The Effect of Sleep Behavioral Modification Program on Insomnia in Heart Failure Patients
Keywords:
Insomnia, Heart failure, Behavioral modification programAbstract
The purpose of this quasi-experimental research was to study the effect of sleep behavioral modification program on insomnia in heart failure patients. Subjects were 40 heart failure patients at the cardiology unit and medical unit of Phramongkutklao Hospital. They were selected by a convenience sampling. The subjects were equally divided into a control group and an experimental group. They were matched in terms of NYHA functional classification and insomnia level. The control group received conventional nursing care while the experimental group received the sleep behavioral modification program comprised of sleep hygiene education, rule of behavioral treatment (sleep restriction and stimulus control) and patients followed sleep schedule. Data collection instruments were the Insomnia Severity Index. The instruments were tested for reliability yielding Cronbach’s alpha coefficients 0.87. The statistical techniques used in data analysis were percentage, mean, and t-test. The research findings were as follows: Post-test score mean of insomnia in an experimental group was significantly lower than those of pre-test score at the .05 level. Post-test score mean of insomnia in the experimental group was significantly lower than those of the control group at the .05 level.
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