Study on the Correlation among Sleep Quality, Cognitive Function, and Self-Management Ability in Hospitalized Elderly Patients with Coronary Heart Disease

Abstract

Background. Coronary heart disease (CHD) is the leading cause of death worldwide. The incidence of cardiovascular disease is especially common in low-level and middle-income countries. With the increase in the number of patients with CHD and the complexity of treatment on patients with CHD, many hospitals are devoted to developing new models of care and management for patients with CHD. Understanding the unique characteristics of the patient’s condition, including factors related to self-management, cognitive function, and sleep quality, will lead to a substantial reduction in cardiovascular disease and related mortality. Objective. To investigate the correlation among sleep quality, cognitive function, and self-management ability in hospitalized elderly patients with coronary heart disease (CHD). Methods. 120 hospitalized elderly patients with coronary heart disease (CHD) were investigated by using a self-designed general data questionnaire, Pittsburgh Sleep Quality Index (PSQI), Montreal Cognitive Function Assessment (MoCA) scale, and Coronary Heart Disease Self-management Behavior Scale (CSMS). Results. The Spearman analysis showed that sleep quality was positively correlated with cognitive function in hospitalized elderly CHD patients ( P < 0.05 ). Sleep quality was positively correlated with self-management ability in CHD patients ( P < 0.05 ). Conclusion. Improving the cognitive function and self-management ability of elderly patients with coronary heart disease can improve their sleep quality.

Self-management behaviours in adults with non-alcoholic fatty liver disease: a cross-sectional survey from China

“…Furthermore, this study identified sleep quality as a core factor influencing patients’ self-management behaviours (β=0.387, p<0.001). This finding aligns with a cross-sectional study in elderly patients with coronary heart disease that indicated a positive correlation between sleep quality and self-management ability in patients 36. Sleep deprivation activates brain networks associated with reward, upregulates the gastric hunger/leptin ratio and reduces cognitive control and activity in the cerebral cortex, leading to excessive food consumption and energy imbalance that ultimately affect the patient’s daily lifestyle 37 38.…”

“…This finding aligns with a cross-sectional study in elderly patients with coronary heart disease that indicated a positive correlation between sleep quality and self-management ability in patients. 36 Sleep deprivation activates brain networks associated with reward, upregulates the gastric hunger/leptin ratio and reduces cognitive control and activity in the cerebral cortex, leading to excessive food consumption and energy imbalance that ultimately affect the patient's daily lifestyle. 37 38 Moreover, poor sleep quality adversely affects the disease prognosis in patients with NAFLD, with an association between sleep duration and severe steatosis and liver fibrosis showing a negative correlation.…”

Matte Analysis of Self-management Model of Chronic Disease in Breast Cancer Patients

“…Breast cancer, as a high incidence tumor in women, can achieve ideal therapeutic effect through surgical treatment, but if effective rehabilitation care cannot be carried out after surgery, it will have adverse effects on postoperative recovery [7]. Therefore, improving the self-care ability of patients is of great significance to improve the prognosis.…”