Department of Cardiology, Affiliated Hospital of Yangzhou University, Yangzhou, Jiangsu, 225000, China.
School of Nursing, Yangzhou University, Yangzhou, Jiangsu, 225000, China.
J Adv Nurs. 2023 Aug;79(8):3082-3091. doi: 10.1111/jan.15657. Epub 2023 Mar 28.
This study aimed to measure sleep quality and its possible association with fear of progression (FOP) in patients with chronic heart failure (HF).
A cross-sectional study.
A total of 254 patients with chronic HF were recruited from two tertiary hospitals in China. The sociodemographic and clinical data of participants were collected using a general information questionnaire. The Pittsburgh Sleep Quality Index and Fear of Progression Questionnaire-Short Form were used to evaluate sleep quality over 1 month and FOP. Pearson correlation and hierarchical regression were conducted to analyse the relationship between sleep quality and FOP.
Of all participants, 85.8% had poor sleep quality, with a mean score of 12.3 ± 4.2 (possible score could be 0 to 21). The severity of FOP was positively correlated with poor sleep quality. HF hospitalization in the past year, numbers of HF drugs, monthly income and total score of FOP were strong predictors of decreased sleep quality, accounting for 24.2% of the variance in the sleep quality of these patients.
Patients with chronic HF generally reported poor sleep quality, which should be highly concerned for medical workers. Alleviating FOP as a therapeutic strategy may improve sleep quality.
It is urgent to raise clinical attention that Chinese patients with chronic HF have poor sleep quality, which is not just due to the symptoms of HF itself. FOP is an important psychological factor influencing sleep quality in patients with chronic HF, which has not been explored in China. This study provides a new perspective on targeted interventions for poor sleep quality in chronic HF.
No patient or public involvement.
本研究旨在测量慢性心力衰竭（HF）患者的睡眠质量及其与进展恐惧（FOP）的可能关联。
横断面研究。
共招募了 254 名来自中国两家三级医院的慢性 HF 患者。使用一般信息问卷收集参与者的社会人口统计学和临床数据。使用匹兹堡睡眠质量指数和进展恐惧问卷-短表评估参与者在过去 1 个月的睡眠质量和 FOP。使用 Pearson 相关和分层回归分析睡眠质量与 FOP 之间的关系。
所有参与者中，85.8%的人睡眠质量差，平均得分为 12.3±4.2（可能得分为 0 到 21）。FOP 的严重程度与睡眠质量差呈正相关。过去 1 年的 HF 住院治疗、HF 药物数量、月收入和 FOP 总分是睡眠质量下降的强预测因子，占这些患者睡眠质量变异的 24.2%。
慢性 HF 患者普遍报告睡眠质量差，这应引起医务人员的高度关注。缓解 FOP 作为一种治疗策略可能会改善睡眠质量。
迫切需要引起临床关注，中国慢性 HF 患者睡眠质量差，不仅仅是由于 HF 本身的症状。FOP 是影响慢性 HF 患者睡眠质量的一个重要心理因素，在中国尚未得到探索。本研究为慢性 HF 患者的睡眠质量差提供了一个新的靶向干预视角。
无患者或公众参与。
