Sleep Quality in Heart Failure Patients: A Systematic Review of Risk Factors and Assessment Tools
-
Akram Gazerani
,
Zahra Sadat Manzari
,
Eesa Mohammadi
,
Mahnaz Amini
,
Tayebeh sadat Manzari
,
Zahra Dalir
Abstract
Background: Poorly sleeping is a common problem for heart failure patients and can significantly decrease their quality of life. Among heart failure patients, the widespread issue of poor sleep quality can lead to a diminished quality of life. The present study aimed to review systematically the evidence focused on the determinants of sleep quality factors in heart failure patients.
Methods: We conducted a comprehensive search for observational studies in both English- and Persian-language databases from Feb 1991 to Jan 2023. The search strategy included keywords such as "sleep quality" and "heart failure" and risk factors. All screening and extraction steps were carried out by two researchers.
Results: The initial search yielded 10,357 articles. After screening, 37 studies (30 cross-sectional studies, 1 longitudinal study, 2 correlational studies, 1 prospective observational study, 2 case‒control studies and 1 descriptive-analytical study) were included. We categorized the identified factors as demographic, habits and lifestyle, medication use, and psychological. The Pittsburgh Sleep Quality Index (PSQI) is the most commonly used sleep quality assessment tool.
Conclusion: Mental health-related and lifestyle factors such as depression, fatigue, female sex, and high BMI play important roles in disrupting sleep quality. In addition, it is necessary to develop new assessment tools for sleep quality specified for HF patients.
1. Khera R, Dharmarajan K, Krumholz HM (2018). Rising Mortality in Patients with Heart Failure in the United States: Facts Versus Fiction. JACC Heart Fail, 6 (7): 610-612.
2. Jorge-Samitier P, Durante A, Gea-Caballero V, et al (2020). Sleep Quality in Patients with Heart Failure in the Spanish Popu-lation: A Cross-Sectional Study. Int J En-viron Res Public Health, 17 (21): 7772.
3. Clark AJ, Salo P, Lange T, et al (2016). On-set of Impaired Sleep and Cardiovascu-lar Disease Risk Factors: A Longitudinal Study. Sleep, 39 (9): 1709-18.
4. Arnaud C, Bochaton T, Pépin JL, Belaidi E (2020). Obstructive sleep apnoea and cardiovascular consequences: Patho-physiological mechanisms. Arch Cardio-vasc Dis, 113 (5): 350-358.
5. Adib-Hajbaghery M, Izadi-Avanji F, Akbari H (2012). Quality of sleep and its related risk factors in hospitalized older pa-tients in Kashan's Hospitals, Iran 2009. Iran J Nurs Midwifery Res, 17 (6): 414-420.
6. Wang TJ, Lee SC, Tsay SL, et al (2010). Fac-tors influencing heart failure patients' sleep quality. J Adv Nurs, 66 (8): 1730-40.
7. Riegel B, Glaser D, Richards K, et al (2012). Modifiable factors associated with sleep dysfunction in adults with heart failure. Eur J Cardiovasc Nurs, 11 (4): 402-409.
8. Muthukrishnan A, Muralidharan TR, Subash J, et al (2020). Association of poor sleep quality with risk factors after coronary artery bypass graft surgery-A prospective cohort study. J Vasc Nurs, 38 (2): 83-92.
9. Porritt K, Gomersall J, Lockwood C (2014). JBI's Systematic Reviews: Study selection and critical appraisal. Am J Nurs, 114 (6): 47-52.
10. Redeker NS, Jeon S, Muench U, et al (2010). Insomnia symptoms and daytime func-tion in stable heart failure. Sleep, 33 (9): 1210-6.
11. Jeon S, Conley S, Redeker NS (2020). Rest-activity rhythms, daytime symptoms, and functional performance among people with heart failure. Chronobiol Int, 37 (8): 1223-1234.
12. Awotidebe TO, Adeyeye VO, Adedoyin RA, et al (2016). Assessment of function-al capacity and sleep quality of patients with chronic heart failure. Hong Kong Physiother J, 36: 17-24.
