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January 31, 2014Journal of Clinical NursingOpen Access

In 47 patients with coronary artery disease, a nurse-led individualized sleep-activity program improved sleep quality, duration, and efficiency at 3-4 months compared to control.

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Why the study?

Does a nurse-led individualised education programme improve sleep quality and efficiency in patients with coronary artery disease?

Population

47 patients with coronary artery disease who had undergone a coronary revascularisation procedure and/or…

Comparison

Nurse-led individualised education programme to… vs Brochure about sleep and stress.

Design

RCT, Randomised to either an intervention group or a control group

Follow-up

3 to 4 months

Key result

In 47 patients with coronary artery disease, a nurse-led individualized sleep-activity program improved sleep quality, duration, and efficiency at 3-4 months compared to control.

Authors

AJAnna JohanssonAAAnita AdamsonJEJan Ejdebäck

Discussion

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Member takes

Overview

May support nurse-led sleep self-care programs in CAD; leaves open confirmation in larger RCTs before practice change.

Study Design

Type

RCT (n=47)

Randomization

randomised

Multicenter

No

Structured PICO

Does a nurse-led individualised education programme improve sleep quality and efficiency in patients with coronary artery disease?

P
Population
47 patients with coronary artery disease who had undergone revascularisation or pharmacological treatment 3-7 weeks earlier, followed for 3-4 months.
I
Intervention
Nurse-led individualised education programme to promote self-care of sleep-activity (setting individual goals, physical training advice, relaxation exercise, CD-based relaxation programme) plus a brochure about sleep and stress.
C
Comparator
Brochure about sleep and stress.
O
Outcome
Sleep quality, sleep duration, and sleep efficiency measured by sleep diary and actigraphy, and health-related quality of life at 3 to 4 months follow-up.patient reported

A nurse-led individualized education program promoting self-care of sleep-activity improves sleep quality and efficiency in patients recovering from coronary revascularization or pharmacological treatment.

Limitations

  • Small sample size
  • Single site
  • Lack of continuous follow-ups to determine long-term stability
  • small sample size
  • single site
  • lack of continuous follow-ups

Cite This Study

Johansson et al. (2014) conducted an RCT in coronary artery disease (n=47). Individualised education programme to promote self-care of sleep-activity vs. Brochure about sleep and stress was evaluated on Sleep quality, sleep duration, and sleep efficiency. In 47 patients with coronary artery disease, a nurse-led individualized sleep-activity program improved sleep quality, duration, and efficiency at 3-4 months compared to control.

synapsesocial.com/papers/6a548cdcde81827feda45358https://doi.org/10.1111/jocn.12546
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Non-pharmacological interventions for improving sleep outcomes among patients with a diagnosis of coronary artery disease: a systematic review and meta-analysis2023 · 10 citations
  2. 2Self‐care strategies to facilitate sleep in patients with heart disease—A qualitative study2012 · 5 citations
  3. 3Effect of Sleep Intervention Programs during Cardiac Rehabilitation on the Sleep Quality of Heart Patients2022 · 14 citations
  4. 4A randomized controlled trial of an educational programme to improve self‐care in Brazilian patients following percutaneous coronary intervention2014 · 49 citations
  5. 5Optimising sleep and managing stress by integrating a behavioural intervention during cardiac rehabilitation: rationale and design of the OPTICARE-RESST multicentre randomised controlled trial2026