The Course of Sleep Problems in Patients With Heart Failure and Associations to Rehospitalizations

Johansson, Peter; Broström, Anders; Sanderman, Robbert; Jaarsma, Tiny

doi:10.1097/jcn.0000000000000176

Cited by 21 publications

(19 citation statements)

References 46 publications

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“…After controlling for factors associated with survival in heart failure, we found that poor sleepers were 2.5 times more likely to have a cardiac event than were good sleepers. Similar findings were observed in 2 previous studies 5,20 in which self-reported sleep measures were used to examine the relationship between sleep states and prognosis in patients with heart failure. However, these 2 studies 5,20 had some methodological issues.…”

Section: Discussionsupporting

confidence: 86%

“…[1][2][3][4] Sleep disturbance is a common finding among patients with heart failure, [2][3][4] and up to 94% of patients with heart failure experienced sleep disturbance, from occasionally to almost constantly. 4 In a study in which patients with heart failure were followed up for 1 year after discharge from the hospital, Johansson et al 5 found that sleep disturbance was persistent in 30% of the patients who reported sleep problems at discharge and that sleep disturbance newly occurred in 14% of patients who did not report sleep problems at discharge. Several factors contributing to sleep disturbance in patients with heart failure have been identified, including nocturnal dyspnea, comorbid conditions (eg, chronic obstructive pulmonary disease), sleep-disordered breathing, and medications (eg, -blockers).…”

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confidence: 99%

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Prognostic Importance of Sleep Quality in Patients With Heart Failure

Lee¹,

Lennie²,

Heo³

et al. 2016

American Journal of Critical Care

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Section: Discussionsupporting

confidence: 86%

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confidence: 99%

Prognostic Importance of Sleep Quality in Patients With Heart Failure

Lee¹,

Lennie²,

Heo³

et al. 2016

American Journal of Critical Care

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“…heart failure found higher rates of sleep disturbances than in the general population, and their findings (40%-45%) are more consistent with the findings here, [29][30][31] highlighting the importance of assessing sleep and addressing sleep problems in cardiac rehabilitation efforts. The effect of essential oil inhalation on PSQI scores was substantial in this study (effect size: d = 1).…”

Section: Mcdonnell and Newcombsupporting

confidence: 88%

Trial of Essential Oils to Improve Sleep for Patients in Cardiac Rehabilitation

McDonnell

Newcomb

2019

The Journal of Alternative and Complementary Medicine

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Objectives: The objective of this study was to determine if there was a significant difference between the sleep quality of patients who inhaled placebo and those who inhaled an aroma comprising a mixture of Lavandula x intermedia (Lavandin Super), Citrus bergamia (bergamot), and Cananga odorata (ylang ylang). Design: This was a randomized, double-blind crossover study, which compared a treatment with placebo. Settings/location: The study was conducted in an outpatient cardiac rehabilitation unit located in an urban, private nonprofit hospital in north Texas. Subjects: Participants included 42 adult patients referred to the rehabilitation service following hospitalizations by local cardiologists. Interventions: Cotton balls infused with a combination of lavender, bergamot, and ylang ylang or placebo were placed at subjects' bedsides for five nights. After a washout period, subjects crossed over to the other condition for five nights. Outcome measures: Participants completed the Pittsburgh Sleep Quality Index (PSQI) after treatment and placebo periods. Lower PSQI scores indicate better sleep quality. Results: The mean PSQI global score was statistically significantly lower when receiving the intervention oil (mean = 4.9) than the mean PSQI global score when receiving placebo (mean = 8). Duration of sleep and the time it took to fall asleep were no different between treatment groups, but patient-reported sleep quality was significantly better when participants were exposed to essential oils (w 2 = 4.5, p = 0.03) than when exposed to placebo. Although sleep efficiency (time asleep while lying in bed) was perceived as the same under both conditions, participants reported that they had to get up to use the bathroom significantly less often when exposed to the treatment than when exposed to placebo (t =-2.04, p = 0.05; Wilcoxon p = 0.05). Participants also reported that they had trouble sleeping because they felt too cold, which occurred significantly less often when exposed to the treatment than when exposed to placebo (t =-2.03, p = 0.05; Wilcoxon p = 0.05). Conclusions: Sleep quality of participants receiving intervention oils was significantly better than the sleep quality of participants receiving the placebo oil. Low-cost, nontraditional aromatherapy treatment is potentially effective for improving sleep quality among cardiac rehabilitation patients.

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“…Fatigue and sleep quality seems may create a vicious circle in HF and can adversely affect the outcome, therefore, continuous assessment of sleep should be a part of the clinical routine in the management of HF patients (Johansson et al, 2015) and should not be undervalued (Gau et al, 2011). Identification of sleep quality, however, tend to be ignored (Nasir et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

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

Lainsamputty¹,

Chen

2018

NLJ

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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.

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The Course of Sleep Problems in Patients With Heart Failure and Associations to Rehospitalizations

Abstract: One-third of HF patients with sleep problems at discharge experienced persistent sleep problems at follow-up. Continued sleep problems were associated with all-cause and cardiovascular rehospitalizations.

Cited by 21 publications

References 46 publications

Prognostic Importance of Sleep Quality in Patients With Heart Failure

Prognostic Importance of Sleep Quality in Patients With Heart Failure

Trial of Essential Oils to Improve Sleep for Patients in Cardiac Rehabilitation

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

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