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[心力衰竭患者睡眠模式的相关因素]

[Factors associated to sleep pattern in heart failure patients].

作者信息

Dos Santos Mariana Alvina, da Cruz Diná de Almeida Lopes Monteiro, Barbosa Ricardo Luís

机构信息

Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brasil.

出版信息

Rev Esc Enferm USP. 2011 Oct;45(5):1105-12. doi: 10.1590/s0080-62342011000500011.

Abstract

The objective of this study was to describe sleep patterns in patients with heart failure (HF) and analyze associations between sleep and the following variables: gender, age, fatigue, fatigue on exertion, physical activity, functional class, drug therapy, dyspnea, and body mass index. The nonprobability sample consisted of 400 patients (mean age 57.8 years; 64.8% were men, average schooling of 6.1 years; 82.5% Functional Class II or III). The prevalence of poor sleepers was 68.5%, and 46.5% rated sleep as poor or very poor. Scores suggest that the bad sleeper category was associated with: female, unemployed, fatigue, fatigue on exertion, dyspnea and higher functional classes of HF. The proportion of poor sleepers among patients with HF is among the highest in chronic diseases. Dyspnea and fatigue, common symptoms of this disease, significantly increase the chance of being a bad sleeper.

摘要

本研究的目的是描述心力衰竭(HF)患者的睡眠模式,并分析睡眠与以下变量之间的关联:性别、年龄、疲劳、运动时疲劳、体力活动、心功能分级、药物治疗、呼吸困难和体重指数。非概率样本包括400名患者(平均年龄57.8岁;64.8%为男性,平均受教育年限6.1年;82.5%的心功能分级为II级或III级)。睡眠不佳者的患病率为68.5%,46.5%的人将睡眠评为差或非常差。评分表明,睡眠不佳类别与女性、失业、疲劳、运动时疲劳、呼吸困难以及更高的心功能分级相关。心力衰竭患者中睡眠不佳者的比例在慢性病中是最高的之一。呼吸困难和疲劳是该疾病的常见症状,显著增加了成为睡眠不佳者的几率。

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