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Insuficiencia cardíaca

versión On-line ISSN 1852-3862


BORNHAUSEN¹, Andréa; GIACCHINI KESSLER², Rúbia Mara  y  GASPERIN³, Simone Iara. Qualidade subjetiva do sono em cardiopatas isquêmicos crônicos. Insuf. card. [online]. 2018, vol.13, n.3, pp.110-117. ISSN 1852-3862.

Subjective sleep quality in chronic ischemic heart disease Introduction. Sleep disorders have been considered risk factors for cardiovascular disease, and poor sleep quality has become a frequent complaint in patients with coronary artery disease (CAD). General objective. To evaluate the subjective sleep quality of chronic ischemic heart disease patients. Specific objectives. Characterize the studied population (age, weight, height, waist circumference and cervical circumference); to classify patients' sleep according to quality, to verify the latency and duration of sleep of the coronary patients and to investigate their sleep disorders. Methodology. This study was a quantitative descriptive cross - sectional study, developed at the outpatient clinics of Medicine and Physiotherapy of the University of Vale do Itajaí (UNIVALI, Itajaí, SC, Brazil). To evaluate sleep quality, the Pittsburgh Sleep Quality Index was used. To achieve this index, the Pittsburgh questionnaire and the data collection form were used in a private practice of the UNIVALI outpatient clinics in Itajaí. The data collection was carried out from August to December 2015, the data obtained were organized in a descriptive spreadsheet in the program Microsoft Excel and performed statistical analysis of the database through the program EpiData 3.1. Results. A total of 43 volunteers with a clinical diagnosis of CAD participated in the study, mean age was 61.11 (± 12.89) years, 79.95% female, who self-referred white in 79.07%. It was observed that 44.19% reported being married and 76.75% reported having a maximum first full degree. The risk factors for CAD and sleep disorders assessed in this population were: 60.47% of the participants reported regular physical activity, 88.37% were non-smokers, 79.07% were hypertensive, and 51.16% had diabetes mellitus . It was also observed that 82.14% had increased abdominal circumference and 60.71% presented increased cervical circumference. In the overall evaluation of the Pittsburgh Sleep Quality Index, we found as a result: good sleep quality in 23.26%; poor sleep quality in 60.47%, and the presence of sleep disturbances in 16.28% of the participants of this study. Conclusion. In the study population with a predominance of poor sleep quality and the presence of many mutable cardiovascular risk factors, lifestyle changes and cardiovascular physiotherapy may improve sleep quality, reduce the risk of CAD, and consequently improve quality of life.

Palabras clave : Coronary artery disease; Cardiovascular risk; Sleep quality assessment; Cardiovascular physiotherapy.

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