Key result
An 8-week multidisciplinary cardiac rehabilitation program improved sleep quality in heart disease patients, reducing the median Pittsburgh Sleep Quality Index score from 7 to 6.
Why the study?
Sleep disorders are very common in patients with heart disease, prompting an evaluation of how cardiac rehabilitation affects sleep quality, quality of life, anxiety, depression, and functional capacity.
Does an 8-week multidisciplinary cardiac rehabilitation program improve sleep quality in patients with heart disease?
Observational (n=240)
No
Does an 8-week multidisciplinary cardiac rehabilitation program improve sleep quality in patients with heart disease?
An 8-week multidisciplinary cardiac rehabilitation program statistically improved sleep quality, quality of life, anxiety, depression, and functional capacity in heart disease patients, though the change in sleep quality was not clinically significant.
Answers are grounded in this paper and cite their sources.
Non-clinically significant sleep gains with cardiac rehab should not change practice; leaves open causality and optimal program effects.
Sleep disorders are very common in patients with heart disease. The objective of this study has been to assess the effects of a cardiac rehabilitation program on sleep quality, quality of life, anxiety, depression and functional capacity in patients with heart disease. A pre-test/post-test design study was carried out on the 240 patients included in the cardiac rehabilitation program at the “Virgen de la Victoria” hospital in Malaga; 50 patients (20.8%) were included in the program due to heart failure (HF) and the rest of them after having undergone a revascularization procedure or a surgery for valvular disease. The patients underwent a cardiac rehabilitation program for 8 weeks, based on programmed physical training, health education and psychological treatment. At the end of the program, scores improved on the Pittsburgh Sleep Quality Index (p = 0.008), the SF-36 Quality of Life Questionnaire (p <0.001), the Goldberg Anxiety and Depression Scale (p <0.001) as well as in functional capacity (p <0.001). When comparing patients with heart failure with those without, no differences were found in sleep quality, quality of life, anxiety or depression. In conclusion, the completion of an 8-week cardiac rehabilitation program may improve, in the short term, the quality of sleep in patients with heart disease.
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Lodi-Rizzini et al. (2021) conducted an observational in Heart disease (revascularization, heart failure, or valve surgery) (n=240). Multidisciplinary Cardiac Rehabilitation Program vs. Baseline (pre-intervention) was evaluated on Pittsburgh Sleep Quality Index (PSQI) total score (-1.00 median change, p=0.008). An 8-week multidisciplinary cardiac rehabilitation program improved sleep quality in heart disease patients, reducing the median Pittsburgh Sleep Quality Index score from 7 to 6.
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