The quality and characteristics of sleep of hypertensive patients

Hanus, Juliét Silveira; Amboni, Graziela; Rosa, Maria Inês da; Ceretta, Luciane Bisognin; Tuon, Lisiane

doi:10.1590/s0080-623420150000400009

Cited by 25 publications

(26 citation statements)

References 24 publications

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“…The prevalence of poor sleep quality (98.7%) was comparable to the Sakinah, Kosasih, and Sari (2018) study of 79 hypertensive patients (94.6%). It is much higher than study by Lu, Chen, Wu, Chen, and Hu (2015) among 4144 adult Chinese males with hypertension (15.3%) and Hanus et al (2015) study with 280 hypertensive participants in Brazil (55.7%). In recent years, sleep problems and prevalence of hypertension were increased.…”

Section: Discussionmentioning

confidence: 61%

“…Sleep quality is considered lower in patients with hypertension (Xu et al, 2016). The prevalence ranges from 38.2 to 55.7% (Bruno et al, 2013;Hanus, Amboni, Rosa, Ceretta, & Tuon, 2015). Appropriate sleep duration is necessary to maintain body function, lower the prevalence of obesity, metabolic syndrome, and to avoid adverse cardiovascular and cerebrovascular events (Chaput, McNeil, Despres, Bouchard, & Tremblay, 2013;Kobayashi, Takahashi, Deshpande, Shimbo, & Fukui, 2011).…”

Section: Introductionmentioning

confidence: 99%

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The Association Between Depression and Self-Reported Sleep Quality Among Hypertensive Patients in a Rural Area of Central Sulawesi

Lainsamputty¹,

Manitu²,

Abdillah³

2019

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Poor quality of sleep may increase burden of hypertensive patients and worsen quality of life. Recognition of individuals’ sleep quality and its related factors might benefit the outcome of hypertension management. The purpose of this study was to investigate the association between depression and sleep quality among hypertensive patients in rural community. A cross-sectional, correlational study design was performed with 149 accidental samples at two public health care areas. Instruments included Depression Anxiety Stress Scale 42 and Pittsburgh Sleep Quality Index. Almost 78% of participants experienced mild to moderate depression and 98.7% of poor sleepers were identified. Significant determinants of sleep quality were exercises and type 2 diabetes mellitus (DM). Depression was associated to sleep quality but was not identified as a determinant. This study suggests future interventions should be directed to increase regular exercises and controlling co-existing disease particularly type 2 DM should be developed to improve sleep quality. Keywords: Depression, hypertension, sleep quality. Abstrak Kualitas tidur yang buruk dapat memperberat beban pasien hipertensi dan menurunkan kualitas hidup. Mengidentifikasi kualitas tidur individu dan faktor-faktor yang terkait dengannya dapat membantu meningkatkan hasil dari manajemen penyakit hipertensi. Penelitian ini bertujuan untuk menginvestigasi asosiasi depresi dan kualitas tidur pada pasien hipertensi di daerah pedesaan. Desain penelitian menggunakan pendekatan potong lintang dan deskriptif korelasi dengan 149 sampel insidental pada wilayah kerja dua pusat kesehatan masyarakat. Kuesioner yang digunakan yaitu DASS-42 dan PSQI. Hampir 78% partisipan menderita depresi ringan hingga sedang dan presentase kualitas tidur buruk sebanyak 98.7%. Faktor determinan yang signifikan adalah olahraga dan DM tipe 2. Depresi berhubungan secara signifikan dengan kualitas tidur, tetapi tidak teridentifikasi sebagai faktor determinan. Penelitian ini merekomendasikan dilakukannya intervensi untuk meningkatkan kegiatan olahraga yang regular dan pengontrolan penyakit komorbiditas terutama DM tipe 2 untuk meningkatkan kualitas tidur. Kata Kunci: Depresi, hipertensi, kualitas tidur.

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Section: Discussionmentioning

confidence: 61%

Section: Introductionmentioning

confidence: 99%

The Association Between Depression and Self-Reported Sleep Quality Among Hypertensive Patients in a Rural Area of Central Sulawesi

Lainsamputty¹,

Manitu²,

Abdillah³

2019

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“…Theoretically, the moderate correlations of items 1, 6, and 9 in the somatic dimension can be explored as follows: item 1) changes in sleep can lead to changes in the physical, occupational, cognitive, and social functioning of the person with hypertension, compromising the quality of life and being manifested as fatigue symptoms 10,13 ; item 6) this item has two commands (agonized and tense) in one question, and the command designated by tension is connected to somatic changes and, thus, directed the item to the correlation with this dimension; item 9) it has the commands exhausted and without strength, understood by the participants of the research as elements of physical, and not mental, exhaustion.…”

