Effect of Sleep Intervention Programs during Cardiac Rehabilitation on the Sleep Quality of Heart Patients

Abstract

Background and Objective. Patients with cardiovascular problems experience sleep disorders. Due to the importance of adequate sleep and rest for the growth and repair of damaged cells, it is necessary to use appropriate interventions to improve it. This study determined the effect of sleep intervention programs during cardiac rehabilitation on patients’ sleep quality. Materials and Methods. In this quasi-experimental study with unequal control group design, 35 individuals participated in the cardiac rehabilitation program as the experimental group and 35 served as the control group. The program included 12 weeks of exercise, 3 sessions per week, 3 sessions of training programs each lasting for 45 minutes, and a special two-session sleep improvement program. Data were collected using the Pittsburgh Sleep Quality Index and analysed with descriptive and inferential statistical methods. Results. There were not any significant differences between the two groups in age, sex, marital status, smoking, and indication for cardiac rehabilitation ( P > 0.05 ). The scores of sleep quality of patients were 9.2 ± 1.58 before and 4.40 ± 1.14 after intervention in the experimental group and 9.02 ± 2.56 before and 7.48 ± 1.86 after intervention in the control group. There was no significant difference between the two groups before intervention ( P = 0.73 ). yet there was a significant difference after intervention ( P = 0.0001 ). In addition, scores of sleep quality of patients were significantly different in the experimental and control groups before and after intervention ( P = 0.0001 ). Conclusion. Findings indicated that the quality of sleep of cardiac patients improved after the sleep intervention program during the cardiac rehabilitation program. Therefore, it is suggested to implement sleep improvement programs for cardiac patient care as an effective, easy, and feasible technique. In addition, it is necessary to pay more attention to the sleep improvement program in cardiac rehabilitation. Trial Registration. The trial was retrospectively registered on https://en.irct.ir/trial/50799 on 14 September 2020 (14.09.2020) with registration number IRCT20140307016870N6.

Effects of Cardiac Rehabilitation on Sleep Quality in Heart Disease Patients with and without Heart Failure

“…It is important to point out that in none of the cited studies were there specific interventions carried out that focused on sleep quality. In a recent study, Ghane et al showed that the addition of a sleep intervention program may lead to clinically significant improvements in sleep quality in CR patients [ 38 ], although further studies are needed to confirm their findings.…”

Evaluating sleep quality and activity of daily living in patients with heart failure: A cross-sectional analysis

“…A research study by Ghane et al (2022) investigated the impact of a tailored sleep intervention on the sleep quality and daily functioning of patients with heart failure, demonstrating significant improvements in both sleep quality and ADL performance among those who received the intervention, compared to the control group. 11 These findings underscore the potential benefits of integrating sleep management strategies into the care of heart failure patients. Another study by J Lin et al (2023) explored the associations between demographic factors, sleep quality, and ADL in a cohort of heart failure patients.…”