13. Chen HM, Clark AP, Tsai LM, et al (2013). Excessive daytime sleepiness in Taiwan-ese people with heart failure. J Nurs Res, 21 (1): 39-48.
14. Lee KS, Lennie TA, Heo S, et al (2016). Prognostic Importance of Sleep Quality in Patients with Heart Failure. Am J Crit Care, 25 (6): 516-525.
15. Redeker NS, Jeon S, Andrews L, et al (2015). Feasibility and Efficacy of a Self-Management Intervention for Insomnia in Stable Heart Failure. J Clin Sleep Med, 11 (10): 1109-19.
16. Moradi M, Mehrdad N, Nikpour S, et al (2014). Sleep quality and associated fac-tors among patients with chronic heart failure in Iran. Med J Islam Repub Iran,28 (4): 149.
17. Matsuda R, Kohno T, Fukuoka R, et al (2015). Abstract 14835: The Prevalence of Sleep Disturbance and Its Strong Im-pact on Depression Symptom in Pa-tients Hospitalized with Cardiovascular Diseases. Circulation,132(1): A14835-A.
18. Santos MAd, Cruz DdALMd, Barbosa RL (2011). [Factors associated to sleep pat-tern in heart failure patients]. Rev Esc Enferm USP, 45 (5): 1105-12.
19. Johansson P, Riegel B, Svensson E, et al (2012). The contribution of heart failure to sleep disturbances and depressive symptoms in older adults. J Geriatr Psy-chiatry Neurol, 25 (3): 179-87.
20. Nasir U, Shahid H, Shabbir MO (2015). Sleep quality and depression in hospital-ized congestive heart failure patients. J Pak Med Assoc, 65 (3): 264-9.
21. Momayyezi M, Fallahzadeh H, Barzegar R (2015). Sleep quality in patients with heart failure: comparison between pa-tients and non-patients in Yazd, Iran (2014). Iranian Heart J, 16 (3): 28-37.
22. Kanno Y, Yoshihisa A, Watanabe S, et al (2016). Prognostic significance of in-somnia in heart failure. Circ J, 80 (7): 1571-7.
23. Chimluang J, Aungsuroch Y, Jitpanya C (2017). Descriptors of Insomnia among Patients with Heart Failure. J Med Assoc Thai, 100 (4): 403-9.
24. Nasiry D, Tavakoli A, Saber-Moghadam M (2018). The Relationship Between Sleep Quality and General Health in Patients with Heart Failure. JHNM,4 (28): 239-245.
25. Batool S, Shafqat A, Khan M, et al (2020). Quality of Sleep Among the Patients of Congestive Cardiac Failure and Factors Associated with Poor Sleep Quality.in Medical forum monthly, 31 (3): 34-41.
26. Avcı A, GÜN M (2021). The Effect of Ac-tivities of Daily Living and Depression Symptom Level on Sleep Quality in the Elderly with Heart Failure. Pak Heart J, 54 (1): 64-72.
27. Hajj J, Mathelier H, Drachman B, Laudan-ski K (2020). Sleep Quality, Fatigue, and Quality of Life in Individuals with Heart Failure. J Nurse Pract, 16 (6): 461-5.
28. Goudarzian AH, Beik S, Zamani F, et al (2016). Correlation between Body Image and Sleep Quality in Patients with Con-gestive Heart Failure in the Sari City, North of Iran. Galen Med J, 5(3): 147-152.
29. Matsuda R, Kohno T, Kohsaka S, et al (2021). Psychological disturbances and their association with sleep disturbances in patients admitted for cardiovascular diseases. Plos One, 16 (1): e0244484.
30. Lainsamputty F, Chen HM (2018). The cor-relation between fatigue and sleep quali-ty among patients with heart failure. NurseLine J, 3: 100-14.
