Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Evaluation of an individualised programme to promote self-care in sleep-activity in patients with coronary artery disease - a randomised intervention study
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Health Sciences. Skaraborgs Hospital, Sweden.
Skaraborgs Hospital, Sweden.
Skaraborgs Hospital, Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Health Sciences.
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.

Place, publisher, year, edition, pages
Wiley , 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
Clinical Medicine Nursing
Identifiers
URN: urn:nbn:se:liu:diva-112484DOI: 10.1111/jocn.12546ISI: 000343857700013PubMedID: 24479893OAI: oai:DiVA.org:liu-112484DiVA: diva2:766719
Note

Funding Agencies|Skaraborg Hospital, Sweden [VGSKAS-9122]; Skaraborg Institute, Sweden [07/1036]

Available from: 2014-11-28 Created: 2014-11-28 Last updated: 2017-12-05

Open Access in DiVA

fulltext(257 kB)142 downloads
File information
File name FULLTEXT01.pdfFile size 257 kBChecksum SHA-512
2ba06c6280f5e68af8ebcf567274ad616d6c0d849144c105a28d44e2bfbae4a4d91cf838d8b5e0a2f999f36f52040a49e458afdd7a1cea347d229af9f7ae6e30
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Johansson, AnnaEdéll-Gustafsson, Ulla
By organisation
Division of Nursing ScienceFaculty of Health Sciences
In the same journal
Journal of Clinical Nursing
Clinical MedicineNursing

Search outside of DiVA

GoogleGoogle Scholar
Total: 142 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 97 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf