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Excessive daytime sleepiness in taiwanese people with heart failure.
MedLine Citation:
PMID:  23407336     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: : Excessive daytime sleepiness can increase heart failure (HF) mortality, cause poor medication adherence, and worsen quality of life in people with HF. Recognition of excessive daytime sleepiness can help improve HF management outcomes.
PURPOSE: : This study was designed to identify the determinants of daytime sleepiness in patients with HF in Taiwan.
METHODS: : A cross-sectional and correlational study design was employed. We used nonprobability sampling to recruit 133 participants during their regular visits to a cardiovascular outpatient department of a medical center. Instruments used included the Epworth Sleepiness Scale, Symptom Subscale of Kansas City Cardiomyopathy Questionnaire, and Pittsburgh Sleep Quality Index.
RESULTS: : Excessive daytime sleepiness occurred in 23.3% of study participants. Significant determinants of excessive daytime sleepiness were daytime dysfunction, body mass index, and HF symptom frequency. Use of angiotensin-converting enzyme inhibitors was correlated with excessive daytime sleepiness but was not identified as a determinant.
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: : Approximately one quarter of participants reported subjective excessive daytime sleepiness, suggesting that recognition of this symptom should be incorporated into HF management. Interventions for improving daytime dysfunction, decreasing body mass index, and ameliorating HF symptoms may help improve excessive daytime sleepiness. Habitual daytime napping may assist Taiwanese patients with chronic HF to overcome poor nocturnal sleep and restore energy. However, extra daytime sleep and changes in the duration and pattern of daytime napping during the HF trajectory should be recognized early to maintain daytime functioning. Medical treatments may help control HF symptoms. Optimizing medications to minimize adverse effects may help patients maintain better treatment adherence.
Authors:
Hsing-Mei Chen; Angela P Clark; Liang-Miin Tsai; Yi Liu; Li-Min Wu; Shyh-Jong Wu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of nursing research : JNR     Volume:  21     ISSN:  1948-965X     ISO Abbreviation:  J Nurs Res     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-02-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101128757     Medline TA:  J Nurs Res     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  39-48     Citation Subset:  IM; N    
Affiliation:
1PhD, RN, Assistant Professor, School of Nursing, Kaohsiung Medical University, Taiwan, ROC 2PhD, RN, CNS, FAAN, FAHA, Associate Professor Emerita, School of Nursing, The University of Texas at Austin, USA 3MD, Professor of Medicine, National Cheng Kung University Medical Center, Taiwan, ROC 4PhD, Assistant Professor, Department of Medical Laboratory Science and Biotechnology, Kaohsiung Medical University, Taiwan, ROC.
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