Journal article
Determinants of Excessive Daytime Sleepiness and Fatigue in Adults With Heart Failure
Clinical nursing research, Vol.21(3), pp.271-293
08/01/2012
DOI: 10.1177/1054773811419842
PMCID: PMC3501004
PMID: 21878581
Abstract
Little is known about excessive daytime sleepiness (EDS) in heart failure (HF). The aim of this cross-sectional descriptive study was to describe the prevalence of EDS and factors associated with it in HF. A secondary purpose was to explore the correlates of fatigue. We enrolled a consecutive sample of 280 adults with a confirmed diagnosis of chronic HF from three outpatient settings in the northeastern United States. Patients with major depressive illness were excluded. Clinical, sociodemographic, behavioral, and perceptual factors were explored as possible correlates of EDS. Using an Epworth Sleepiness Scale score > 10, the prevalence of EDS was 23.6%. Significant determinants of EDS were worse sleep quality (p = .048), worse functional class (p = .004), not taking a diuretic (p = .005), and lack of physical activity (p = .04). Only sleep quality was associated with fatigue (p < .001). Sleep-disordered breathing was not significantly associated with EDS or with fatigue. These factors may be amenable to intervention.
Details
- Title: Subtitle
- Determinants of Excessive Daytime Sleepiness and Fatigue in Adults With Heart Failure
- Creators
- Barbara Riegel - University of PennsylvaniaSarah J. Ratcliffe - University of PennsylvaniaSteven L. Sayers - Veterans Health AdministrationSheryl Potashnik - University of PennsylvaniaHarleah G. Buck - Pennsylvania State UniversityClaudine Jurkovitz - Christiana Care Health SystemSarah Fontana - Annenberg Public Policy CenterTerri E. Weaver - MedicineWilliam S. Weintraub - Christiana Care Health SystemLee R. Goldberg - University of Pennsylvania
- Resource Type
- Journal article
- Publication Details
- Clinical nursing research, Vol.21(3), pp.271-293
- DOI
- 10.1177/1054773811419842
- PMID
- 21878581
- PMCID
- PMC3501004
- NLM abbreviation
- Clin Nurs Res
- ISSN
- 1054-7738
- eISSN
- 1552-3799
- Publisher
- Sage
- Number of pages
- 23
- Grant note
- RO1 HL084394-01A1 / National Heart, Lung & Blood Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) R01HL084394 / NATIONAL HEART, LUNG, AND BLOOD INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) Philadelphia Veterans Affairs Medical Center; US Department of Veterans Affairs VISN 4 Mental Illness Research, Education, and Clinical Center (MIREC)
- Language
- English
- Date published
- 08/01/2012
- Academic Unit
- Nursing
- Record Identifier
- 9984370646102771
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