SELECTED FACTORS OF SLEEP QUALITY IN ACUTE CORONARY ARTERY DISEASE PAITENTS

Abstract

Purpose: 1)To examine sleep quality and related factors in patients with acute coronary artery disease. 2) To study the relationship between the selected factors including the severity of chest pain, depression, anxiety, smoking status and fatigue with sleep quality Design: Correlation research design

Methods: The participants were 152 patients with acute coronary artery disease who met the inclusion criteria from two tertiary hospitals in Bangkok. Within the context of the theory of unpleasant symptoms, the selected factors included severity of chest pain, depression, anxiety, smoking status, and fatigue. Research instruments consisted of demographic data sheet, Severity of chest pain scale, Depression scale, Anxiety scale, Fatigue scale and Sleep quality scale. Cronbach’s Alpha coefficients of the scale were 1.00, 0.76, 0.70, 0.92 and 0.96, respectively. Data were analyzed using descriptive statistics and correlation statistics (Pearson’s Product Moment)

Results: The majority of participants (84.9%) had good quality of sleep. Anxiety, depression, smoking status, and fatigue were negatively related to quality of sleep (r= -.197, -.518, -.175, -.440 p< .05, respectively). Severity of chest pain had no relationship with quality of sleep.

Conclusion: Nurses can comprehensive assessment these finding factors such as anxiety, smoking status, fatigue and depression can affect quality of sleep in patients with acute coronary artery disease. It will help health care provider to nursing care plan for prevent complications in the future.