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Experiences and man...
Experiences and management of incidents that influence sleep in patients with cardiovascular disease and insomnia
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- Öberg, Sandra, 1974- (author)
- Jönköping University,HHJ, Avdelningen för omvårdnad,HHJ. ADULT
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- Johansson, Linda, 1978- (author)
- Jönköping University,HHJ, Institutet för gerontologi,HHJ. ARN-J (Aging Research Network - Jönköping),Jonkoping Univ, Sweden
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- Sandberg, Jonas (author)
- Sophiahemmet University,Lund University,Lunds universitet,Sophiahemmet Högskola,Department of Nursing Science, Sophiahemmet University, Stockholm; and Faculty of Medicine, Department of Health Sciences, Lund University, Sweden,Hälsofrämjande komplexa interventioner,Forskargrupper vid Lunds universitet,Health-promoting Complex Interventions,Lund University Research Groups,Sophiahemmet Univ, Sweden; Lund Univ, Sweden
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- Johansson, Peter (author)
- Linköpings universitet,Linköping University,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Region Östergötland, Medicinkliniken ViN
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- Broström, Anders (author)
- Jönköping University,HHJ, Avdelningen för omvårdnad,HHJ. ADULT,Department of Clinical Neurophysiology, Linköping University Hospital, Sweden,Region Östergötland, Neurofysiologiska kliniken US,Jonkoping Univ, Sweden
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- Siebmanns, Sandra (author)
- Jönköping University,Jonkoping Univ, Sweden
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(creator_code:org_t)
- Wolters Kluwer, 2020
- 2020
- English.
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In: Journal of Cardiovascular Nursing. - : Wolters Kluwer. - 0889-4655 .- 1550-5049. ; 35:4, s. 364-374
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Abstract
Subject headings
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- BACKGROUND: Insomnia is a global problem and an important risk factor for patients living with cardiovascular disease (CVD), causing poor well-being and worsening disease prognosis. Yet, there is a lack of effective intervention strategies targeting sleep problems. To deliver patient-centered interventions and achieve good quality of sleep for this group, the own experiences of patients with CVD need to be understood.OBJECTIVE: The aim of this study was to describe experiences that influence the sleep situation and management of sleep problems among patients with CVD and insomnia.METHOD: A qualitative descriptive design with critical incident technique methodology was used. Twenty patients (13 men and 7 women; mean age, 73 years; range, 47-83 years) with single or multiple verified CVD diagnoses and insomnia were included.RESULTS: Four underlying categories of sleep disruptors were identified: cognitive, social, physical, and behavioral. Participants experienced distress from the heart condition at night, physically and cognitively, with high levels of concern about its consequences for themselves and their families. Participants' sleep management preferences and responses included cognitive, behavioral, and pharmacological management strategies. Participants preferred their own nonpharmacological insomnia management over professional advice.CONCLUSION: Patients with CVD and insomnia experienced both physical and cognitive distress from their heart condition and chose to adopt nonpharmacological insomnia management. Tailored professional support is needed to change precipitating behavioral factors to be able to treat insomnia, improve sleep, reduce symptom burden, and enhance quality of life.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- cardiovascular disease
- critical incident technique
- insomnia
- qualitative research
Publication and Content Type
- ref (subject category)
- art (subject category)
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