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Evaluation of an individualised programme to promote self-care in sleep-activity in patients with coronary artery disease - a randomised intervention study
University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Cardiology, Skaraborgs Hospital, Skövde / Department of Medical and Health Sciences, University of Linköping, Sweden. (Äldre och långvariga hälsoproblem, Older Adults and Long-Term Health Problems)ORCID iD: 0000-0002-7861-7735
Department of Physical Therapy, Skaraborgs Hospital, Skövde, Sweden.
Department of Cardiology, Skaraborgs Hospital, Skövde, Sweden.
Department of Medical and Health Sciences, University of Linköping, Sweden.
2014 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 23, no 19-20, 2822-2834 p.Article in journal (Refereed) Published
Abstract [en]

Aims and objectives: To evaluate the effectiveness of an individualised programme to promote self-care in sleep-activity in patients with coronary artery disease. Background: Recent scientific findings have shown that low physical exercise and stress interfere with coronary artery disease patients' sleep quality and sleep efficiency independent of gender, age and co-morbidity. Design: A randomised pretest-post-test control design. Methods: Forty-seven patients who had undergone a coronary revascularisation procedure and/or pharmacological treatment three to seven weeks earlier at a general hospital were randomised to either an intervention group or a control group. Data collection was carried out by questionnaires, a study-specific sleep diary and actigraphy registration for 10 consecutive 24-hour periods, with a follow-up after three to four months. The intervention group underwent a nurse-led individualised education programme to promote self-care of sleep-activity. Sleep habits and sleep-related lifestyle together formed the basis for setting up individual goals together with the nurse. Individual advice on physical training, relaxation exercise and a CD-based relaxation programme was provided by a physiotherapist. Both groups received a brochure about sleep and stress. Results: At a three- to four-month follow-up, the main improvements were seen in the intervention group regarding sleep quality, sleep duration and sleep efficiency in the sleep diary and sleep efficiency in actigraphy. Statistical improvements in health-related quality of life were revealed. This was not so obvious in the control group. Conclusions: An individualised intervention programme to promote self-care of sleep-activity including relaxation in patients with coronary artery disease led by a nurse may improve sleep quality. However, a longitudinal study to promote self-care in sleep-activity should be performed using a larger sample and multiple sites with continuous follow-ups to determine whether any positive effects remain stable over time. Relevance to clinical practice: Implementation of a multiprofessional individualised programme to promote self-care of sleep-activity including relaxation based on patients' needs, supported by a healthcare team and led by nurses, is important in clinical practice. © 2014 John Wiley & Sons Ltd.

Place, publisher, year, edition, pages
John Wiley & Sons, 2014. Vol. 23, no 19-20, 2822-2834 p.
Keyword [en]
Actigraphy, Control group, Coronary artery disease, Health, Nursing, Pretest-post-test design, Self-care, Sleep diary, Sleep-activity
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
URN: urn:nbn:se:his:diva-8883DOI: 10.1111/jocn.12546ISI: 000343857700013PubMedID: 24479893Scopus ID: 2-s2.0-84927797231OAI: oai:DiVA.org:his-8883DiVA: diva2:697723
Note

Correspondence Address: Johansson, A.; Clinical Lecturer, Department of Cardiology, unit 32, Skaraborgs Hospital, Skövde SE-541 85, Swemail: anna.m.johansson@vgregion.se

Available from: 2014-02-19 Created: 2014-02-19 Last updated: 2016-02-19Bibliographically approved

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CiteExportLink to record
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