Qualidade de vida e qualidade de sono na insuficiência cardíaca

Layana Marques de Oliveira; Tamara Martins da Cunha; Ivan Daniel Bezerra Nogueira; Patrícia Angélica de Miranda Silva Nogueira

doi:10.5585/conssaude.v17n4.8460

Authors

Layana Marques de Oliveira
Tamara Martins da Cunha
Ivan Daniel Bezerra Nogueira
Patrícia Angélica de Miranda Silva Nogueira

DOI:

https://doi.org/10.5585/conssaude.v17n4.8460

Keywords:

Heart Failure, Quality of life, Sleep.

Abstract

Introduction: Heart failure (HF) is a complex clinical syndrome characterized by the inability of the the left ventricle to pump enough blood into the body. Among the clinical characteristics of HF are the low quality of life and quality of sleep. Objective: To relate quality of life (QOL) and sleep quality (SQ) with functional capacity of patients with HF and healthy individuals. METHODS: A cross-sectional observational study in which 21 patients with HF (group HF) and 21 self-reported healthy individuals were evaluated. The QOL and SQ, excessive daytime sleepiness (EDS) and the 6-minute walk test (6MWT) were measured. Results: A better QOL and SQ were observed in the HF group compared to the control group (p<0.05). We found positive correlations between FC and AE with distance walked on 6MWT (r = 0.475, p = 0.034) and (r = 0.620, p = 0.004), respectively. Conclusion: Our results demonstrate that the HF generates negative impacts on the QOL and SQ of the sample studied.

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References

Real J, Cowles E, Wierzbicki AS, Guideline Committee. Chronic heart failure in adults: summary of updated NICE guidance. BMJ 2018; 362: k3646.

De Maeyer C, Beckers P, Vrints CJ, Conraads VM. Exercise training in chronic heart failure. Ther Adv Chronic Dis 2013; 4: 105–17.

Daher A, Matthes M, Keszei A, Brandenburg V, Müller T, Cornelissen C et al. Characterization and Triggers of Dyspnea in Patients with Chronic Obstructive Pulmonary Disease or Chronic Heart Failure: Effects of Weather and Environment. Lung 2018. doi:10.1007/s00408-018-0170-2.

Herr JK, Salyer J, Lyon DE, Goodloe L, Schubert C, Clement DG. Heart Failure Symptom Relationships. J Cardiovasc Nurs 2014; 29: 416–422.

Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE, Drazner MH et al. 2013 ACCF/AHA Guideline for the Management of Heart Failure: Executive Summary. Circulation 2013; 128: 1810–1852.

Giallauria F, Piccioli L, Vitale G, Sarulli FM. Exercise training in patients with Chronic Heart Failure: a new challenge for Cardiac Rehabilitation Community. Monaldi Arch Chest Dis 2018; 88: 987.

Oldenburg O, Lamp B, Faber L, Teschler H, Horstkotte D, Töpfer V. Sleep-disordered breathing in patients with symptomatic heart failure: a contemporary study of prevalence in and characteristics of 700 patients. Eur J Heart Fail 2007; 9: 251–7.

Terziyski K, Draganova A. Central Sleep Apnea with Cheyne-Stokes Breathing in Heart Failure – From Research to Clinical Practice and Beyond. In: Advances in experimental medicine and biology. 2018, pp 327–351.

Drager LF, McEvoy RD, Barbe F, Lorenzi-Filho G, Redline S, INCOSACT Initiative (International Collaboration of Sleep Apnea Cardiovascular Trialists). Sleep Apnea and Cardiovascular Disease. Circulation 2017; 136: 1840–1850.

Cowie MR, Gallagher AM. Sleep Disordered Breathing and Heart Failure. JACC Hear Fail 2017; 5: 715–723.

Riegel B, Ratcliffe SJ, Sayers SL, Potashnik S, Buck HG, Jurkovitz C et al. Determinants of excessive daytime sleepiness and fatigue in adults with heart failure. Clin Nurs Res 2012; 21: 271–93.

Sousa MM de, Oliveira JS, Soares MJGO, Bezerra SMMS, Araújo AA de, Oliveira SHS et al. Associação das condições sociais e clínicas à qualidade de vida de pacientes com insuficiência cardíaca. Rev Gaúcha Enferm 2017;38(2):e65885.

Bertolazi AN, Fagondes SC, Hoff LS, Dartora EG, da Silva Miozzo IC, de Barba MEF et al. Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index. Sleep Med 2011; 12: 70–75.

Bertolazi NA, Fagondes SC, Hoff LS, Dallagasperina PV, Barreto SSM, Johns MW. Validação da escala de sonolência de Epworth em português para uso no Brasil. J Bras Pneumol 2009; 35: 877–883.

Ciconelli RM, Ferraz MB, Santos W, Meinão I, Quaresma MR. Tradução para a língua portuguesa e validação do questionário genérico de avaliação de qualidade de vida SF-36 (Brasil SF-36). Rev. Bras. Reumatol. 1999; 39: 143–150.

Riegel B, Moser DK, Glaser D, Carlson B, Deaton C, Armola R et al. The Minnesota Living With Heart Failure Questionnaire: sensitivity to differences and responsiveness to intervention intensity in a clinical population. Nurs Res 2002; 51: 209–18.

ATS Statement: Guidelines for the Six-Minute Walk Test. Am Thorac Soc Am J Respir Crit Care Med 2002; 166: 111–117.

Hanly PJ, Zuberi-Khokhar NS. Increased mortality associated with Cheyne-Stokes respiration in patients with congestive heart failure. Am J Respir Crit Care Med 1996; 153: 272–276.

Lanfranchi PA, Braghiroli A, Bosimini E, Mazzuero G, Colombo R, Donner CF et al. Prognostic value of nocturnal Cheyne-Stokes respiration in chronic heart failure. Circulation 1999; 99: 1435–40.

Milleron O, Pillière R, Foucher A, de Roquefeuil F, Aegerter P, Jondeau G et al. Benefits of obstructive sleep apnoea treatment in coronary artery disease: a long-term follow-up study. Eur Heart J 2004; 25: 728–734.

Azevedo IG, Vieira EM de A, Oliveira Neto NR de, Nogueira IDB, Melo FES de, Nogueira PA de MS et al. Correlation between sleep and quality of life in patients with heart failure. Fisioter e Pesqui 2015; 22: 148–154.

Wang T-J, Lee S-C, Tsay S-L, Tung H-H. Factors influencing heart failure patients’ sleep quality. J Adv Nurs 2010; 66: 1730–1740.

Redeker NS SS. Characteristics of sleep in patients with stable heart failure versus a comparison group. Hear Lung 2006; 35: 252–61.

Antonelli Incalzi R, Marra C, Salvigni BL, Petrone A, Gemma A, Selvaggio D et al. Does cognitive dysfunction conform to a distinctive pattern in obstructive sleep apnea syndrome? J Sleep Res 2004; 13: 79–86.

Saccomann ICR, Cintra FA, Gallani MCBJ. Qualidade de vida relacionada à Saúde em Idosos com Insuficiência cardíaca: avaliação com instrumento específico. Acta Paul Enferm 2011; 24: 179–184.

Johansson P, Arestedt K, Alehagen U, Svanborg E, Dahlström U, Broström A. Sleep disordered breathing, insomnia, 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 2010; 9: 108–17.

Nogueira IDB, Servantes DM, Nogueira PA de MS, Pelcerman A, Salvetti XM, Salles F et al. Correlação entre qualidade de vida e capacidade funcional na insuficiência cardíaca. Arq Bras Cardiol 2010; 95: 238–243.