31. Edmealem A, Degu SG, Haile D, et al (2020). Sleep Quality and Associated Factors among Diabetes, Hypertension, and Heart Failure Patients at Debre Markos Referral Hospital, Northwest Ethiopia. Sleep Disord, 2020: 6125845.
32. Conley S, Feder SL, Jeon S, et al (2019). Daytime and Nighttime Sleep Charac-teristics and Pain among Adults with Stable Heart Failure. J Cardiovasc Nurs, 34 (5): 390-398.
33. Redeker NS, Adams L, Berkowitz R, et al (2012). Nocturia, sleep and daytime function in stable heart failure. J Card Fail, 18 (7): 569-75.
34. Erickson VS, Westlake CA, Dracup KA, et al (2003). Sleep Disturbance Symptoms in Patients with Heart Failure. AACN Adv Crit Care, 14 (4): 477-87.
35. Broström A, Strömberg A, Dahlström U, et al (2004). Sleep difficulties, daytime sleepiness, and health-related quality of life in patients with chronic heart fail-ure. J Cardiovasc Nurs, 19 (4): 234-42.
36. Javadi N, Darvishpour A, Mehrdad N, et al (2015). Survey of Sleep Status and its Re-lated Factors among Hospitalized Pa-tients with Heart Failure. J Tehran Heart Cent, 10 (1): 9-17.
37. Gharaibeh B, Al-Absi I, Abuhammad S, et al (2022). Sleep quality among different classes of heart failure patients in Jor-dan: A STROBE compliant cross-sectional study. Medicine (Baltimore), 101 (48): e32069.
38. Esnaasharieh F, Dehghan M, Mangolian Shahrbabaki P (2022). The relationship between sleep quality and physical activ-ity among patients with heart failure: a cross-sectional study. BMC Sports Sci Med Rehabil, 14 (1): 20.
39. Kania A, Polok K, Celejewska-Wójcik N, et al (2022). Clinical and Polysomnograph-ic Features Associated with Poor Sleep Quality in Patients with Obstructive Sleep Apnea. Medicina (Kaunas), 58 (7): 907.
40. Xiong J, Qin J, Gong K (2023). Association between fear of progression and sleep quality in patients with chronic heart failure: A cross-sectional study. J Adv Nurs, 79 (8): 3082-3091.
41. Zeighami M Sh (2013). Evaluation of sleep problems and its associated factors in male patients with systolic heart failure. Qom University of Medical Sciences Jour-nal,4(24):64-73.
42. Aria H, Naghizadeh MM (2019). Sleep Quality, Anxiety, and Depression in Pa-tients with Heart Failure. J Adv Med Sci Appl Technol,21(8) 213-220.
43. Aslani Y, Akbari A, Heydari A (2007). Inves-tigation of the spectrum of sleep disor-ders in patients with heart failure hospi-talized in the heart department of Hajar Shahrekord Hospital in 2003. Journal of Shahrekord University of Medical Sciences 9(1):44-49.
44. Zhuang S, Huang S, Huang Z, et al (2023). Prospective study of sleep duration, snoring and risk of heart failure. Heart,109(10):779-84.
45. Redeker NS, Hilkert R (2005). Sleep and quality of life in stable heart failure. J Card Fail, 11 (9): 700-4.
46. Wesselius HM, van den Ende ES, Alsma J, et al (2018). Quality and Quantity of Sleep and Factors Associated with Sleep Disturbance in Hospitalized Patients. JAMA Intern Med, 178 (9): 1201-1208.
47. Johansson P, Arestedt K, Alehagen U, et al (2010). Sleep disordered breathing, in-somnia, and health related quality of life a comparison between age and gender matched elderly with heart failure or without cardiovascular disease. Eur J Cardiovasc Nurs, 9 (2): 108-17.
48. Chen HM, Clark AP, Tsai LM, et al (2009). Self-reported sleep disturbance of pa-tients with heart failure in Taiwan. Nurs Res, 58 (1): 63-71.
