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The association between self-reported sleep quality and self-care in adults with heart failure : A cross-sectional study
Spedale, Valentina Fabrizi, Diletta Rebora, Paola Luciani, Michela Alvaro, Rosaria Vellone, Ercole Riegel, Barbara Ausili, Davide
Spedale, Valentina
Fabrizi, Diletta
Rebora, Paola
Luciani, Michela
Alvaro, Rosaria
Vellone, Ercole
Riegel, Barbara
Ausili, Davide
Abstract
Background
Sleep disturbance is one of the most common symptoms among patients with heart failure (HF), and it may affect the ability of patients to perform self-care. There is a lack of evidence on the association between sleep quality and its components and self-care in adults with HF.
Objective
The aim of this study was to evaluate the association between sleep quality and its components and self-care in adults with HF.
Methods
This study is a secondary analysis of baseline data from the MOTIVATE-HF study, a randomized controlled trial on patients with HF and their caregivers. Only patients' data were analyzed in this study (n = 498). Sleep quality and self-care were evaluated with the Pittsburgh Sleep Quality Index and the Self-Care of Heart Failure Index v6.2, respectively.
Results
A habitual sleep efficiency of 75% to 84% was associated with lower self-care maintenance compared with a habitual sleep efficiency of 85% or greater (P = .031), as was taking sleep medications once or twice a week compared with less than once a week (P = .001). A frequency of daytime dysfunction less than once a week was associated with lower self-care management compared with a frequency of daytime dysfunction of 3 or more times a week (P = .025). Taking sleep medications less than once a week was associated with lower self-care confidence compared with taking sleep medications 3 or more times a week (P = .018).
Conclusion
Poor sleep quality is frequently reported by patients with HF. Sleep efficiency, sleep medications, and daytime dysfunction may influence self-care more than the other sleep quality components.
Keywords
heart failure, self-care, self-management, sleep deprivation, sleep quality
Date
2023
Type
Journal article
Journal
Journal of Cardiovascular Nursing
Book
Volume
38
Issue
3
Page Range
E98-E109
Article Number
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled