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Sleep, arousal and ...
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Johansson, AnnaLinköpings universitet,Omvårdnad,Hälsouniversitetet,Department of Cardiology, Kärnsjukhuset, Skövde Hospital, Skövde / Department of Medical and Health Sciences, University of Linköping
(author)
Sleep, arousal and health-related quality of life in men and women with coronary artery disease.
- Article/chapterEnglish2011
Publisher, publication year, extent ...
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2011-07-22
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Blackwell,2011
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:liu-70130
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-70130URI
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https://doi.org/10.1111/j.1365-2702.2011.03787.xDOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-10428URI
Supplementary language notes
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Language:English
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Summary in:English
Part of subdatabase
Classification
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Funding Agencies|Swedish Research Council (Vr)| 2001-504-338-37 |Ostergotland County Council| F2002-218 |Research and Development unit at Skaraborg Hospital, Sweden| VGSKAS-9122 |
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Aim. To evaluate whether there are gender differences in insomnia, sleep quality, sleep efficiency (%), general arousal, disease-specific and health-related quality of life in patients with coronary artery disease, compared with an age- and gender-matched randomly selected group from the general population. Background. There are gender difference effects of sleep disturbances in the general population, but this perspective among patients with coronary artery disease has been poorly analysed. Design. In this prospective study, comparative, descriptive and model testing designs were used. Method. The patients with coronary artery disease, 556 men and 324 women aged 25–86, were compared with a matched population-based group. Data were collected by validated and reliability-tested questionnaires. Results. The prevalence of severe insomnia varied between 17–44% in all four groups. The severe insomniac coronary artery disease patients displayed a two- or threefold higher presleep arousal, had two hours shorter nocturnal sleep duration/night and were more limited in their physical exercise level than the population-based group. Gender differences in sleep quality, sleep efficiency (%) and general arousal disappeared with increased insomnia severity. Conclusions. Independent of gender, age and comorbidity, physical exercise, general arousal behaviour and delayed poststress recovery after mental stress were found to have a negative impact on the coronary artery disease patients’ sleep quality and sleep efficiency (%), interfering with their health-related quality of life. The variables significantly explained 41% of the sleep quality outcome and 29% of the sleep efficiency (%). Relevance to clinical practice. Insomnia because of hyperarousal behaviour can be an important factor in the development of an individual self-care management programme supported by a healthcare team.
Subject headings and genre
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arousal
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coronary artery disease
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gender
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health-related quality of life
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insomnia
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nurses
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nursing
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sleep quality
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MEDICINE
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MEDICIN
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Medical sciences
Added entries (persons, corporate bodies, meetings, titles ...)
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Svanborg, EvaÖstergötlands Läns Landsting,Linköpings universitet,Klinisk neurofysiologi,Hälsouniversitetet,Neurofysiologiska kliniken US,Department of Clinical and Experimental Medicine/Clinical Neurophysiology, University of Linköping/University Hospital(Swepub:liu)evasv87
(author)
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Swahn, EvaÖstergötlands Läns Landsting,Linköpings universitet,Kardiologi,Hälsouniversitetet,Kardiologiska kliniken US,Department of Medical and Health Sciences, Division of Cardiology, Linköping University, Linköping(Swepub:liu)evasw45
(author)
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Ejdebäck, JanHjärtkliniken, Kärnsjukhuset i Skövde,Department of Cardiology, Kärnsjukhuset, Skövde Hospital, Skövde
(author)
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Tygesen, HansHjärt-och lungkliniken, Södra Älvsborgs Sjukhus, Borås,Department of Cardiology, Borås Hospital, Borås
(author)
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Edéll-Gustafsson, UllaLinköpings universitet,Omvårdnad,Hälsouniversitetet,Department of Medical and Health Sciences, Division of Nursing Sciences, Faculty of Health Sciences, Linköping University, Linköping, Sweden(Swepub:liu)ulled06
(author)
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Linköpings universitetOmvårdnad
(creator_code:org_t)
Related titles
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In:Journal of Clinical Nursing: Blackwell20:19-20, s. 2787-28010962-10671365-2702
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