49. Mohammadian M, Khosravi A, Nohi S, et al (2018). Factor associated with self-reported sleep quality in adults-a popula-tion-based study. Journal of Knowledge & Health in Basic Medical Sciences, 12(4): 1-6.
50. Riegel B, Hanlon AL, Zhang X, et al (2013). What is the best measure of daytime sleepiness in adults with heart failure? J Am Assoc Nurse Pract, 25 (5): 272-9.
51. Arasteh M, Fayegh Y, Sharifi Z (2014). In-vestigation of sleep quality and its influ-encing factors in patients admitted to the gynecology and general surgery of Besat Hospital in Sanandaj. Medical Jour-nal of Mashhad University of Medical Sciences, 57: 762-9.
52. Zeighami R, Jalilolghadr S (2014). Investi-gating the effect of “Citrus Aurantium” aroma on sleep quality of patients hos-pitalized in the coronary care unit (CCU). cmja, 4 (1): 720-733.
53. Friedman EM, Love GD, Rosenkranz MA, et al (2007). Socioeconomic status pre-dicts objective and subjective sleep qual-ity in aging women. Psychosom Med, 69 (7): 682-91.
54. Liu JC, Hung HL, Shyu YK, et al (2011). The impact of sleep quality and daytime sleepiness on global quality of life in community-dwelling patients with heart failure. J Cardiovasc Nurs, 26 (2): 99-105.
55. Morris JL, Belcher SM, Jeon B, et al (2023). Financial Hardship and its Associations with Perceived Sleep Quality in Partici-pants with Type 2 Diabetes and Ob-structive Sleep Apnea. Chronic Illn, 19 (1): 197-207.
56. Fu P, Zhou C, Meng Q (2020). Associations of Sleep Quality and Frailty among the Older Adults with Chronic Disease in China: The Mediation Effect of Psycho-logical Distress. Int J Environ Res Public Health, 17 (14): 17(14):5240.
57. Zheng D, Yuan X, Ma C, et al (2021). Alco-hol consumption and sleep quality: a community-based study. Public Health Nutr, 24 (15): 4851-4858.
58. Karimi R, Arshadi N (2019). The relation-ship of sleep quality with mental health and job burnout. bjcp, 13: 121-9.
59. Sharif-Nia H, Yaghoobzadeh A, Goudarzi-an AH, et al (2018). The Relationship be-tween Sleep Quality with Depression in Patient with Acute Myocardial Infarc-tion. Qom Univ Med Sci J, 12: 29-38.
60. Son YJ, Kwon BE (2018). Overactive Blad-der is a Distress Symptom in Heart Fail-ure. Int Neurourol J, 22 (2): 77-82.
2. Jorge-Samitier P, Durante A, Gea-Caballero V, et al (2020). Sleep Quality in Patients with Heart Failure in the Spanish Popu-lation: A Cross-Sectional Study. Int J En-viron Res Public Health, 17 (21): 7772.
3. Clark AJ, Salo P, Lange T, et al (2016). On-set of Impaired Sleep and Cardiovascu-lar Disease Risk Factors: A Longitudinal Study. Sleep, 39 (9): 1709-18.
4. Arnaud C, Bochaton T, Pépin JL, Belaidi E (2020). Obstructive sleep apnoea and cardiovascular consequences: Patho-physiological mechanisms. Arch Cardio-vasc Dis, 113 (5): 350-358.
5. Adib-Hajbaghery M, Izadi-Avanji F, Akbari H (2012). Quality of sleep and its related risk factors in hospitalized older pa-tients in Kashan's Hospitals, Iran 2009. Iran J Nurs Midwifery Res, 17 (6): 414-420.
6. Wang TJ, Lee SC, Tsay SL, et al (2010). Fac-tors influencing heart failure patients' sleep quality. J Adv Nurs, 66 (8): 1730-40.
7. Riegel B, Glaser D, Richards K, et al (2012). Modifiable factors associated with sleep dysfunction in adults with heart failure. Eur J Cardiovasc Nurs, 11 (4): 402-409.
