Assessment of functional capacity and sleep quality of patients with chronic heart failure
Assessment of functional capacity and sleep quality of patients with chronic heart failure
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DOI：
10.1016/j.hkpj.2016.10.001
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发表时间：
2017-06-01
影响因子：
1.5
通讯作者：
Balogun, Michael O.
中科院分区：
文献类型：
--
作者：
Awotidebe, Taofeek O.;Adeyeye, Victor O.;Balogun, Michael O.
背景：充足的睡眠可以提高身体和精神的警觉性。然而，缺乏慢性心力衰竭（CHF）患者的功能能力（FC）和睡眠质量（SpQ）的经验数据。目的：本研究探讨了CHF患者和表面健康对照（HC）的FC和SpQ的关系。方法：本病例对照研究招募了50例CHF患者，其左心室射血分数（LVEF）<40%，在Osun州选定的政府医院的心脏诊所就诊。此外，还招募了50名年龄和性别匹配的健康个体作为对照。评估了社会人口学特征和心血管参数。分别采用6分钟步行试验（6-MWT）和匹兹堡睡眠质量指数（PSQI）评估FC（VO 2 max）和SpQ。使用描述性和推断性统计分析数据。结果：患者的FC和SpQ均显著低于HC，分别为4.6 ± 0.5和11.3 ± 1.6 mL/kg/min（t = -3.452; p = 0.001）和8.74 +/- 1.6对3.8 +/- 1.3（t = -5.371; p = 0.001）。HC患者行走更长距离的可能性约为患者的5倍[比值比（OR），4.8;置信区间（CI），2.0-11.1]，心率更好（OR，2.8; CI，1.4-5.3）。SpQ与FC呈显著负相关（r=-0.362; p=0.001），与HC呈显著正相关（r=0.481; p=0.041）。此外，两组患者的FC与体重指数均呈显著相关（CHF：r=0.247，p=0.022; HC：r=0.321，p=0.040）。香港物理治疗学会版权所有（C）2016出版社：Elsevier（新加坡）Pte Ltd
Background: Adequate sleep improves physical and mental alertness. However, there is a dearth of empirical data on functional capacity (FC) and sleep quality (SpQ) in patients with chronic heart failure (CHF). Objective: This study investigated the relationship between FC and SpQ of patients with CHF and apparently healthy controls (HCs).Methods: This case-control study recruited 50 patients with CHF whose left ventricular ejection fraction (LVEF) was < 40%, attending cardiac clinics of selected government hospitals in Osun State. Furthermore, 50 age-and sex-matched healthy individuals were recruited as controls. Socio-demographic characteristics and cardiovascular parameters were assessed. The FC (VO2 max) and SpQ were assessed using the 6-minute walk test (6-MWT) and Pittsburgh Sleep Quality Index (PSQI), respectively. Data were analysed using descriptive and inferential statistics. Alpha level was set at p < 0.05.Results: Patients had a significantly lower FC and poorer SpQ than HCs, 4.6 +/- 0.5 versus 11.3 +/- 1.6 mL/kg/min (t = -3.452; p = 0.001) and 8.74 +/- 1.6 versus 3.8 +/- 1.3 (t = -5.371; p = 0.001), respectively. HCs were about five times more likely to walk longer distance [odds ratio (OR), 4.8; confidence interval (CI), 2.0-11.1] and had a better heart rate (OR, 2.8; CI, 1.4-5.3) than patients. SpQ had a significant negative correlation with FC of patients (r=-0.362; p=0.001) but a significant positive correlation with HCs (r=0.481; p=0.041). Furthermore, there were significant correlations between FC and body mass index in both groups (CHF: r=0.247, p=0.022; HCs: r=0.321, p=0.040).Conclusion: Patients with heart failure demonstrated lower functional capacity and poorer sleep quality. Copyright (C) 2016, Hong Kong Physiotherapy Association. Published by Elsevier (Singapore) Pte Ltd.