Psychological Variables, Sleep Factors, and Neurohormones in People with Heart Failure

2.50
Hdl Handle:
http://hdl.handle.net/10755/304009
Category:
Abstract
Type:
Presentation
Title:
Psychological Variables, Sleep Factors, and Neurohormones in People with Heart Failure
Author(s):
Chen, Hsing-Mei; Lee, Chee-Siong; Chien, Hui- Chin; Lee, Wen-Hsien; Wu, Shyh-Jong; Yen, Hsueh-Wei
Lead Author STTI Affiliation:
Non-member
Author Details:
Hsing-Mei Chen, PhD, RN, hchen5658@msn.com; Chee-Siong Lee, MD; Hui- Chin Chien, MSN, RN; Wen-Hsien Lee, MD; Shyh-Jong Wu, PhD; Hsueh-Wei Yen, MD;
Abstract:

Session presented on: Thursday, July 25, 2013

Purpose:

Patients with heart failure suffer from anxiety, anger, depression, and sleep disturbances. These have been related to activation of neurohormone. The purpose of this study aimed to explore the relationship between serotonin, B-type natriuretic peptide (BNP), anxiety, anger, depression, night sleep quality, and daytime sleepiness.

Methods:

A cross-sectional and correlational study design was employed. A nonprobability sampling was used to recruit 73 participants during their regular visits to a cardiovascular outpatient department of a medical center located in southern Taiwan. Inclusion criteria were as follows: 1) a diagnosis of HF, with a class of New York Heart Association (NYHA) II or above; 2) age 20 or older; 3) able to communicate either by speaking or writing Mandarin; and 4) willing to participate in this study. Instruments used included the Beck Anxiety Inventory, State-Trait Anger Expression Inventory-2, Patient Outcome Questionnaire-9, Pittsburgher Sleep Quality Index, Epworth Sleepiness Scale, serotonin, and BNP.

Results:

The average age of the participants was 65.63 years. The majority was male (58.9%), diastolic heart failure (65.8%), and having NYHA Classes II and III. The average duration of heart failure was 2.97 years and the mean comorbidity severity score was 3.85. The mean score of each factor stated as following: anxiety 6.33, anger 15.40, depression 5.71, night sleep quality 9.00, daytime sleepiness 5.08, serotonin level 46.44ng/dl, and BNP level 338.44pg/ml. Serotonin was significantly correlated with NYHA (r= .40, p< .001). BNP was correlated with night sleep quality (r= -.25, p< .05) and depression (r= -. 24, p< .05).

Conclusion:

There were no significant correlations between serotonin and psychological factors as well as sleep variables. However, heart failure participants with lower BNP levels were more likely to experience poor sleep quality and depression. Findings from this study were inconsistent with those of previous studies. The mechanisms between BNP, sleep quality, and depression remain further discussed.

Keywords:
psychological variables; heart failure; sleep
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titlePsychological Variables, Sleep Factors, and Neurohormones in People with Heart Failureen_GB
dc.contributor.authorChen, Hsing-Meien_GB
dc.contributor.authorLee, Chee-Siongen_GB
dc.contributor.authorChien, Hui- Chinen_GB
dc.contributor.authorLee, Wen-Hsienen_GB
dc.contributor.authorWu, Shyh-Jongen_GB
dc.contributor.authorYen, Hsueh-Weien_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsHsing-Mei Chen, PhD, RN, hchen5658@msn.com; Chee-Siong Lee, MD; Hui- Chin Chien, MSN, RN; Wen-Hsien Lee, MD; Shyh-Jong Wu, PhD; Hsueh-Wei Yen, MD;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304009-
dc.description.abstract<p>Session presented on: Thursday, July 25, 2013</p><b>Purpose: </b> <p>Patients with heart failure suffer from anxiety, anger, depression, and sleep disturbances. These have been related to activation of neurohormone. The purpose of this study aimed to explore the relationship between serotonin, B-type natriuretic peptide (BNP), anxiety, anger, depression, night sleep quality, and daytime sleepiness. <p><b>Methods: </b> <p>A cross-sectional and correlational study design was employed.<b> </b>A nonprobability sampling was used to recruit 73 participants during their regular visits to a cardiovascular outpatient department of a medical center located in southern Taiwan. Inclusion criteria were as follows: 1) a diagnosis of HF, with a class of New York Heart Association (NYHA) II or above; 2) age 20 or older; 3) able to communicate either by speaking or writing Mandarin; and 4) willing to participate in this study. Instruments used included the Beck Anxiety Inventory, State-Trait Anger Expression Inventory-2, Patient Outcome Questionnaire-9, Pittsburgher Sleep Quality Index, Epworth Sleepiness Scale, serotonin, and BNP. <p><b>Results: </b> <p>The average age of the participants was 65.63 years. The majority was male (58.9%), diastolic heart failure (65.8%), and having NYHA Classes II and III. The average duration of heart failure was 2.97 years and the mean comorbidity severity score was 3.85. The mean score of each factor stated as following: anxiety 6.33, anger 15.40, depression 5.71, night sleep quality 9.00, daytime sleepiness 5.08, serotonin level 46.44ng/dl, and BNP level 338.44pg/ml. Serotonin was significantly correlated with NYHA (r= .40, p< .001). BNP was correlated with night sleep quality (r= -.25, p< .05) and depression (r= -. 24, p< .05). <p><b>Conclusion: </b> <p>There were no significant correlations between serotonin and psychological factors as well as sleep variables. However, heart failure participants with lower BNP levels were more likely to experience poor sleep quality and depression. Findings from this study were inconsistent with those of previous studies. The mechanisms between BNP, sleep quality, and depression remain further discussed.en_GB
dc.subjectpsychological variablesen_GB
dc.subjectheart failureen_GB
dc.subjectsleepen_GB
dc.date.available2013-10-22T20:27:34Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:27:34Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
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.en_GB
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