8. Muthukrishnan A, Muralidharan TR, Subash J, et al (2020). Association of poor sleep quality with risk factors after coronary artery bypass graft surgery-A prospective cohort study. J Vasc Nurs, 38 (2): 83-92.
9. Porritt K, Gomersall J, Lockwood C (2014). JBI's Systematic Reviews: Study selection and critical appraisal. Am J Nurs, 114 (6): 47-52.
10. Redeker NS, Jeon S, Muench U, et al (2010). Insomnia symptoms and daytime func-tion in stable heart failure. Sleep, 33 (9): 1210-6.
11. Jeon S, Conley S, Redeker NS (2020). Rest-activity rhythms, daytime symptoms, and functional performance among people with heart failure. Chronobiol Int, 37 (8): 1223-1234.
12. Awotidebe TO, Adeyeye VO, Adedoyin RA, et al (2016). Assessment of function-al capacity and sleep quality of patients with chronic heart failure. Hong Kong Physiother J, 36: 17-24.
13. Chen HM, Clark AP, Tsai LM, et al (2013). Excessive daytime sleepiness in Taiwan-ese people with heart failure. J Nurs Res, 21 (1): 39-48.
14. Lee KS, Lennie TA, Heo S, et al (2016). Prognostic Importance of Sleep Quality in Patients with Heart Failure. Am J Crit Care, 25 (6): 516-525.
15. Redeker NS, Jeon S, Andrews L, et al (2015). Feasibility and Efficacy of a Self-Management Intervention for Insomnia in Stable Heart Failure. J Clin Sleep Med, 11 (10): 1109-19.
16. Moradi M, Mehrdad N, Nikpour S, et al (2014). Sleep quality and associated fac-tors among patients with chronic heart failure in Iran. Med J Islam Repub Iran,28 (4): 149.
17. Matsuda R, Kohno T, Fukuoka R, et al (2015). Abstract 14835: The Prevalence of Sleep Disturbance and Its Strong Im-pact on Depression Symptom in Pa-tients Hospitalized with Cardiovascular Diseases. Circulation,132(1): A14835-A.
18. Santos MAd, Cruz DdALMd, Barbosa RL (2011). [Factors associated to sleep pat-tern in heart failure patients]. Rev Esc Enferm USP, 45 (5): 1105-12.
19. Johansson P, Riegel B, Svensson E, et al (2012). The contribution of heart failure to sleep disturbances and depressive symptoms in older adults. J Geriatr Psy-chiatry Neurol, 25 (3): 179-87.
20. Nasir U, Shahid H, Shabbir MO (2015). Sleep quality and depression in hospital-ized congestive heart failure patients. J Pak Med Assoc, 65 (3): 264-9.
21. Momayyezi M, Fallahzadeh H, Barzegar R (2015). Sleep quality in patients with heart failure: comparison between pa-tients and non-patients in Yazd, Iran (2014). Iranian Heart J, 16 (3): 28-37.
22. Kanno Y, Yoshihisa A, Watanabe S, et al (2016). Prognostic significance of in-somnia in heart failure. Circ J, 80 (7): 1571-7.
23. Chimluang J, Aungsuroch Y, Jitpanya C (2017). Descriptors of Insomnia among Patients with Heart Failure. J Med Assoc Thai, 100 (4): 403-9.
24. Nasiry D, Tavakoli A, Saber-Moghadam M (2018). The Relationship Between Sleep Quality and General Health in Patients with Heart Failure. JHNM,4 (28): 239-245.
25. Batool S, Shafqat A, Khan M, et al (2020). Quality of Sleep Among the Patients of Congestive Cardiac Failure and Factors Associated with Poor Sleep Quality.in Medical forum monthly, 31 (3): 34-41.
26. Avcı A, GÜN M (2021). The Effect of Ac-tivities of Daily Living and Depression Symptom Level on Sleep Quality in the Elderly with Heart Failure. Pak Heart J, 54 (1): 64-72.
