Somayyeh Nayyeri; Mehdi Golafrooz; Hajar Sadeghi; Sara Amini; Laya Zarrabi; Mohammad hasan Rakhshani
Volume 22, Issue 3 , May and June 2015, , Pages 289-299
Abstract
Background and purpose: Heart failure is a common and life-threatening situation. These patients have poor sleep quality. One of the possible ways of improving sleep qualityis based on self-care education in the nursing model, thus this study was aimed at assessing the effects of the partnership care ...
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Background and purpose: Heart failure is a common and life-threatening situation. These patients have poor sleep quality. One of the possible ways of improving sleep qualityis based on self-care education in the nursing model, thus this study was aimed at assessing the effects of the partnership care model on sleep quality among patients with heart failure.
Materials and Methods: An experimental study (randomized controlled trials) was performed on 102 patients with chronic stable heart failure among whom reffered to Vasei hospital of Sabzevar in 2014. Patients were randomly assigned into two groups. The Pittsburgh Sleep Quality Scale was used as a criterion.Interventionand implementation of the partnership care model in one of the test groups were kept running for three months. Obtained data were analyzied based on descriptive and inferential statistical methods (chi-square, Mann-Whitney U, analysis of covariance & Multilevel Logistic Regression) with SPSS (Version 11.5) & SAS (Version 9.1) Softwares with 95% of confidence (95% CI).
Results: The results showed that there wasn't any statistical significant difference in the mean score of sleep quality between the two groups before the intervention. But after the intervention the values of mean and standard deviation of sleep quality were obtained 9.02±4.03 & 4.43±2.89, respectively. There was a significant difference between the two groups in sleep scores obtained by statistical test of Mann-Whitney U (p=0.001).
Conclusion: Implementation of the partnership care model is effective in increasing the quality of sleep among patients with heart failure. Therefor the implementation of the partnership care model among patients with choronic disease is suggested.
Mehdi Golafrooz; Hajar Sadeghi; Seyyed Ghasem Mosavi; Yaser Tabarraee
Volume 21, Issue 4 , September and October 2014, , Pages 655-664
Abstract
Background: Research shows that people with diabetes duration less sleep than normal amounts of sleep in healthy people, which may lead to reduced quality of life. Due to the chronic nature of the disease, the need for appropriate follow-up of these patients is necessary. Hence, the present study aimed ...
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Background: Research shows that people with diabetes duration less sleep than normal amounts of sleep in healthy people, which may lead to reduced quality of life. Due to the chronic nature of the disease, the need for appropriate follow-up of these patients is necessary. Hence, the present study aimed to investigate the effect of applying continuous care model on quality of sleep in people with diabetes as well.
Method: In this study, 80 diabetic patients who are candidates for sampling the diabetes clinic covered Sabzevar selected randomly in two groups of test and control. Data were collected using questionnaires, personal information, and Pittsburgh Sleep Quality Scale before and after the intervention. Educational intervention, applying continuous care model in the test group was 12 weeks. Data analysis using descriptive and inferential statistics (chi-square test, t-test, regression and analysis of covariance) was performed by using SPSS version 18.
Results: The results showed that the two groups before the intervention in terms of demographic variables and mean scores of sleep quality, sleep quality scores were similar between the two groups was not statistically significant, However, after intervention by independent t-test, significant differences between the mean scores of sleep quality were (P = 0.001). Between sleep quality scores in the experimental group before and after the intervention, there was a statistically significant difference, but the difference was not significant in the control group.
Conclusions: The implementation of the continuous care model is effective in increasing the quality of sleep. It is suggested by the model to test for diabetes care in other clinics.