What is the clinical evidence from this study?

Study design: Other. Population: Congestive heart failure (n=20). Primary outcome: Conceptions of sleep situation.

What does this research mean for the field?

Congestive heart failure patients report that sleep disturbances are affected by daily activities and cardiac symptoms, leading to fatigue, listlessness, and a need for daytime sleep, which they manage through coping mechanisms and psychosocial support. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

May 7, 2001

Patients with congestive heart failure and their conceptions of their sleep situation

Key Result

Congestive heart failure patients reported that sleep disturbances were affected by daily activities and cardiac symptoms, leading to fatigue, listlessness, and a need for daytime sleep.

Structured PICO

How do patients with congestive heart failure conceive their sleep situation?

Population

20 strategically chosen patients with congestive heart failure (CHF)

Outcome

Conceptions of sleep situationpatient reported

Sleep disturbances in CHF patients are affected by daily activities and cardiac symptoms, leading to significant daytime effects that require coping mechanisms and psychosocial support.

Abstract

AIM: To describe, from a nursing perspective, how patients with CHF conceived their sleep situation. BACKGROUND: Sleep disturbances are very common in patients with congestive heart failure (CHF). Polysomnographic studies have shown that the total duration of sleep is shorter and the sleep structure disturbed, with frequent arousals and sleep stage changes. METHODS: A qualitative descriptive design inspired by a phenomenographic approach was employed. Conceptions were collected through interviews with 20 strategically chosen CHF patients. FINDINGS: The findings showed that the patients' sleep was affected by their daily activities, the disease itself and cardiac symptoms. The sleep disturbances gave effects such as fatigue, listlessness, loss of concentration and loss of temper. These effects led to a need for daytime sleep, seclusion, counselling and information. Patients handled their sleep disturbances through coping mechanisms related to developed patterns of daily life and through support from their psychosocial environment. CONCLUSIONS: Through an increased awareness of the causes of sleep disturbances in CHF patients, nurses can more effectively meet their caring needs and reduce the psychological stressors that patients develop. Information and education, both to patients and the next of kin, about the disease and the sleep situation, especially good sleeping habits, can help patients to better cope with sleep disturbances.

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