The Correlation Between Fatigue and Sleep Quality among Patients with Heart Failure

Abstract

Heart failure (HF) patients may experience fatigue and poor sleep quality due to impairment in cardiac structure or function. These distressing symptoms may create a vicious circle leading to poor outcomes but often undervalued and ignored among patients. This study aimed to investigate the relationship between fatigue and sleep quality among patients with HF in Indonesia. A cross-sectional, correlational study design was performed with 153 convenience samples recruited from a cardiology outpatient department at a medical center in Indonesia. Descriptive statistics, bivariate analyses (independent t-tests, one-way Analysis of Variance, and Pearson correlation), and hierarchical regression analysis were utilized to analyze the data. Instruments included demographic characteristics and clinical variables questionnaire, the Multidimensional Assessment of Fatigue (MAF), and the Pittsburgh Sleep Quality Index (PSQI). The mean age of participants was 61.86±10.79 years old and the mean duration of HF diagnosis was 4.26±5.48 years. All participants complained of fatigue, while 73.2% had poor sleep quality. Participants who were poor sleepers had a higher proportion of individuals used massage, not having taken dyslipidemia drugs, had normotension or well-controlled blood pressure, and suffered from hypertensive heart disease (HHD) and renal diseases. All fatigue domains, except the degree of interference in ADL, was significantly associated with sleep quality. However, only the timing domain determined sleep quality, meaning, the longer the fatigue, the poorer the sleep quality. This study suggests future interventions should be directed to decrease the level of severity, distress reduction, and particularly shorten fatigue duration should be developed to improve the sleep quality.

Korelasi Kecemasan dan Domain Kelelahan pada Pasien Tuberkulosis

“…Jika partisipan memilih tidak merasa kelelahan pada pertanyaan nomor 1, maka harus diberikan skor 0 semua pertanyaan yang tersisa (2-16). Kuesioner ini sudah digunakan pada populasi di Indonesia seperti pada pasien hemodialisis (Khusniyati, Yona, & Kariasa, 2019) dan gagal jantung (Lainsamputty & Chen, 2018). Skor uji reliabilitas konsistensi interlah kuesioner MAF dalam penelitian ini adalah 0,95.…”

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

“…Psychometric analysis of the PSQI revealed good reliability (internal consistency) in hypertensive population, ranging from 0.76-0.80 (Hsu, Chen, Ho, & Lin, 2018;Kara & Tenekeci, 2017). Bahasa Indonesian version of PSQI has been used previously, with a Cronbach's alpha of 0.76 in heart failure patients (Lainsamputty & Chen, 2018).…”

Associations between sleep quality, fatigue, social isolation, and depressive symptoms in patients with heart failure: a parallel mediation analysis

“…A recent systematic review on depression on patients with HF found a global depression prevalence of 28.1% for moderate to severe symptoms, with a range from 11.3-50.0% [4]. Emerging evidence underscores poor sleep quality, fatigue, and social isolation as signi cant correlates of depressive symptoms in patients with HF [3,[5][6][7].…”

“…Due to HF-related symptoms such as nocturnal dyspnea and palpitation, most of patients with HF reported poor sleep quality, with a proportion ranging from 70-90% [5,6]. Poor sleep quality usually has negative impacts on patients' health and well-being, in terms of physical, social, and mental aspects [6].…”