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
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
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.
actigraphy, coronary artery disease, health-related quality of life, sleep quality, sleep-activity rhythm
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-96975DOI: 10.1111/ijn.12080ISI: 000322722400006OAI: oai:DiVA.org:liu-96975DiVA: 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|2013-09-052013-09-022013-09-05