Daytime and Nighttime Sleep Characteristics and Pain Among Adults With Stable Heart Failure

The Journal of Cardiovascular Nursing
Samantha ConleyNancy S Redeker

Abstract

Pain and sleep disturbance are common among patients with heart failure (HF) and are associated with symptom burden, disability, and poor quality of life. Little is known about the associations between specific sleep characteristics and pain in people with HF. The aim of this study was to describe the relationships between nocturnal sleep characteristics, use of sleep medication, and daytime sleep characteristics and pain among people with HF. We conducted a cross-sectional study of stable participants with HF. We administered the SF36 Bodily Pain Scale, Pittsburgh Sleep Quality Index, and Sleep Habits Questionnaire and obtained 3 days of wrist actigraphy and 1 night of home unattended polysomnography. We conducted bivariate analyses and generalized linear models. The sample included 173 participants (mean [SD] age, 60 [16.1] years; 65.3% [n = 113] male). Insomnia symptoms (P = .0010), sleep duration (P = .0010), poor sleep quality (P = .0153), use of sleep medications (P = .0170), napping (P = .0029), and daytime sleepiness (P = .0094) were associated with increased pain. Patients with the longest sleep duration, who also had insomnia, had more pain (P = .0004), fatigue (P = .0028), daytime sleepiness (P = .0136), and poorer s...Continue Reading

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Citations

May 27, 2020·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Caroline A SabinKen M Kunisaki
Mar 30, 2021·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Bin YanLing Bai
Jul 11, 2020·The Journal of Cardiovascular Nursing·Rida GharzeddineVictoria Vaughan Dickson
Sep 3, 2021·Home Healthcare Now·Youjeong KangM Carrington Reid

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