The Relationship between Sleep Quality with Depression in Patient with Acute Myocardial Infarction

Abstract

Background and Objectives: Depression is one of the most psychological outcomes in patients with acute myocardial infraction, which can affect the sleep quality in these patients. Given that adequate sleep has important effect on heart function, the present study was conducted with the aim of determining the correlation between sleep quality with death and cardiac depression in patient with acute myocardial infarction (AMI). Methods: In this descriptive-correlational study, 407 patients with acute myocardial infarction, who were admitted to the CCU wards of the Fatemeh Zahra Educational Center of Sari city, were selected using simple random sampling method. Data were collected by Cardiac Depression Scale (CDS), Death Depression Scale (DDS), and Pittsburgh Sleep Quality Index (PSQI) questionnaires. Data were analyzed using Kolmogorov-Smirnov and Pearson correlation tests. Results: The mean age of the male patients (64.95±17.00; CI95: 62.71-67.19) was more than the mean age of women (62.22±15.48; CI95: 59.96-64.48). The mean score of death depression (68.94±17.24; CI95: 67.26-70.62) and cardiac depression (109.00±16.49; CI95: 107.39-110.60), were below the fifth percentile. Multivariate regression analysis showed that change in cardiac depression score (B=0.036, β=0.153), increasing education levels (B=1.55, β=-0.121), and no history of antidepressant usage (B=4.32, β=0.123), can be significantly independent predictive factors of the variance of sleep quality score in acute myocardial infarction patients. Conclusion: According to the results of this study, although cardiac depression, education level, and non-use of antidepressant drugs are considered as affecting factors in the prediction of sleep quality in acute myocardial infarction patients, sleep quality is affected by more factors. Therefore, further studies are needed in this area.

Prevalence ofEnterobius vermicularisamong Children in Iran: A Systematic Review and Meta-analysis

“…Only one of them [24] reported that 3–5-year-old children in kindergartens were significantly more infected than those in the other age groups.…”

“…Study type was specified in 15 articles, all of which were cross-sectional. Diagnostic methods included the Scotch tape technique in 17 papers [ 10 – 12 , 17 – 24 , 26 , 28 – 32 ] and Formalin ether in two papers [ 25 , 27 ]. Of these studies, 15 were performed among preschoolers or kindergarteners [ 10 – 12 , 17 – 24 , 28 – 31 ], while four studies [ 25 – 27 , 32 ] investigated the infection prevalence among primary school children.…”

“…The association between E. vermicularis and age was estimated in four studies [ 10 , 19 , 23 , 24 ]. Only one of them [ 24 ] reported that 3–5-year-old children in kindergartens were significantly more infected than those in the other age groups.…”

Effect of Sleep Intervention Programs during Cardiac Rehabilitation on the Sleep Quality of Heart Patients

“…Some studies show that patients suffer from sleep disorders (SD) after heart accidents and coronary artery surgery [ 1 ]. Sleep is an important modulator of heart function and can thus lead to lower activity and cardiac load, so that SDs such as insomnia and hypersomnia have also been considered important factors in the pathogenesis and progression of cardiovascular diseases [ 2 ].…”

Effect of Sleep Intervention Programs on the Quality of Sleep of Patients in Cardiac Rehabilitation Center

“…Sleep is an important modulator of heart function, and can thus lead to lower activity and cardiac load, so that SD such as insomnia, sleeplessness and hypersomnia have also been considered as important factors in the pathogenesis and progression of cardiovascular diseases [9]. Cardiovascular disease is the most common cause of death and disability in the world and in Iran.…”