Other Titles
Issues that affect patients' quality of life
Abstract
Session presented on Monday, July 27, 2015:
Purpose: Investigate the feasibility of an RCT of non-pharmacological interventions on sleep and quality of life of patients with HF and additionally test the effect of sleep hygiene therapy, phototherapy and combination therapy (phototherapy +sleep hygiene) sleep compared with guidance on disease management.
Methods: This was a pilot of a blinded randomized clinical trial in which 32 subjects (women: 59.4%; mean age: 55.4 (SD=10.4) years, NYHA II-III: 90.7%) were randomized to three intervention groups (phototherapy, measures of sleep hygiene and combined therapy) and a control group (guidance on management of the disease and medications) to test the effectiveness of sleep interventions in sleep (Pittsburg Sleep Quality Index) and health-related quality of life (Minnesota Living with Heart Failure Questionnaire) improvement. Participants were assessed at baseline, 4th, 8th, 12th and 24th weeks of follow up. Outcomes were analyzed longitudinally by repeated measures-ANOVA. An intention-to-treat analysis was conducted.
Results: Statistically significant improvement were found in both intervention and control groups in sleep patterns by the 12th week (F: 63.09, p<0,001) and 24th week (F:64.06, p<0,001), and in related-health quality of life by the 12th week (F: 13.81, p<0,001) and 24th week (F:15.02, p<0,001). No statistically significant difference was found in sleep and health-related quality of life improvement between groups.
Conclusion: Measures of sleep hygiene and phototherapy, isolated or combined with each other, and education about the management of the symptoms of the disease have a similar positive effect on sleep and quality of life of patients with HF. Studies with larger samples are needed.
Sigma Membership
Non-member
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Sleep Hygiene, Phototherapy, Heart Failure
Recommended Citation
Santos, Mariana Alvina; Ferretti-Rebustini, Renata Eloah de Lucena; Guedes, Erika de Souza; Conceico, Ana Paula; and da Cruz, Dina de Almeida Lopes Monteiro, "Effectiveness of non-pharmacological interventions on sleep and health-related quality of life of patients with heart failure" (2016). INRC (Congress). 246.
https://www.sigmarepository.org/inrc/2015/presentations_2015/246
Conference Name
26th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
San Juan, Puerto Rico
Conference Year
2015
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Acquisition
Proxy-submission
Effectiveness of non-pharmacological interventions on sleep and health-related quality of life of patients with heart failure
San Juan, Puerto Rico
Session presented on Monday, July 27, 2015:
Purpose: Investigate the feasibility of an RCT of non-pharmacological interventions on sleep and quality of life of patients with HF and additionally test the effect of sleep hygiene therapy, phototherapy and combination therapy (phototherapy +sleep hygiene) sleep compared with guidance on disease management.
Methods: This was a pilot of a blinded randomized clinical trial in which 32 subjects (women: 59.4%; mean age: 55.4 (SD=10.4) years, NYHA II-III: 90.7%) were randomized to three intervention groups (phototherapy, measures of sleep hygiene and combined therapy) and a control group (guidance on management of the disease and medications) to test the effectiveness of sleep interventions in sleep (Pittsburg Sleep Quality Index) and health-related quality of life (Minnesota Living with Heart Failure Questionnaire) improvement. Participants were assessed at baseline, 4th, 8th, 12th and 24th weeks of follow up. Outcomes were analyzed longitudinally by repeated measures-ANOVA. An intention-to-treat analysis was conducted.
Results: Statistically significant improvement were found in both intervention and control groups in sleep patterns by the 12th week (F: 63.09, p<0,001) and 24th week (F:64.06, p<0,001), and in related-health quality of life by the 12th week (F: 13.81, p<0,001) and 24th week (F:15.02, p<0,001). No statistically significant difference was found in sleep and health-related quality of life improvement between groups.
Conclusion: Measures of sleep hygiene and phototherapy, isolated or combined with each other, and education about the management of the symptoms of the disease have a similar positive effect on sleep and quality of life of patients with HF. Studies with larger samples are needed.