Investigation of the Sleep Quality Among Hospitalized Cardiovascular Patients Using Regression Models and Qualitative Comparative Analysis

This study aimed to explore the relationships between modifiable and non-modifiable factors that influence sleep quality in hospitalized patients with cardiovascular disease in China. This study design was cross-sectional and descriptive. This study involved a convenience sample of 242 patients hosp...

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Bibliographic Details
Published in:Clinical nursing research 2023-03, Vol.32 (3), p.580-588
Main Authors: Guo, Xinmeng, Qin, Zeying, Meng, Cuicui, Lv, Jianping, Hu, Yueyang, Fei, Junsong, Liang, Leilei, Li, Jingyang, Yuan, Tongshuang, Mei, Songli, Tong, Qian
Format: Article
Language:English
Subjects:
Anxiety
Cardiovascular Diseases
Comparative analysis
Cross-Sectional Studies
Depression
Hospitalization
Humans
Male
Males
Medical screening
Mental depression
Nurse led services
Nurses
Secondary prevention
Sleep
Sleep Quality
Social anxiety
Social support
Support networks
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Summary:This study aimed to explore the relationships between modifiable and non-modifiable factors that influence sleep quality in hospitalized patients with cardiovascular disease in China. This study design was cross-sectional and descriptive. This study involved a convenience sample of 242 patients hospitalized for cardiovascular issues. Hierarchical regression model and qualitative comparative analysis model were performed. Regression revealed that age and depression both had statistically significant effects on sleep quality. The combination of conditions with strongest predictive effect on sleep quality was male of younger age, high level of depression, high level of anxiety, and low level of social support. Other combinations with predictive power on sleep quality are as follows: (1) younger male patients (aged 47–63 years) with high level of anxiety, high level of social support, and low level of depression; (2) older male patients (aged 63–79 years) with high level of depression, high level of social support, and low levels of anxiety; and (3) older male patients with high level of anxiety and low level of social support. Nurses may promote primary and secondary prevention of cardiovascular health prior to hospitalization, through routine screening for depressive and anxious symptoms and assessment of the patient’s social support network. It is unknown whether these findings are unique to hospitalized patients. Therefore, future work should assess the fit of the model to other more diverse groups of hospitalized patients.
ISSN:1054-7738
1552-3799
DOI:10.1177/10547738221148150