Sleep Quality in Patients with Heart Failure in the Spanish Population: A Cross-Sectional Study.
Sleep Quality in Patients with Heart Failure in the Spanish Population: A Cross-Sectional Study.
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DOI：
10.3390/ijerph17217772
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发表时间：
2020-10-23
影响因子：
--
通讯作者：
Juárez-Vela R
中科院分区：
文献类型：
--
作者：
Jorge-Samitier P;Durante A;Gea-Caballero V;Antón-Solanas I;Fernández-Rodrigo MT;Juárez-Vela R
背景：心力衰竭是西方社会的一个主要问题。其他国家的研究表明，睡眠障碍与心力衰竭保持着双向关系。本研究旨在描述西班牙心力衰竭患者的睡眠质量。材料和方法：我们进行了一项横断面研究，分析203名被诊断为心力衰竭的患者的睡眠质量。匹兹堡睡眠质量指数（PSQI）用于评估我们样本在一个月期间的睡眠质量。结果：75%的受试者出现睡眠障碍。最常见的问题包括睡眠中断（73.5%夜尿症和30%呼吸困难）；35%的人睡眠效率较差；33%的人白天表现下降；84%的人在某种程度上使用催眠剂来诱导睡眠，35%的人经常使用催眠剂。结论：这是第一项关于西班牙心力衰竭患者感知睡眠质量的研究。自我感知的睡眠质量与PSQI评估的结果不同。催眠药物的使用率非常高。在心力衰竭的环境中，由睡眠障碍产生的日常功能障碍会导致自我照顾和认知退化问题的发展。
Background: Heart failure is a major problem in western societies. Sleep Disorders maintain a bidirectional relationship with heart failure, as shown by studies conducted in other countries. This study aims to describe the quality of sleep in Spanish patients with heart failure. Materials and methods: We carried out a cross-sectional study to analyze the quality of sleep in a sample of 203 patients with a diagnosis of heart failure admitted to an Internal Medicine Service. The Pittsburg Sleep Quality Index (PSQI) was used to evaluate sleep quality in our sample over a one-month period. Results: 75% of the sample presented sleep disorders. The most common problems included the interruption of sleep (73.5% nocturia and 30% breathing difficulties); 35% had poor sleep efficiency; 33% showed a decrease in daytime performance; 84% had used hypnotics at some point to induce sleep and 35% used them regularly. Conclusions: This is the first study to report on the perceived sleep quality of patients with heart failure in Spain. Self-perception of sleep quality differed from that estimated by the PSQI. The prevalence of the use of sleep-inducing medication was very high. The diurnal dysfunction generated by sleep disorders in a heart failure environment can contribute to the development of self-care and cognitive deterioration problems.
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