PMID- 21353642
OWN - NLM
STAT- MEDLINE
DCOM- 20130530
LR  - 20240416
IS  - 1873-1953 (Electronic)
IS  - 1474-5151 (Print)
IS  - 1474-5151 (Linking)
VI  - 11
IP  - 4
DP  - 2012 Dec
TI  - Modifiable factors associated with sleep dysfunction in adults with heart 
      failure.
PG  - 402-9
LID - 10.1016/j.ejcnurse.2011.02.001 [doi]
AB  - BACKGROUND: Sleep dysfunction contributes to poor quality of life in adults with 
      heart failure (HF). The purpose of this study was to identify factors associated 
      with sleep dysfunction that may be modifiable. METHODS: Data were collected from 
      266 subjects enrolled from three sites in the U.S. Sleep dysfunction was measured 
      over the past month with the Pittsburgh sleep quality index, using a score > 10 
      to indicate sleep dysfunction. Potentially modifiable clinical, behavioral, and 
      psychological factors thought to be associated with sleep dysfunction were 
      analyzed with hierarchical logistic regression analysis. RESULTS: When covariates 
      of age, gender, race, data collection site, and New York Heart Association (NYHA) 
      functional class were entered on the first step, only NYHA was a significant 
      correlate of sleep dysfunction. When the clinical, behavioral, and psychological 
      factors were entered, correlates of sleep dysfunction were the number of drugs 
      known to cause daytime somnolence (OR = 2.08), depression (OR = 1.83), worse 
      overall perceived health (OR = 1.64), and better sleep hygiene (OR = 1.40). 
      Although most (54%) subjects had sleep disordered breathing (SDB), SDB was not a 
      significant predictor of sleep dysfunction. DISCUSSION: Factors associated with 
      sleep dysfunction in HF include medications with sleepiness as a side-effect, 
      depression, poorer health perceptions, and better sleep hygiene. Sleep 
      dysfunction may motivate HF patients to address sleep hygiene. Eliminating 
      medications with sleepiness as a side-effect, treating depression and perceptions 
      of poor health may improve sleep quality in HF patients.
FAU - Riegel, Barbara
AU  - Riegel B
AD  - University of Pennsylvania School of Nursing, Philadelphia 19104-4217, USA. 
      briegel@nursing.upenn.edu
FAU - Glaser, Dale
AU  - Glaser D
FAU - Richards, Kathy
AU  - Richards K
FAU - Sayers, Steven L
AU  - Sayers SL
FAU - Marzolf, Amy
AU  - Marzolf A
FAU - Weintraub, William S
AU  - Weintraub WS
FAU - Goldberg, Lee R
AU  - Goldberg LR
LA  - eng
GR  - R01 HL084394/HL/NHLBI NIH HHS/United States
GR  - R01 HL084394-01A1/HL/NHLBI NIH HHS/United States
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
DEP - 20120418
PL  - England
TA  - Eur J Cardiovasc Nurs
JT  - European journal of cardiovascular nursing
JID - 101128793
SB  - IM
MH  - Adult
MH  - Age Distribution
MH  - Aged
MH  - Cross-Sectional Studies
MH  - Female
MH  - Heart Failure/diagnosis/*epidemiology/therapy
MH  - Humans
MH  - Incidence
MH  - Male
MH  - Middle Aged
MH  - Polysomnography/methods
MH  - Prognosis
MH  - Risk Assessment
MH  - Severity of Illness Index
MH  - Sex Distribution
MH  - Sleep Wake Disorders/*diagnosis/*epidemiology/therapy
MH  - United States/epidemiology
PMC - PMC3106140
MID - NIHMS273362
EDAT- 2011/03/01 06:00
MHDA- 2013/06/01 06:00
PMCR- 2013/12/01
CRDT- 2011/03/01 06:00
PHST- 2011/03/01 06:00 [entrez]
PHST- 2011/03/01 06:00 [pubmed]
PHST- 2013/06/01 06:00 [medline]
PHST- 2013/12/01 00:00 [pmc-release]
AID - S1474-5151(11)00026-0 [pii]
AID - 10.1016/j.ejcnurse.2011.02.001 [doi]
PST - ppublish
SO  - Eur J Cardiovasc Nurs. 2012 Dec;11(4):402-9. doi: 10.1016/j.ejcnurse.2011.02.001. 
      Epub 2012 Apr 18.