Abstract

Background. Coronary heart disease (CHD) is the leading cause of death worldwide. The incidence of cardiovascular disease is especially common in low-level and middle-income countries. With the increase in the number of patients with CHD and the complexity of treatment on patients with CHD, many hospitals are devoted to developing new models of care and management for patients with CHD. Understanding the unique characteristics of the patient’s condition, including factors related to self-management, cognitive function, and sleep quality, will lead to a substantial reduction in cardiovascular disease and related mortality. Objective. To investigate the correlation among sleep quality, cognitive function, and self-management ability in hospitalized elderly patients with coronary heart disease (CHD). Methods. 120 hospitalized elderly patients with coronary heart disease (CHD) were investigated by using a self-designed general data questionnaire, Pittsburgh Sleep Quality Index (PSQI), Montreal Cognitive Function Assessment (MoCA) scale, and Coronary Heart Disease Self-management Behavior Scale (CSMS). Results. The Spearman analysis showed that sleep quality was positively correlated with cognitive function in hospitalized elderly CHD patients ( P < 0.05 ). Sleep quality was positively correlated with self-management ability in CHD patients ( P < 0.05 ). Conclusion. Improving the cognitive function and self-management ability of elderly patients with coronary heart disease can improve their sleep quality.

Highlights

  • Coronary heart disease (CHD) is the main cause of high morbidity and mortality, leading to immense health and economic burden globally, which concludes hypertension, atherosclerosis, cardiomyopathy, and heart failure [1]

  • We analyzed the statistical data of Spearman, and the results showed that the correlation coefficient between the sleep quality score (PSQI total score) and the Montreal Cognitive Function Assessment (MoCA) total score was negative, which means the patients with higher total score of sleep quality have worse cognitive ability

  • We analyzed the statistical data of Spearman, and the results showed that the correlation coefficient between the sleep quality score (PSQI total score) and the Coronary Heart Disease Self-management Behavior Scale (CSMS) total score was negative, which means the patients with higher total score of sleep quality have the worse self-management ability

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Summary

Introduction

Coronary heart disease (CHD) is the main cause of high morbidity and mortality, leading to immense health and economic burden globally, which concludes hypertension, atherosclerosis, cardiomyopathy, and heart failure [1]. Understanding the unique characteristics of the patient’s condition, including factors related to selfmanagement, cognitive function, and sleep quality, will lead to a substantial reduction in cardiovascular disease and related mortality. To investigate the correlation among sleep quality, cognitive function, and self-management ability in hospitalized elderly patients with coronary heart disease (CHD). 120 hospitalized elderly patients with coronary heart disease (CHD) were investigated by using a self-designed general data questionnaire, Pittsburgh Sleep Quality Index (PSQI), Montreal Cognitive Function Assessment (MoCA) scale, and Coronary Heart Disease Self-management Behavior Scale (CSMS). The Spearman analysis showed that sleep quality was positively correlated with cognitive function in hospitalized elderly CHD patients (P < 0:05). Sleep quality was positively correlated with self-management ability in CHD patients (P < 0:05). Improving the cognitive function and self-management ability of elderly patients with coronary heart disease can improve their sleep quality

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