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May 2, 2023European Journal of Cardiovascular NursingOpen Access

Non-pharmacological interventions for improving sleep outcomes among patients with a diagnosis of coronary artery disease: a systematic review and meta-analysis

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Key result

Non-pharmacological interventions strongly improve self-reported sleep quality among patients with CAD.

  • SMD -0.85
  • 95% CI -1.08, -0.63

Why the study?

To determine the effectiveness of non-pharmacological interventions on sleep outcomes in patients with coronary artery disease and identify characteristics affecting intervention effectiveness.

Do non-pharmacological interventions improve sleep outcomes in patients with coronary artery disease?

Population

Patients with coronary artery disease across 42 studies (30 in meta-analysis)

Comparison

Non-pharmacological interventions vs comparator controls

Design

Systematic review and meta-analysis of randomized controlled trials

Authors

GPGaeun ParkHLHaejung LeeDLDae-Eun Lee

Discussion

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Overview

Non-pharmacological interventions warrant consideration to improve sleep quality in CAD; reinforces aggregated trial evidence for self-reported outcomes.

Study Design

Type

Meta-Analysis

Structured PICO

Do non-pharmacological interventions improve sleep outcomes in patients with coronary artery disease?

P
Population
Patients with a diagnosis of coronary artery disease (42 studies included in systematic review, 30 in meta-analysis)
I
Intervention
Non-pharmacological interventions (including environmental control, relaxation, self-care behaviour management, and relaxation and cognitive/psychological complex interventions)
O
Outcome
Self-reported sleep quality, objectively measured sleep efficiency, and objectively measured sleep durationpatient reported

Main Result

Effect estimate: SMD -0.85 (95% CI -1.08, -0.63)

Non-pharmacological interventions, particularly environmental control, significantly improve self-reported sleep quality in patients with coronary artery disease, though they do not affect objectively measured sleep parameters.

Cite This Study

Park et al. (2023) conducted a meta-analysis in Coronary artery disease. Non-pharmacological interventions was evaluated on Self-reported sleep quality (SMD -0.85, 95% CI -1.08, -0.63). Non-pharmacological interventions significantly improved self-reported sleep quality among patients with coronary artery disease (SMD -0.85; 95% CI -1.08, -0.63).

synapsesocial.com/papers/6a12627dea48cb855a34ba1dhttps://doi.org/10.1093/eurjcn/zvad039
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