27. Hajj J, Mathelier H, Drachman B, Laudan-ski K (2020). Sleep Quality, Fatigue, and Quality of Life in Individuals with Heart Failure. J Nurse Pract, 16 (6): 461-5.
28. Goudarzian AH, Beik S, Zamani F, et al (2016). Correlation between Body Image and Sleep Quality in Patients with Con-gestive Heart Failure in the Sari City, North of Iran. Galen Med J, 5(3): 147-152.
29. Matsuda R, Kohno T, Kohsaka S, et al (2021). Psychological disturbances and their association with sleep disturbances in patients admitted for cardiovascular diseases. Plos One, 16 (1): e0244484.
30. Lainsamputty F, Chen HM (2018). The cor-relation between fatigue and sleep quali-ty among patients with heart failure. NurseLine J, 3: 100-14.
31. Edmealem A, Degu SG, Haile D, et al (2020). Sleep Quality and Associated Factors among Diabetes, Hypertension, and Heart Failure Patients at Debre Markos Referral Hospital, Northwest Ethiopia. Sleep Disord, 2020: 6125845.
32. Conley S, Feder SL, Jeon S, et al (2019). Daytime and Nighttime Sleep Charac-teristics and Pain among Adults with Stable Heart Failure. J Cardiovasc Nurs, 34 (5): 390-398.
33. Redeker NS, Adams L, Berkowitz R, et al (2012). Nocturia, sleep and daytime function in stable heart failure. J Card Fail, 18 (7): 569-75.
34. Erickson VS, Westlake CA, Dracup KA, et al (2003). Sleep Disturbance Symptoms in Patients with Heart Failure. AACN Adv Crit Care, 14 (4): 477-87.
35. Broström A, Strömberg A, Dahlström U, et al (2004). Sleep difficulties, daytime sleepiness, and health-related quality of life in patients with chronic heart fail-ure. J Cardiovasc Nurs, 19 (4): 234-42.
36. Javadi N, Darvishpour A, Mehrdad N, et al (2015). Survey of Sleep Status and its Re-lated Factors among Hospitalized Pa-tients with Heart Failure. J Tehran Heart Cent, 10 (1): 9-17.
37. Gharaibeh B, Al-Absi I, Abuhammad S, et al (2022). Sleep quality among different classes of heart failure patients in Jor-dan: A STROBE compliant cross-sectional study. Medicine (Baltimore), 101 (48): e32069.
38. Esnaasharieh F, Dehghan M, Mangolian Shahrbabaki P (2022). The relationship between sleep quality and physical activ-ity among patients with heart failure: a cross-sectional study. BMC Sports Sci Med Rehabil, 14 (1): 20.
39. Kania A, Polok K, Celejewska-Wójcik N, et al (2022). Clinical and Polysomnograph-ic Features Associated with Poor Sleep Quality in Patients with Obstructive Sleep Apnea. Medicina (Kaunas), 58 (7): 907.
40. Xiong J, Qin J, Gong K (2023). Association between fear of progression and sleep quality in patients with chronic heart failure: A cross-sectional study. J Adv Nurs, 79 (8): 3082-3091.
41. Zeighami M Sh (2013). Evaluation of sleep problems and its associated factors in male patients with systolic heart failure. Qom University of Medical Sciences Jour-nal,4(24):64-73.
42. Aria H, Naghizadeh MM (2019). Sleep Quality, Anxiety, and Depression in Pa-tients with Heart Failure. J Adv Med Sci Appl Technol,21(8) 213-220.
43. Aslani Y, Akbari A, Heydari A (2007). Inves-tigation of the spectrum of sleep disor-ders in patients with heart failure hospi-talized in the heart department of Hajar Shahrekord Hospital in 2003. Journal of Shahrekord University of Medical Sciences 9(1):44-49.
44. Zhuang S, Huang S, Huang Z, et al (2023). Prospective study of sleep duration, snoring and risk of heart failure. Heart,109(10):779-84.
