患有心力衰竭的患者失眠症状的轨迹:纵向分析
Mats Westas1,2, Leonie Klompstra1, Anna Strömberg1,3
1Linkoping University, Department of Health, Medicine and Caring Sciences, Linkoping, Sweden.
European journal of cardiovascular nursing
|January 20, 2026
概括
许多心力衰竭患者经历了持续或波动的失眠. 高焦虑和低功能能力与持续的睡眠问题有关,这表明需要进行例行查和有针对性的干预.
科学领域:
- 心脏病学 心脏病学
- 睡眠医学 睡眠医学
- 精神病学是一个精神病学.
背景情况:
- 失眠是心力衰竭 (HF) 患者常见的并发症.
- 了解HF失眠轨迹对于有效管理至关重要.
- 以前的研究还没有完全阐明这种人群中失眠的模式和预测因素.
研究的目的:
- 在患有心力衰竭的患者中,在12个月内描述失眠症状的纵向轨迹.
- 为了确定与持久,波动或低/无失眠症状相关的患者特征.
主要方法:
- 对来自10个中心400名患者的HF-Wii随机试验数据的二次分析.
- 在基线和3,6,12个月使用最小失眠症状尺度评估失眠症状.
- 多变量后勤回归用于识别失眠轨迹的独立预测因素,控制焦虑,抑郁,福祉,生活质量,并发症和功能能力.
主要成果:
- 在基线时,32%的HF患者报告失眠,40%的症状持续,38%的症状波动.
- 在没有基线失眠的患者中,9%的患者在2-3次随访后出现失眠,13%的患者在一次随访后出现失眠.
- 持续性失眠与更高的焦虑 (OR=2.73) 和更低的功能能力 (OR=0.50) 独立相关.
结论:
- 相当一部分心力衰竭患者经历持续或波动的失眠.
- 建议对HF患者进行常规失眠评估,特别是那些焦虑或功能能力下降的患者.
- 早期检测和有针对性的干预措施可能会改善HF患者失眠的结果.
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