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Related Concept Videos

Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

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Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
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Heart Failure VII: Nursing Interventions01:30

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The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
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Heart Failure I: Introduction01:27

Heart Failure I: Introduction

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Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
241
Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

101
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
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Heart Failure IV: Classification and Diagnostic Evaluation01:30

Heart Failure IV: Classification and Diagnostic Evaluation

128
Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
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Insufficient Sleep and Sleep Deprivation01:13

Insufficient Sleep and Sleep Deprivation

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Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
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Sleep disturbance in heart failure: A concept analysis.

Tao Zheng1

  • 1Pre-doctoral Fellow, Omics and Symptom Science Training Program, University of Washington School of Nursing, Registered Nurse, University of Washington Medical Center, Seattle, Washington, USA.

Nursing Forum
|March 5, 2021
PubMed
Summary

Sleep disturbance in heart failure (HF) involves difficulty sleeping due to HF symptoms, breathing issues, insomnia, and psychological factors. A clear definition aids in accurate assessment and intervention for better patient outcomes.

Keywords:
advanced heart failurecardiac failureconcept analysisheart failuresleep disturbance

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Area of Science:

  • Cardiology
  • Sleep Medicine
  • Nursing Research

Background:

  • Sleep disturbance is frequently reported in heart failure (HF) patients.
  • Multiple factors, including environmental, physical, psychological, and behavioral, contribute to sleep disturbance in HF.
  • Existing literature uses "sleep disturbance" broadly for sleep problems in HF.

Purpose of the Study:

  • To analyze the concept of sleep disturbance (SD) in the context of heart failure (HF).
  • To develop a clearly defined and distinguishable concept of SD in HF.
  • To guide accurate measurement of sleep quality and evaluation of interventions for HF patients.

Main Methods:

  • Walker and Avant's concept analysis method was employed.
  • A comprehensive literature search was conducted using electronic databases for articles published between 2000 and 2020.
  • Included studies featured original data and were peer-reviewed articles in English, focusing on SD in HF.

Main Results:

  • Sleep disturbance in HF is characterized by difficulties initiating, maintaining, and resuming sleep.
  • Nocturnal arousals are frequent and linked to HF symptoms, sleep-disordered breathing, insomnia, and psychological distress.
  • The phenomenon is multifactorial, encompassing a complex interplay of symptoms and comorbidities.

Conclusions:

  • Clinicians must assess underlying causes to understand the contextual meaning of SD in HF.
  • A precise definition of SD in HF is essential for accurate sleep quality measurement.
  • A well-defined concept facilitates the exploration and evaluation of targeted interventions and outcomes.