Does preoperative sleep quality and distress tolerance levels in cardiovascular surgery patients affect postoperative intensive care processes?

Tulin Yildiz 1 * , Ebru Onler 1, Utku Durgut 1, Ozcan Gur 2, Selami Gurkan 2, Gunduz Yumun 2
More Detail
1 Surgical Nursing Department, Health School, Tekirdag Namık Kemal University, Tekirdag, Turkey
2 Cardiovascular Surgery Department, Faculty of Medicine, Tekirdag Namık Kemal University, Tekırdag, Turkey
* Corresponding Author
J CLIN MED KAZ, Volume 18, Issue 4, pp. 23-26. https://doi.org/10.23950/jcmk/11036
OPEN ACCESS 1476 Views 1058 Downloads
Download Full Text (PDF)

ABSTRACT

Objective: This study was conducted to observe the effects of pre-operative sleep and distress intolerance levels on post-operative of cardiovascular surgery patients.
Method: This is a descriptive study. The study population consisted of 120 patients who met the inclusion criteria and accepted to participate in this research.  The data were collected by using tools such as the the demographic data form which was developed by the researchers, Pittsburgh Sleep Quality Index(PSQI), Insomnia severity Index(ISI) and distress ınterolerance index(DII), and applied through face to face interviews with the patients. The multivariate analysis of variance were used in the analysis of the data.
Results: This study was 120 patients, comprising 82(68.3%) males and 38(31.7%) females. According to PSQI, 77.5% of patients have a poor sleep quality. Those with good sleep quality were found to have a lower total score (37.630)>=5 poor sleep quality than the total score (31.731) of the DII. According to the PSQI, as the sleep quality decreases, the intensive care unit (ICU) stay time is increasing (23.8%, p = 0.009).
Conclusion: Compared to normal population, cardiovascular surgical patients have higher levels of poor sleep quality and distressing intolerance. We found a positive correlation between impaired sleep quality and distressed intolerance levels.
Keywords: Cardiac surgery, sleep pattern, distress interolerance, nursing care

CITATION

Yildiz T, Onler E, Durgut U, Gur O, Gurkan S, Yumun G. Does preoperative sleep quality and distress tolerance levels in cardiovascular surgery patients affect postoperative intensive care processes?. J CLIN MED KAZ. 2021;18(4):23-6. https://doi.org/10.23950/jcmk/11036

