Sleep patterns and sleep-related symptoms and behaviors of heart failure patients compared with a healthy comparison group.

2.50
Hdl Handle:
http://hdl.handle.net/10755/163558
Category:
Abstract
Type:
Presentation
Title:
Sleep patterns and sleep-related symptoms and behaviors of heart failure patients compared with a healthy comparison group.
Author(s):
Redeker, Nancy
Author Details:
Nancy Redeker, Professor, Yale University, West Haven, Connecticut, USA, email: nancy.redeker@yale.edu
Abstract:
Purpose: Anecdotal data suggest that heart failure patients suffer from sleep disturbance. However, little is known about the characteristics of sleep disturbance among HF patients and how it compares to the sleep of other persons of similar age and gender. The purpose of this study was to compare current and habitual sleep patterns, and specific sleep behaviors between HF patients and a healthy comparison group.Methods: A cross-sectional comparative design was used. Participants with stable class II-III systolic heart failure and ejection fractions of < 35% were recruited from a structured heart failure program. A comparison group of adults who did not have HF were recruited from the local community. Participants completed the Pittsburgh Sleep Quality Index, wore wrist actigraphs for 3 days, and completed sleep diaries. Results: The sample consisted of 121 participants. Sixty-one (M age = 59 years, n = 22 women) had stable systolic heart failure and 60 comprised the comparison group (M age = 55 years, n = 31 women). There were no differences in self-reported or actigraph recorded sleep time, but the HF patients had significantly lower sleep efficiency (p < .05), more prolonged sleep latency (p = .01), and more frequent nocturnal awakenings (p = .004). The HF patients reported more trouble falling asleep, difficulty resuming sleep, waking up too early, feeling unrested during the day, napping, and taking sleep medication (all p < .05), but were no more likely to report insufficient sleep or awakening with shortness of breath or to urinate. Conclusions and Implications: HF patients have poorer objective and self-reported sleep quality, but no less total sleep than a healthy comparison group. The differences in specific behaviors and symptoms are multidimensional and are both acute and habitual. Future studies are needed to evaluate the physiological and behavioral mechanisms for the observed difference in sleep. Understanding these mechanisms may help focus the development of sleep-promoting interventions for HF patients.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
17th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
New York, New York, USA
Description:
�Translational Research for Quality Health Outcomes: Affecting Practice and Healthcare Policy�, held on April 7th -9th at the Roosevelt Hotel, New York
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleSleep patterns and sleep-related symptoms and behaviors of heart failure patients compared with a healthy comparison group.en_GB
dc.contributor.authorRedeker, Nancyen_US
dc.author.detailsNancy Redeker, Professor, Yale University, West Haven, Connecticut, USA, email: nancy.redeker@yale.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/163558-
dc.description.abstractPurpose: Anecdotal data suggest that heart failure patients suffer from sleep disturbance. However, little is known about the characteristics of sleep disturbance among HF patients and how it compares to the sleep of other persons of similar age and gender. The purpose of this study was to compare current and habitual sleep patterns, and specific sleep behaviors between HF patients and a healthy comparison group.Methods: A cross-sectional comparative design was used. Participants with stable class II-III systolic heart failure and ejection fractions of < 35% were recruited from a structured heart failure program. A comparison group of adults who did not have HF were recruited from the local community. Participants completed the Pittsburgh Sleep Quality Index, wore wrist actigraphs for 3 days, and completed sleep diaries. Results: The sample consisted of 121 participants. Sixty-one (M age = 59 years, n = 22 women) had stable systolic heart failure and 60 comprised the comparison group (M age = 55 years, n = 31 women). There were no differences in self-reported or actigraph recorded sleep time, but the HF patients had significantly lower sleep efficiency (p < .05), more prolonged sleep latency (p = .01), and more frequent nocturnal awakenings (p = .004). The HF patients reported more trouble falling asleep, difficulty resuming sleep, waking up too early, feeling unrested during the day, napping, and taking sleep medication (all p < .05), but were no more likely to report insufficient sleep or awakening with shortness of breath or to urinate. Conclusions and Implications: HF patients have poorer objective and self-reported sleep quality, but no less total sleep than a healthy comparison group. The differences in specific behaviors and symptoms are multidimensional and are both acute and habitual. Future studies are needed to evaluate the physiological and behavioral mechanisms for the observed difference in sleep. Understanding these mechanisms may help focus the development of sleep-promoting interventions for HF patients.en_GB
dc.date.available2011-10-27T11:09:39Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:09:39Z-
dc.conference.date2005en_US
dc.conference.name17th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationNew York, New York, USAen_US
dc.description�Translational Research for Quality Health Outcomes: Affecting Practice and Healthcare Policy�, held on April 7th -9th at the Roosevelt Hotel, New Yorken_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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