation of a left ventricular assist device

The Daily Lives of People With HIV Infection: A Qualitative Study of the Control Group in an Expressive Writing Intervention

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