Sleep Quality in Patients With Acute Myocardial Infarction

Andrechuk, Carla Renata Silva; Ceolim, María Filomena

doi:10.1590/0104-0707201500002970014

Cited by 11 publications

(25 citation statements)

References 38 publications

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“…Likewise, the absence of the DC determined the absence of the ND. This DC is related to the presence of alterations in the amount and quality of sleep of hospitalized patients with ACS, and several studies present data that corroborate this finding (Alcântara, Peacock, Davidson, Hiti, & Edmondson, ; Andrechuk & Ceolim, ; Schiza et al., ). Another study demonstrated that patients with ACS who had less than 7 hr of sleep were associated with short sleep duration, with a high risk (greater than 50%) of death after 1 year of initial or recurrent ACS (Alcántara et al., ).…”

Section: Discussionmentioning

confidence: 64%

“…This can interfere with the quality and quantity of sleep (Costa & Ceolim, ), considering both extrinsic and associated intrinsic factors. This may be a limiting factor in the study; however, a consensus was not found on the best time for sleep assessment in hospitalized patients with ACS, because previous studies performed this evaluation at different times (Andrechuk & Ceolim, ; Storti et al., ).…”

Section: Discussionmentioning

confidence: 99%

“…The analysis of the relationship between worsening of clinical indicators and sleep quality was an element of a study that identified that 71.7% of patients hospitalized with AMI had poor sleep quality. This variable was the only one that was associated with worsening of the clinical indicators of the patients; that is, the worse the quality of sleep, the higher the chances of the worsening of clinical indicators (Andrechuk & Ceolim, ).…”

Section: Discussionmentioning

confidence: 99%

“…There is literature that indicates the occurrence of nocturnal awakenings by patients hospitalized with AMI. For example, one study aimed to describe the sleep quality of these patients, and demonstrated that sleep fragmentation was present in approximately half of the sample; the main sleep disturbance was the need to go to the bathroom (Andrechuk & Ceolim, ).…”

Section: Discussionmentioning

confidence: 99%

“…As an example, a study that had, among its objectives, to describe the sleep quality of patients with AMI by means of a subjective instrument, identified that 60% of these had a short duration of sleep and 48.7% of sleep fragmentation, which interfered with the quality of their sleep as well as a high prevalence of bad sleepers (Andrechuk & Ceolim, ).…”

Section: Problem Identificationmentioning

confidence: 99%

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Diagnostic Accuracy of the Disturbed Sleep Pattern in Patients with Acute Coronary Syndrome

Manzoli

Correia

Botelho

et al. 2019

Int J of Nursing Knowl

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OBJECTIVE To clinically validate the nursing diagnosis, disturbed sleep pattern (00198), in patients with acute coronary syndrome. DATA COLLECTION A clinical validation study using the patient history, Visual Analog Sleep scale, and diagnostic inference. Accuracy techniques were performed. SYNTHESIS OF DATA There were 75 patients: 76.00% were men, and 82.66% had a myocardial infarction. The defining characteristic, changes in sleep pattern, presented a sensitivity of 0.900 and specificity of 0.9714. CONCLUSION Changes in sleep pattern was a predictor of the nursing diagnosis. IMPLICATIONS FOR PRACTICE Results will contribute to the identification of sleep disturbances, by nurses, emphasizing the importance of improving sleep during hospitalization. OBJETIVO Validar clinicamente o Diagnóstico de Enfermagem Padrão de Sono Prejudicado (00198) em pacientes com Síndrome Coronariana Aguda. MÉTODOS Estudo de validação clínica, utilizando Histórico de Enfermagem, Escalas Visuais Análogas do Sono e inferência diagnóstica. Realizada medidas de acurácia. RESULTADOS 75 pacientes, 76,00% homens e 82,66% com Infarto do Miocárdio. A característica definidora Alteração do Padrão de Sono teve 0,900 de Sensibilidade e 0,9714 de Especificidade. CONCLUSÕES Alteração do padrão de sono foi preditora do diagnóstico de enfermagem. IMPLICAÇÕES PARA A PRÁTICA Contribuirá na identificação de distúrbios do sono, pelos enfermeiros, ressaltando a importância da melhoria do sono durante a internação.

