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Perceptions of how sleep is influenced by rest, activity and health in patients with coronary heart disease: a phenomenographical study
Department of Cardiology, Skövde Hospital, Skövde, Sweden / Nursing Science - Department of Medicine and Care, Faculty of Health Sciences, University of Linkoping, Linkoping.ORCID iD: 0000-0002-7861-7735
Nursing Science - Department of Medicine and Care, Faculty of Health Sciences, University of Linkoping, Linkoping.
Department of Neuroscience, Clinical Neurophysiology, University Hospital, Linköping, Sweden.
Department of Social and Welfare Studies, Palliative Research Unit, Vrinnevi Hospital, Norrköping, Sweden.
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2007 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 21, no 4, 467-475 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: A framework is needed for identifying internal and external factors essential for the nursing management of psychological supportive health care and education for patients' self-care in sleep. In order to generate more knowledge from the patient's perspective, the aim of this study was to describe how patients with coronary artery disease (CAD) perceive that their sleep is influenced by rest, activity and health in outpatient care.

DESIGN: Qualitative interviews were performed with 33 outpatients.

METHOD: The data were analysed using a phenomenographic method.

FINDINGS: Three descriptive categories of the phenomenon were described: my lifestyle is reflected in my sleep behaviour; handling the practices around tiredness and sleep; and feelings of negative and positive efficacy. Feelings of tiredness, fatigue and sleepiness were different pre-sleep stages, but were also related to the patient's adaptation and recovery. Creating one's own personal time and feelings of efficacy gave an inner sense of strength which is indicated as being particularly important in managing stress and the demands of everyday life in a satisfactory manner.

CONCLUSION: From a contextual, holistic perspective on health, it is important to identify the patient's needs, symptoms and intentional or unintentional self-care management strategies regarding sleep and lifestyle. To promote a positive health outcome it is essential to identify sleeplessness behaviour and perceived self-efficacy for self-care in sleep.

Place, publisher, year, edition, pages
John Wiley & Sons, 2007. Vol. 21, no 4, 467-475 p.
National Category
Medical and Health Sciences
Research subject
Medical sciences
URN: urn:nbn:se:his:diva-10430DOI: 10.1111/j.1471-6712.2007.00496.xISI: 000251206600007PubMedID: 18036009ScopusID: 2-s2.0-36348978692OAI: oai:DiVA.org:his-10430DiVA: diva2:772783
Available from: 2014-12-17 Created: 2014-12-17 Last updated: 2014-12-17Bibliographically approved

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