Nursing care for the patients with heart failure and sleep-disordered breathing

本研究的目的是客观评价CHF患者的睡眠呼吸障碍（SDB），为护理提供基础数据。首先通过少量的问卷调查对睡眠障碍相关的主观问题进行评估，然后通过多导睡眠图（PSG）进行客观评估。连续治疗3晚后，采用问卷调查和多导睡眠图（PSG）评价疗效。远红外暖腿护理不仅能显著改善SDB的主观指标，而且能显著改善PSG的睡眠模式。睡眠结构分析显示，加热护理显著减少了浅睡眠，增加了深睡眠，表明睡眠质量改善。远红外暖腿护理能有效改善CHF患者的睡眠结构。这些结果支持了远红外腿部加热护理作为CHF患者的非药物和家庭补充护理以改善其生活质量的有效性。

The aim of this study was to objectively evaluate the sleep disordered breathing (SDB) in CHF patients as basic data for nursing care. Firstly, we evaluated the subjective problems related to SDB by few questionnaires and then objectively by polysomnography (PSG). After receiving far-infrared leg-heating therapy for 3 consecutive nights, the patients were evaluated the effects by both questionnaires and PSG. The far-infrared leg-heating care significantly improved not only subjective indices of SDB but also sleep patterns of electroencephalogram by PSG. Analysis of sleep structure revealed that the heating care significantly decreased light sleep and increased deeper sleep, indicating improvement in sleep quality. The far-infrared leg-heating care was effective to improve the sleep structure in CHF patients. These results support the effectiveness of the far-infrared leg-heating care as a non-pharmacological and home complementary care for patients with CHF to improve their QOL.