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:: Volume 22, Issue 4 (Bimonthly 2018) ::
Feyz 2018, 22(4): 421-428 Back to browse issues page
Evaluation of sleep disorder and its effective factors in patients with an ischemic heart disease in the CCU ward of Kashan Shahid-Beheshti Hospital during 2017-2018
Fariba Raigan , Mohsen Taghadosi * , Narges Sepahi , Mohammad Khaki
Trauma Nursing Research Center, Kashan University of Medical Sciences, I. R. Iran. , taghadasi_1345@yahoo.com
Abstract:   (468 Views)
Background: Complaints of sleep disorders are common in ischemic heart patients, even after taking sleeping drugs. Evaluation of the causes of sleep disorders and modifying these factors that lead to the progression of patients' treatment is very important. Therefore, this study aimed at investigating sleep disorders and their effective factors in cardiac ischemic patients admitted to the cardiac care unit (CCU) with the use of sleeping drugs.
Materials and Methods: This descriptive analytical study was conducted on 250 patients in the CCU ward of Kashan Shahid Beheshti Hospital, during 2017-2018, using the random sampling method. Data were collected by a specific questionnaire with 0.90 validity and 0.76 reliability.
Results: In total, 80.4% of the patients reported a degree of sleep disorders. The most common problems were observed subsequently in the onset and duration of sleep, sleep disorders due to environmental factors, daily dysfunction, sleep disorder due to heart disease, and respiratory problems during sleep. Among the environmental factors, there was a significant relationship between sleep disorders and lack of a comfortable bed condition (OR=20.42), continuous illumination of the lights (OR=19.05), feeling of hot or cold (OR=15.44), feeling of the unpleasant odor (OR=13.60), and high levels of noise in the ward (OR=12.22).
Conclusion: According to the results of this study, paying more attention to these patients, comprehensive review of them, and the establishment of a care plan for the improvement of sleep conditions are necessary in hospitalized patients.
Keywords: Ischemic heart disease, Factors affecting sleep disorders, Sleep disorders questionnaire, CCU
Full-Text [PDF 234 kb]   (146 Downloads)    
Type of Study: Research | Subject: medicine, paraclinic
Received: 2017/12/27 | Accepted: 2018/08/8 | Published: 2018/10/6
References
1. Prager R. Harrison's Cardiovascular Medicine, Joseph Loscalzo (Ed.). McGraw Hill Professional, New York (2010), 636, illustrated, $74.95, ISBN: 978-0-07-170291-1.
2. Roth GA, Huffman MD, Moran AE, Feigin V, Mensah GA, Naghavi M, et al. Global and regional patterns in cardiovascular mortality from 1990 to 2013. Circulation 2015; 132(17): 1667–78.
3. World Health Organization. Cardiovascular diseases, The top 10 causes of death 2016. Available at: http://www.who.int/news-room/fact-sheets‌/det‌ail‌/th‌e-top-10-causes-of-death
4. Laufer EM, Reutelingsperger CP, Narula J, Hofstra L. Annexin A5: an imaging biomarker of cardiovascular risk. Basic Res Cardiol 2008; 103(2): 95–104.
5. Čulić V, Eterović D, Mirić D. Meta-analysis of possible external triggers of acute myocardial infarction. Int J Cardiol 2005; 99(1): 1–8.
6. Boyer MJ. Brunner and Suddarth's Textbook of Medical-surgical Nursing. Lippincott Williams & Wilkins; 2009.
7. Milleron O, Pillière R, Foucher A, de Roquefeuil F, Aegerter P, Jondeau G, et al. Benefits of obstructive sleep apnoea treatment in coronary artery disease: a long-term follow-up study. Eur Heart J 2004; 25(9): 728–34.
8. Freedman NS, Kotzer N, Schwab RJ. Patient Perception of Sleep Quality and Etiology of Sleep Disruption in the Intensive Care Unit. Am J Respir Crit Care Med 1999; 159(4): 1155–62.
9. Nesami MB, Gorji MA, Rezaie S, Pouresmail Z, Cherati JY. Effect of acupressure with valerian oil 2.5% on the quality and quantity of sleep in patients with acute coronary syndrome in a cardiac intensive care unit. J Tradit Complement Med 2015; 1–7.