45. Redeker NS, Hilkert R (2005). Sleep and quality of life in stable heart failure. J Card Fail, 11 (9): 700-4.
46. Wesselius HM, van den Ende ES, Alsma J, et al (2018). Quality and Quantity of Sleep and Factors Associated with Sleep Disturbance in Hospitalized Patients. JAMA Intern Med, 178 (9): 1201-1208.
47. Johansson P, Arestedt K, Alehagen U, et al (2010). Sleep disordered breathing, in-somnia, and health related quality of life a comparison between age and gender matched elderly with heart failure or without cardiovascular disease. Eur J Cardiovasc Nurs, 9 (2): 108-17.
48. Chen HM, Clark AP, Tsai LM, et al (2009). Self-reported sleep disturbance of pa-tients with heart failure in Taiwan. Nurs Res, 58 (1): 63-71.
49. Mohammadian M, Khosravi A, Nohi S, et al (2018). Factor associated with self-reported sleep quality in adults-a popula-tion-based study. Journal of Knowledge & Health in Basic Medical Sciences, 12(4): 1-6.
50. Riegel B, Hanlon AL, Zhang X, et al (2013). What is the best measure of daytime sleepiness in adults with heart failure? J Am Assoc Nurse Pract, 25 (5): 272-9.
51. Arasteh M, Fayegh Y, Sharifi Z (2014). In-vestigation of sleep quality and its influ-encing factors in patients admitted to the gynecology and general surgery of Besat Hospital in Sanandaj. Medical Jour-nal of Mashhad University of Medical Sciences, 57: 762-9.
52. Zeighami R, Jalilolghadr S (2014). Investi-gating the effect of “Citrus Aurantium” aroma on sleep quality of patients hos-pitalized in the coronary care unit (CCU). cmja, 4 (1): 720-733.
53. Friedman EM, Love GD, Rosenkranz MA, et al (2007). Socioeconomic status pre-dicts objective and subjective sleep qual-ity in aging women. Psychosom Med, 69 (7): 682-91.
54. Liu JC, Hung HL, Shyu YK, et al (2011). The impact of sleep quality and daytime sleepiness on global quality of life in community-dwelling patients with heart failure. J Cardiovasc Nurs, 26 (2): 99-105.
55. Morris JL, Belcher SM, Jeon B, et al (2023). Financial Hardship and its Associations with Perceived Sleep Quality in Partici-pants with Type 2 Diabetes and Ob-structive Sleep Apnea. Chronic Illn, 19 (1): 197-207.
56. Fu P, Zhou C, Meng Q (2020). Associations of Sleep Quality and Frailty among the Older Adults with Chronic Disease in China: The Mediation Effect of Psycho-logical Distress. Int J Environ Res Public Health, 17 (14): 17(14):5240.
57. Zheng D, Yuan X, Ma C, et al (2021). Alco-hol consumption and sleep quality: a community-based study. Public Health Nutr, 24 (15): 4851-4858.
58. Karimi R, Arshadi N (2019). The relation-ship of sleep quality with mental health and job burnout. bjcp, 13: 121-9.
59. Sharif-Nia H, Yaghoobzadeh A, Goudarzi-an AH, et al (2018). The Relationship be-tween Sleep Quality with Depression in Patient with Acute Myocardial Infarc-tion. Qom Univ Med Sci J, 12: 29-38.
60. Son YJ, Kwon BE (2018). Overactive Blad-der is a Distress Symptom in Heart Fail-ure. Int Neurourol J, 22 (2): 77-82.
| Files | ||
| Issue | Vol 54 No 9 (2025) | |
| Section | Review Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v54i9.19853 | |
| Keywords | ||
| Sleep quality Risk factors Heart failure Systematic review | ||
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How to Cite
1.
Gazerani A, Manzari ZS, Mohammadi E, Amini M, sadat Manzari T, Dalir Z. Sleep Quality in Heart Failure Patients: A Systematic Review of Risk Factors and Assessment Tools. Iran J Public Health. 2025;54(9):1842-1856.
