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Sleep-wake activity rhythm and health-related quality of life among patients with coronary artery disease and in a population-based sampleAn actigraphy and questionnaire study
Skaraborgs Hospital, Sweden .
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuroscience. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Anaesthetics, Operations and Specialty Surgery Center, Department of Clinical Neurophysiology.
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Health Sciences.
2013 (English)In: International Journal of Nursing Practice, ISSN 1322-7114, E-ISSN 1440-172X, Vol. 19, no 4, 390-401 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to explore whether there are gender differences in sleep and health-related quality of life in patients with coronary artery disease (CAD) and a matched population-based sample and to see how subjectively rated sleep is associated with actigraphy. Secondly, to explore whether factors that predict patients sleep quality could be identified. Fifty-seven patients with stable CAD and 47 participants from a population-based sample were included. All participants completed the Uppsala Sleep Inventory (USI), the Epworth Sleepiness Scale and the SF-36. Actigraphy recordings and a sleep diary were performed for seven 24-h periods. Multiple stepwise regression analysis showed that sleep duration, sleep onset latency, nocturnal awakenings, vitality (SF-36) and body mass index explained 60% of the sleep quality outcome (USI). Sleep duration, sleep efficiency and fragmentation index assessed with actigraphy and sleep diary accounted for 36% of the sleep quality outcome (diary). The result can form the basis for a non-pharmacological, self-care programme supported and led by nurses.

Place, publisher, year, edition, pages
WILEY-BLACKWELL, 111 RIVER ST, HOBOKEN 07030-5774, NJ USA , 2013. Vol. 19, no 4, 390-401 p.
Keyword [en]
actigraphy, coronary artery disease, health-related quality of life, sleep quality, sleep-activity rhythm
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-96975DOI: 10.1111/ijn.12080ISI: 000322722400006OAI: diva2:645709

Funding Agencies|Swedish Research Council|2001-504-338-37|Medical Research Council of Southeast Sweden||Research and Development unit at Skaraborg Hospital, Sweden|VGSKAS-9122|

Available from: 2013-09-05 Created: 2013-09-02 Last updated: 2013-09-05

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Svanborg, EvaEdéll-Gustafsson, Ulla
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Division of NeuroscienceFaculty of Health SciencesDepartment of Clinical NeurophysiologyDivision of Nursing Science
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ReferencesLink to record
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