"I'd eat a bucket of nails if you told me it would help me sleep:" perceptions of insomnia and its treatment in patients with stable heart failure.
"I'd eat a bucket of nails if you told me it would help me sleep:" perceptions of insomnia and its treatment in patients with stable heart failure.
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DOI：
10.1016/j.hrtlng.2013.05.003
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发表时间：
2013-09
期刊：
影响因子：
2.8
通讯作者：
Redeker, Nancy S.
中科院分区：
文献类型：
--
作者：
Andrews, Laura Kierol;Coviello, Jessica;Hurley, Elisabeth;Rose, Leonie;Redeker, Nancy S.
包括失眠在内的睡眠不佳在心力衰竭(HF)患者中很常见。然而，人们对干预失眠在这一人群中的效果知之甚少。在制定干预措施之前，有必要更好地了解患者对失眠及其治疗的看法。评估心力衰竭患者对以下方面的看法：1)失眠及其后果；2)失眠的诱因、诱因和持久因素；3)失眠的自我管理策略和治疗；4)对失眠治疗的偏好。本研究以失眠的“3P”模型为指导，采用平行收敛的混合方法设计，通过焦点小组获得定性数据，通过问卷获得定量数据(睡眠质量、失眠严重程度、功能障碍信念和对睡眠的态度；与睡眠相关的日间症状和功能表现)。内容分析用于评估焦点群体数据产生的主题，描述性统计用于分析量化数据。对两种形式的数据收集结果进行了比较和综合。心力衰竭患者认为失眠对日间功能有负面影响，并伴有健康问题，疼痛、夜尿和心理因素是永久性因素。他们认为使用催眠药物通常是必要的，但不喜欢白天的负面副作用。他们使用了各种策略来管理他们的失眠，但通常不会向他们认为对睡眠不感兴趣的医生提及他们对睡眠的担忧。心力衰竭患者认为失眠是重要的和多因素的。失眠的行为疗法，如认知行为疗法，可能在改变永久性因素方面有效，并可能被患者接受。
Poor sleep, including insomnia, is common among patients with heart failure (HF). However, little is known about the efficacy of interventions for insomnia in this population. Prior to developing interventions, there is a need for better understanding of patient perceptions about insomnia and its treatment. To evaluate HF patients’ perceptions about 1) insomnia and its consequences; 2) predisposing, precipitating, and perpetuating factors for insomnia; 3) self-management strategies and treatments for insomnia; and 4) preferences for insomnia treatment. The study, guided by the “3 P” model of insomnia, employed a parallel convergent mixed methods design in which we obtained qualitative data through focus groups and quantitative data through questionnaires (sleep quality, insomnia severity, dysfunctional beliefs and attitudes about sleep; sleep-related daytime symptoms and functional performance). Content analysis was used to evaluate themes arising from the focus group data, and descriptive statistics were used to analyze the quantitative data. The results of both forms of data collection were compared and synthesized. HF patients perceived insomnia as having a negative impact on daytime function and comorbid health problems, pain, nocturia, and psychological factors as perpetuating factors. They viewed use of hypnotic medications as often necessary but disliked negative daytime side effects. They used a variety of strategies to manage their insomnia, but generally did not mention their sleep concerns to physicians whom they perceived as not interested in sleep. HF patients believe insomnia is important and multi-factorial. Behavioral treatments, such as Cognitive Behavioral Therapy, for insomnia may be efficacious in modifying perpetuating factors and likely to be acceptable to patients.
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影响因子：
2.9
作者：
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通讯作者：
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DOI：
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影响因子：
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作者：
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