Section: Discussionmentioning

confidence: 99%

Measuring the quality of life in hypertension according to Item Response Theory

et al. 2017

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OBJECTIVE To analyze the Miniquestionário de Qualidade de Vida em Hipertensão Arterial (MINICHAL – Mini-questionnaire of Quality of Life in Hypertension) using the Item Response Theory.METHODS This is an analytical study conducted with 712 persons with hypertension treated in thirteen primary health care units of Fortaleza, State of Ceará, Brazil, in 2015. The steps of the analysis by the Item Response Theory were: evaluation of dimensionality, estimation of parameters of items, and construction of scale. The study of dimensionality was carried out on the polychoric correlation matrix and confirmatory factor analysis. To estimate the item parameters, we used the Gradual Response Model of Samejima. The analyses were conducted using the free software R with the aid of psych and mirt.RESULTS The analysis has allowed the visualization of item parameters and their individual contributions in the measurement of the latent trait, generating more information and allowing the construction of a scale with an interpretative model that demonstrates the evolution of the worsening of the quality of life in five levels. Regarding the item parameters, the items related to the somatic state have had a good performance, as they have presented better power to discriminate individuals with worse quality of life. The items related to mental state have been those which contributed with less psychometric data in the MINICHAL.CONCLUSIONS We conclude that the instrument is suitable for the identification of the worsening of the quality of life in hypertension. The analysis of the MINICHAL using the Item Response Theory has allowed us to identify new sides of this instrument that have not yet been addressed in previous studies.

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“…Hipertensi tidak menunjukan gejalagejala jelas sehingga penderita menganggap penyakit yang biasa (Utami, 2009). Gejala yang sering dirasakan penderita menurut Corwin (2001( , dalam Nuraini, 2015 seperti obstructive sleep apnea syndrome (OSAS), restless legs syndrome, sakit kepala, pusing, sesak napas, nokturia yang dapat mengganggu tidur penderita (Black & Hawks, 2014;Hanus, Amboni, da Rosa, Ceretta, & Tuon, 2015).…”

Section: Pendahuluanunclassified

Gambaran Kualitas Tidur Pada Penderita Hipertensi Quality of Sleep Among Hypertension Patients

Sakinah¹,

Kosasih²,

Sari

2018

medkes

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People with hypertension experience symptoms of dizziness, headache, obstructive sleep apnea, shortness of breath, nocturia, and restless legs syndrome which disturb sleep and reduce its quality. This research’s objective was to describe the sleep quality overview of Puskesmas Rancaekek’s hypertension patients. Using descriptive quantitative method with purposive sampling technique, this research aimed at 79 Puskesmas Rancaekek’s patients who had been diagnosed with hypertension for at least one month long. The data were collected using the Pittsburgh Sleep Quality Index (PSQI) questionnaire and analysed using the total score resulted; ≤5 was good while >5 was poor. Results showed 94.6% of respondents had poor sleep quality. The dimensions that contribute to the poor sleep quality included >30 minutes sleep latency, <5 hours sleep duration, <65% of sleep efficiency, sleep disturbance due to waking up at midnight or early morning and waking up to toilet, and activity disturbance at daylight. The conclusion was that Puskesmas need to develop preventive and promotive efforts to minimize the complication of hypertension patients and optimize their quality of life by helping them improve their quality of sleep. Meanwhile, the self-management that should be done by the patients were avoiding the consumption of coffee and cigarettes, limiting physical activities, and doing physical exercise and relaxation therapies. Key Words: Hypertension, Sleep Quality, PSQI AbstrakPenderita hipertensi mengalami gejala pusing, nyeri kepala, obstructive sleep apnea, sesak napas, nokturia, restless legs syndrome yang mengganggu tidur dan berdampak pada kualitas tidur serta mempengaruhi kualitas hidup dan tekanan darah. Penelitian bertujuan untuk melihat gambaran kualitas tidur pada penderita hipertensi di Puskesmas Rancaekek. Metode penelitian menggunakan deskriptif kuantitatif dengan teknik purposive sampling sebanyak 79 penderita hipertensi di Puskesmas Rancaekek yang telah didiagnosis dokter minimal 1 bulan. Pengambilan data menggunakan kuesioner Pittsburgh Sleep Quality Index (PSQI) dan dianalisis menggunakan total skor, jika skor ≤ 5 baik dan skor > 5 buruk. Hasil menunjukan 94,6% responden memiliki kualitas tidur buruk. Dimensi yang berkontribusi terhadap kualitas tidur buruk yaitu latensi tidur tidak dapat tertidur dalam waktu 30 menit, durasi tidur <5 jam, efisiensi kebiasaan tidur <65%, gangguan tidur karena terbangun tengah malam atau pagi sekali dan terbangun karena ingin ke toilet, serta gangguan aktivitas pada siang hari. Puskesmas perlu mengembangkan upaya preventif dan promotif untuk meminimalisir komplikasi penderita hipertensi dan pencapaian kualitas hidup optimal salah satunya dengan membantu meningkatkan kualitas tidur. Dengan mengedukasi penderita untuk menghindari konsumsi kopi dan rokok, membatasi aktivitas fisik, melakukan latihan fisik, dan terapi relaksasi. Kata Kunci: Hipertensi, Kualitas Tidur, PSQI

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The quality and characteristics of sleep of hypertensive patients

Cited by 25 publications

References 24 publications

The Association Between Depression and Self-Reported Sleep Quality Among Hypertensive Patients in a Rural Area of Central Sulawesi

The Association Between Depression and Self-Reported Sleep Quality Among Hypertensive Patients in a Rural Area of Central Sulawesi

Measuring the quality of life in hypertension according to Item Response Theory

Gambaran Kualitas Tidur Pada Penderita Hipertensi Quality of Sleep Among Hypertension Patients

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