10. Cicek H, Armutcu B, Dizer B, Yava A, Tosun N, Celik T. Sleep quality of patients hospitalized in the coronary intensive care unit and the affecting factors. Int J Caring Sci 2014; 7(1): 324-32.
11. Leineweber C, Kecklund G, Janszky I, Akerstedt T, Orth-Gomér K. Poor sleep increases the prospective risk for recurrent events in middle-aged women with coronary disease. The Stockholm Female Coronary Risk Study. J Psychosom Res 2003; 54(2): 121–7.
12. Neyse F, Daneshmandi M, Sadeghi Sharme, M, Ebadi A. The effect of earplugs on sleep quality in patients with acute coronary syndrome. Iran J Crit Care Nurs 2011; 4(3): 127-34. [in Persian]‌
13. Rustam Jalali, et al. Designing a reliable instrument for assessing sleep disturbance in coronary heart disease patients. [in persian]. Available at:http://research.kums.ac.ir/webdocument/load.action?webdocument_code=1000&masterCode=3001863
14. Sepahvand E, Mirzaei M, Sahaf R. Evaluation of Sleep Disturbances in patients with acute coronary syndrome in cardiac care unit by using specific questionnaires. (2015): 45-51.‌
15. Sharma M, Sawhney JP, Panda S. Sleep quality and duration-potentially modifiable risk factors for Coronary Artery Disease? Indian Heart J 2014; 66(6): 565–8.
16. Johansen A, Buck H, Lee C. Sleep-wake-activity and health-related quality of life in patients with coronary artery disease. J Cardiovasc Nurs 2012; 27: 8-15.
17. Edéll-Gustafsson U. Sleep, psychological symptoms and quality of life in patients undergoing coronary artery bypass grafting. Nordic J Psychiatry 1999; 53(2): 159-62.
18. Al Otair H, Al-Shamiri M, Bahobail M, Sharif MM, BaHammam AS. Assessment of sleep patterns, energy expenditure and circadian rhythms of skin temperature in patients with acute coronary syndrome. Med Sci Monit 2011; 17(7): CR397-403.
19. Menefee LA, Frank ED, Doghramji K, Picarello K, Park JJ, Jalali S, et al. Self-reported sleep quality and quality of life for individuals with chronic pain conditions. Clin J Pain 2000; 16(4): 290-7.
20. Chandola T, Ferrie JE, Perski A, Akbaraly T, Marmot MG. The Effect of Short Sleep Duration on Coronary Heart Disease Risk is Greatest Among Those with Sleep Disturbance: A Prospective Study from the Whitehall II Cohort. Sleep 2010; 33(6): 739–44.
21. Gottlieb DJ, Redline S, Nieto FJ, Baldwin CM, Newman AB, Resnick HE, et al. Association of Usual Sleep Duration With Hypertension: The Sleep Heart Health Study. Sleep 2006; 29(8): 1009–14.
22. Laugsand LE, Vatten LJ, Platou C, Janszky I. Insomnia and the risk of acute myocardial infarction: Apopulayion study. Circulation 2011; 124(9): 2073-81
23. Kripke DF. Hypnotic drug risks of mortality, infection, depression, and cancer: but lack of benefit. F1000Research 2016.‌
24. BaHammam A, Alrajeh M, Albabtain M, Bahammam S, Sharif M. Circadian pattern of sleep, energy expenditure, and body temperature of young healthy men during the intermittent fasting of Ramadan. Appetite 2010; 54(2): 426-9.
25. Hweidi IM. Jordanian patients’ perception of stressors in critical care units: a questionnaire survey. Int J Nurs Stud 2007; 44(2): 227–35.
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Raigan F, Taghadosi M, Sepahi N, Khaki M. Evaluation of sleep disorder and its effective factors in patients with an ischemic heart disease in the CCU ward of Kashan Shahid-Beheshti Hospital during 2017-2018 . Feyz. 2018; 22 (4) :421-428
URL: http://feyz.kaums.ac.ir/article-1-3499-en.html


Volume 22, Issue 4 (Bimonthly 2018) Back to browse issues page
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