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Section: Discussionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Problem Identificationmentioning

confidence: 99%

See 3 more Smart Citations

Diagnostic Accuracy of the Disturbed Sleep Pattern in Patients with Acute Coronary Syndrome

Manzoli

Correia

Botelho

et al. 2019

Int J of Nursing Knowl

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Self-reported sleep quality and depression in post myocardial infarction patients attending cardiology outpatient clinics in Oman

Almamari

Muliira

Lazarus

2019

International Journal of Nursing Sciences

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ObjectiveThis study aimed to examine the sleep quality and prevalence of depression in post myocardial infarction patients attending cardiology outpatient clinics of selected hospitals in Oman.MethodsA descriptive cross-sectional design was used to collect data from patients (n = 180) who were at least 4 weeks post myocardial infarction diagnosis and receiving follow-up care in the outpatient clinic. The Arabic version of the Pittsburgh Sleep Quality Index and Patient Health Questionnaire-9 were used to assess sleep quality and depressive symptoms, respectively.ResultsThe sample mean age was 62.0 ± 11.3 years. Poor sleep quality affected 61.1% of the participants. The significant predictors of poor sleep quality were gender (P ≤ 0.05), body mass index (P ≤ 0.05), and self-reported regular exercise (P ≤ 0.01). The most impacted domains of sleep quality were sleep latency, sleep duration, and sleep disturbances. The prevalence of major depression was low (5%) and the rate of re-infarction was 27.2%. The prevalence of minimal to mild major depression with a potential of transitioning into major depression overtime was very high. Self-reported regular exercise (P ≤ 0.01) was the only significant predictor of depressive symptoms.ConclusionThe sleep quality of post myocardial infarction patients was poor and the prevalence of depression was low. There was no significant relationship between sleep quality or depression with re-infarction.

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Baseline coronary artery stenosis severity is an independent predictor of subsequent poor sleep quality in patients with acute coronary syndrome

Yakut,

Kanal,

Konte

et al. 2024

Coronary Artery Disease

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Aim To investigate the relationship between coronary artery lesion severity determined using the baseline SYNTAX score and sleep problems that might occur after discharge determined using the Pittsburgh Sleep Quality Index (PSQI). Methods This prospective study included patients with first acute coronary syndrome (ACS) who underwent percutaneous coronary angiography between February 2019 and August 2019. The severity of coronary artery stenosis was classified according to coronary angiography and SYNTAX scores. Patients were grouped as those with a SYNTAX score of ≤22 and >22. Sleep quality after discharge was classified according to the PSQI. PSQI ≤5 represented good sleep quality, and PSQI >5 represented poor sleep quality. Univariate and multivariate logistic regression was used to investigate the relationship between sleep quality and coronary artery stenosis severity. Results A total of 424 patients were included in the study. Of these, 294 (69.34%) had a SYNTAX score of ≤22 and 130 (30.66%) had a SYNTAX score of >22. The mean age of all patients was 60.37 ± 12.23 years, 59.69 ± 11.85 years in the SYNTAX ≤22 groups and 61.90 ± 12.98 years in the SYNTAX >22 group (P = 0.086). The majority (78.54%) of the patients were male and there was no significant difference between the SYNTAX ≤22 group and the SYNTAX >22 group in terms of sex distribution (P = 0.383). According to the univariate logistic regression analysis, age (P = 0.014), diabetes (P = 0.027), left ventricular ejection fraction (P = 0.001), estimated glomerular filtration rate (P = 0.039), creatine kinase MB (P = 0.040) and SYNTAX scores (P < 0.001) were significantly associated with high PSQI global scores (>5). However, according to the multivariate logistic regression analysis results, high (>22) SYNTAX scores were the only factor independently associated with the high (>5) PSQI global scores [odds ratio, 3.477; 95% confidence interval (CI), (2.190–5.522); P < 0.001]. Complete revascularization group had significantly higher sleep latency and sleep duration time, sleep efficiency and the percentage of patients with PSQI global score of ≤5 than the incomplete revascularization group (P < 0.001 for all). Conclusion Among patients with ACS, those with high SYNTAX scores should be monitored more carefully for sleep disorders that may occur later.

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Sleep Quality in Patients With Acute Myocardial Infarction

Cited by 11 publications

References 38 publications

Diagnostic Accuracy of the Disturbed Sleep Pattern in Patients with Acute Coronary Syndrome

Diagnostic Accuracy of the Disturbed Sleep Pattern in Patients with Acute Coronary Syndrome

Self-reported sleep quality and depression in post myocardial infarction patients attending cardiology outpatient clinics in Oman

Baseline coronary artery stenosis severity is an independent predictor of subsequent poor sleep quality in patients with acute coronary syndrome

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