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Disturbed sleep, fatigue, anxiety and depression in myocardial infarction patients
NU Hospital group, Department of Internal Medicine.
Astra Zeneca R&D, Mölndal.
Högskolan Väst, Institutionen för individ och samhälle, Avd för psykologi och organisationsstudier.ORCID-id: 0000-0002-1673-6288
Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.ORCID-id: 0000-0001-7804-0342
2010 (engelsk)Inngår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 9, nr 3, s. 175-180Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Disturbed sleep has been linked to increased morbidity, mortality and depression and worsened health-related quality of life in patients with chronic illness. Few studies of readjustment after coronary artery disease have explicitly focused on sleep disturbance. Aim: To explore associations between disturbed sleep, fatigue, anxiety and depression, and to assess to what extent fatigue four months post-MI could be explained. Method: The sample included 204 consecutive patients, ≤ 80 years of age who answered questionnaires about disturbed sleep, fatigue, anxiety and depression four months after MI. Results: The variables anxiety, depression and disturbed sleep were all associated with fatigue. The regression model accounted for 46% of the variance in fatigue with depression and disturbed sleep as predictors. Infarct size measured by conventional biochemical markers, left ventricle ejection fraction and history of previous MI were not correlated with disturbed sleep, fatigue, anxiety or depression. Conclusions: From knowledge about associations between disturbed sleep, fatigue, anxiety and depression after MI, cardiac nurses could be trained to observe such symptoms. Optimal care for sleep disturbance may include actions to reduce anxiety and depression as well as self-care advices about sleep hygiene in order to improve sleep quality and reduce fatigue. © 2009 European Society of Cardiology.

sted, utgiver, år, opplag, sider
2010. Vol. 9, nr 3, s. 175-180
Emneord [en]
Anxiety, Depression, Disturbed sleep, Fatigue, Myocardial infarction
HSV kategori
Forskningsprogram
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
URN: urn:nbn:se:hv:diva-2641DOI: 10.1016/j.ejcnurse.2009.12.003OAI: oai:DiVA.org:hv-2641DiVA, id: diva2:347882
Tilgjengelig fra: 2010-09-03 Laget: 2010-09-03 Sist oppdatert: 2020-12-10bibliografisk kontrollert

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