台湾地区心力衰竭患者的自我报告睡眠障碍

Self-reported sleep disturbance of patients with heart failure in Taiwan.

作者信息

Chen Hsing-Mei, Clark Angela P, Tsai Liang-Miin, Chao Yann-Fen C

机构信息

Chang Gang Institute of Technology Chia-Yi Campus, School of Nursing, Chia-Yi County, Taiwan.

出版信息

Nurs Res. 2009 Jan-Feb;58(1):63-71. doi: 10.1097/NNR.0b013e31818c3ea0.

DOI:10.1097/NNR.0b013e31818c3ea0

PMID:19092556

Abstract

BACKGROUND

Western research studies have found that sleep disturbances reduced quality of life and daily functioning of patients with heart failure; however, information about sleep disturbance is lacking in Taiwanese people with heart failure.

OBJECTIVES

The objective of this study was to investigate predictors of self-reported sleep disturbances in Taiwanese people with heart failure. The hypothesis was that health-related quality of life (HRQOL) could have significant effect on sleep disturbances, after controlling for demographics, heart failure characteristics, and health-related characteristics.

METHODS

A cross-sectional, descriptive, correlational design was used. A purposive sample of 125 participants was recruited from the outpatient departments of two hospitals located in southern Taiwan. Participants were interviewed individually to complete the Pittsburgh Sleep Quality Index, Kansas City Cardiomyopathy Questionnaire, Charlson Comorbidity Index, and Perceived Health Scale instruments.

RESULTS

Self-reported sleep disturbances were prevalent (74%) among people with heart failure in Taiwan. Five predictors were identified using hierarchical multiple regression analyses with forward methods, accounting for 26.9% of variance in sleep disturbances. They were education, New York Heart Association functional classification, perceived health, HRQOL social functioning, and physical symptoms. After controlling for demographics, heart failure characteristics, and health-related characteristics, the analysis showed that two variables of HRQOL accounted for 9.8% of the variance in sleep disturbances.

DISCUSSION

The importance of ongoing screening for sleep disturbances in people with heart failure is highlighted based on the study findings about the prevalence of sleep disturbances among the participants in this study. Healthcare providers must understand the often multifactorial nature of sleep disturbances to achieve a better and more effective management.

摘要

背景

西方研究发现，睡眠障碍会降低心力衰竭患者的生活质量和日常功能；然而，台湾心力衰竭患者缺乏有关睡眠障碍的信息。

目的

本研究的目的是调查台湾心力衰竭患者自我报告的睡眠障碍的预测因素。假设是，在控制人口统计学、心力衰竭特征和健康相关特征后，健康相关生活质量（HRQOL）可能对睡眠障碍有显著影响。

方法

采用横断面、描述性、相关性设计。从台湾南部两家医院的门诊部招募了125名有目的的参与者样本。对参与者进行个别访谈，以完成匹兹堡睡眠质量指数、堪萨斯城心肌病问卷、Charlson合并症指数和感知健康量表工具。

结果

台湾心力衰竭患者中自我报告的睡眠障碍很普遍（74%）。使用向前法的分层多元回归分析确定了五个预测因素，占睡眠障碍方差的26.9%。它们是教育程度、纽约心脏协会功能分级、感知健康、HRQOL社会功能和身体症状。在控制了人口统计学、心力衰竭特征和健康相关特征后，分析表明HRQOL的两个变量占睡眠障碍方差的9.8%。