REFERENCES

  • Calvin AD, Covassin N, Kremers WK, Adachi T, Macedo P, Albuquerque FN, et al., Experimental sleep restriction causes endothelial dysfunction in healthy humans, J. Am. Heart Assoc 2014;3:e1143, https://doi.org/10.1161/JAHA.114
  • Batista dos Santos MM, Martins A, Carlos J, & Oliveira LMN. Anxiety, depression and stress in the preoperative surgical patient. Revista de Enfermagem Referência 2014; 4(3): 7-15
  • Liu H, Chen A. Roles of sleep deprivation in cardiovascular dysfunctions. Life Sciences 2019; 219: 231-237
  • Dalton A, Zafirova Z. Preoperative Management of the Geriatric Patient Frailty and Cognitive Impairment Assessment. Anesthesiology Clin 2018; 36:599–614
  • Öztürk M. Hastanede yatan yetişkin hastaların uygu gereksinimlerini etkileyen faktörlerin incelenmesi. Yüksek Lisans Tezi, Çukurova Üniversitesi Sağlık Bilimleri Enstitüsü, 2003, Adana
  • Uran G. Kırsal kesimde evde ve huzurevlerinde kalan 60 yaş üzeri yaşlılarda pittsburg uyku kalitesi indeksi ile uyku kalitelerinin karşılaştırılması. Yüksek Lisans Tezi, Gazi Üniversitesi Sağlık Bilimleri Enstitüsü, 2001, Ankara
  • Tobaldini E, Costantino G, Solbiati M, Cogliati C, Kara T, Nobili L, Montano N. Sleep, sleep deprivation, autonomic nervous system and cardiovascular diseases. Neuroscience and BiobehavioralReviews 2017;74:321–329
  • Redeker NS. Cardiovascular Disease. Edited Savard J and Ouellet MC. Chapter 5. Handbook of Sleep Disorders in Medical Conditions 2019, Pages 99-120
  • Gonçalves KKN, Silva JI, Gomes ET,Pinheiro LLS, Figueiredo TR, Bezerra SMMS. Anxiety in the preoperative period of heart surgery. Rev Bras Enferm [Internet] 2016 mar-apr;69(2):374-80
  • Ayık C (2016). Ameliyat Öncesi Dönemde Aromaterapi Masajının Anksiyete Ve Uyku Kalitesine Etkisinin İncelenmesi, Hemşirelik Esasları Yüksek Lisans Tezi, Dokuz Eylül Üniversitesi Sağlık Bilimleri Enstitüsü 2016, İzmir
  • McHugh RK, & Otto MW (2012). Refining the measurement of distress intolerance. Behavior Therapy, 43(3), 641–651. doi: 10.1016/j.beth.2011.12.001
  • Çakır Z. Sıkıntıya Toleranssızlık Ölçeği ve Bilişsel-Davranışsal Kaçınma Ölçeğinin psikometrik özelliklerinin incelenmesi. Anatolian Journal of Psychiatry 2016; 17(Suppl.1):24-32
  • Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989 May;28(2):193-213. doi: 10.1016/0165-1781(89)90047-4. PMID: 2748771.
  • Ağargün Y, Kara H, Anlar Ö Pittsburgh Uyku Kalitesi İndeksinin Geçerliği ve Güvenirliği. Türk Psikiyatri Dergisi 1996; 7(2)
  • Bastien CH, Vallières A, Morin CM. Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med. 2001 Jul;2(4):297-307. doi: 10.1016/s1389-9457(00)00065-4. PMID: 11438246.
  • Boysan, M., Güleç, M., Beşiroğlu, L. ve Kalafat, T. (2010). Uykusuzluk Şiddeti İndeksi’nin Türk örneklemindeki psikometrik özellikleri. Anadolu Psikiyatri Dergisi 2010; 11, 248-252.
  • Prochota B, Szwamel K, Uchmanowicz I. Socio-clinical variables affecting the level of self-care in elderly patients with heart failure. European Journal of Cardiovascular Nursing 2019; 18(7): 628 –636
  • Neher M, Nygårdh A, Per Nilsen P, Anders Broström A, Johansson P. Implementing internet-delivered cognitive behavioural therapy for patients with cardiovascular disease and psychological distress: a scoping review. European Journal of Cardiovascular Nursing 2019; 18(5): 346 –357
  • Demir A, Akyurt D, Ergün B, Haytural C, Yiğit T, Taşoğlu İ, Elhan AH, Erdemli Ö. Kalp cerrahisi geçirecek olgularda anksiyete sağaltımı. Türk Göğüs Kalp Damar Cer Derg 2010;18(3):177-182
  • Ibrahimoğlu Ö, Kanan N. The Effect of Progressive Muscle Relaxation Exercises After Endotracheal Extubation on Vital Signs and Anxiety Level in Open Heart Surgery Patients. Turk J Intense Care 2017;15:98-106;
  • Aygin D, Sevim S. Acupressure on Anxiety and Sleep QualityAfter Cardiac Surgery: A Randomized Controlled Trial. Journal of PeriAnesthesia Nursing 2019; -(-): pp 1-101
  • Sauvet F., Florence G., Van Beers P., Drogou C., Lagrume C., Chaumes C., et al., Total sleep deprivation alters endothelial function in rats: a nonsympathetic mechanism, Sleep 2014; 37:465–473, https://doi.org/10.5665/sleep.347624587568.