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Self-reported sleep disturbance of patients with heart failure in Taiwan.
Nurs Res. 2009 Jan-Feb; 58(1):63-71.NR

Abstract

BACKGROUND

Western research studies have found that sleep disturbances reduced quality of life and daily functioning of patients with heart failure; however, information about sleep disturbance is lacking in Taiwanese people with heart failure.

OBJECTIVES

The objective of this study was to investigate predictors of self-reported sleep disturbances in Taiwanese people with heart failure. The hypothesis was that health-related quality of life (HRQOL) could have significant effect on sleep disturbances, after controlling for demographics, heart failure characteristics, and health-related characteristics.

METHODS

A cross-sectional, descriptive, correlational design was used. A purposive sample of 125 participants was recruited from the outpatient departments of two hospitals located in southern Taiwan. Participants were interviewed individually to complete the Pittsburgh Sleep Quality Index, Kansas City Cardiomyopathy Questionnaire, Charlson Comorbidity Index, and Perceived Health Scale instruments.

RESULTS

Self-reported sleep disturbances were prevalent (74%) among people with heart failure in Taiwan. Five predictors were identified using hierarchical multiple regression analyses with forward methods, accounting for 26.9% of variance in sleep disturbances. They were education, New York Heart Association functional classification, perceived health, HRQOL social functioning, and physical symptoms. After controlling for demographics, heart failure characteristics, and health-related characteristics, the analysis showed that two variables of HRQOL accounted for 9.8% of the variance in sleep disturbances.

DISCUSSION

The importance of ongoing screening for sleep disturbances in people with heart failure is highlighted based on the study findings about the prevalence of sleep disturbances among the participants in this study. Healthcare providers must understand the often multifactorial nature of sleep disturbances to achieve a better and more effective management.

Authors+Show Affiliations

Chang Gang Institute of Technology Chia-Yi Campus, School of Nursing, Chia-Yi County, Taiwan. hsingmei@ntu.edu.twNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19092556

Citation

Chen, Hsing-Mei, et al. "Self-reported Sleep Disturbance of Patients With Heart Failure in Taiwan." Nursing Research, vol. 58, no. 1, 2009, pp. 63-71.
Chen HM, Clark AP, Tsai LM, et al. Self-reported sleep disturbance of patients with heart failure in Taiwan. Nurs Res. 2009;58(1):63-71.
Chen, H. M., Clark, A. P., Tsai, L. M., & Chao, Y. F. (2009). Self-reported sleep disturbance of patients with heart failure in Taiwan. Nursing Research, 58(1), 63-71. https://doi.org/10.1097/NNR.0b013e31818c3ea0
Chen HM, et al. Self-reported Sleep Disturbance of Patients With Heart Failure in Taiwan. Nurs Res. 2009 Jan-Feb;58(1):63-71. PubMed PMID: 19092556.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Self-reported sleep disturbance of patients with heart failure in Taiwan. AU - Chen,Hsing-Mei, AU - Clark,Angela P, AU - Tsai,Liang-Miin, AU - Chao,Yann-Fen C, PY - 2008/12/19/entrez PY - 2008/12/19/pubmed PY - 2009/1/9/medline SP - 63 EP - 71 JF - Nursing research JO - Nurs Res VL - 58 IS - 1 N2 - BACKGROUND: Western research studies have found that sleep disturbances reduced quality of life and daily functioning of patients with heart failure; however, information about sleep disturbance is lacking in Taiwanese people with heart failure. OBJECTIVES: The objective of this study was to investigate predictors of self-reported sleep disturbances in Taiwanese people with heart failure. The hypothesis was that health-related quality of life (HRQOL) could have significant effect on sleep disturbances, after controlling for demographics, heart failure characteristics, and health-related characteristics. METHODS: A cross-sectional, descriptive, correlational design was used. A purposive sample of 125 participants was recruited from the outpatient departments of two hospitals located in southern Taiwan. Participants were interviewed individually to complete the Pittsburgh Sleep Quality Index, Kansas City Cardiomyopathy Questionnaire, Charlson Comorbidity Index, and Perceived Health Scale instruments. RESULTS: Self-reported sleep disturbances were prevalent (74%) among people with heart failure in Taiwan. Five predictors were identified using hierarchical multiple regression analyses with forward methods, accounting for 26.9% of variance in sleep disturbances. They were education, New York Heart Association functional classification, perceived health, HRQOL social functioning, and physical symptoms. After controlling for demographics, heart failure characteristics, and health-related characteristics, the analysis showed that two variables of HRQOL accounted for 9.8% of the variance in sleep disturbances. DISCUSSION: The importance of ongoing screening for sleep disturbances in people with heart failure is highlighted based on the study findings about the prevalence of sleep disturbances among the participants in this study. Healthcare providers must understand the often multifactorial nature of sleep disturbances to achieve a better and more effective management. SN - 1538-9847 UR - https://www.unboundmedicine.com/medline/citation/19092556/Self_reported_sleep_disturbance_of_patients_with_heart_failure_in_Taiwan_ L2 - https://doi.org/10.1097/NNR.0b013e31818c3ea0 DB - PRIME DP - Unbound Medicine ER -