Relationships among self-management ability, cognitive function, and sleep quality in advanced heart failure intensive care unit patients
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Elizabeth A. Edmiston, PhD, RN, CCRN
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- Alpha Mu
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As the amount of people with heart failure and treatment complexity increases, many hospitals are implementing Advanced Heart Failure Intensive Care Unit (AHFICU). The success of this new model of care depends on understanding unique characteristics of patients including factors related to self-manage ability, cognitive function, and sleep quality. Nursing interventions can be implemented to meet the needs of this population. Therefore, the purpose of this study is to understand the relationships among sleep quality, cognitive function, and self-management ability at discharge in patients in AHFICU. A convenience sample of 43 adults was recruited into the study. Data were collected using interviews, phone calls, and medical record reviews at admission, discharge, and at least one week after discharge. Results indicated that less than half of participants were able to self-manage at baseline. Over 75% of the 13 participants who were excluded due to discharge disposition had inadequate self-management ability. Over half of participants had mild cognitive impairment at admission and mild cognitive impairment at baseline was found in almost all participants who were not discharged home. Poor sleep quality was noted in most patients during hospitalization and mean sleep quality scores were similar prior to admission and during hospitalization. Sleep quality significantly improved after discharge, cognitive function at admission predicted cognitive function at discharge, and cognitive function at discharge predicted knowledge. This study is the first to examine self-management ability, cognitive function, and sleep quality in patients admitted to AHFICU. It is essential that nurses understand these characteristics as self-management ability and sleep quality are worse than heart failure patients admitted to the hospital. Self-management ability is so low that new approaches are needed that engage significant others in home self-management. Findings provide a foundation for future research exploring self-management ability, cognitive function, and sleep quality in AHFICU patients.
The Sigma Theta Tau International grant application that funded this research, in whole or in part, was completed by the applicant and peer-reviewed prior to the award of the Sigma grant. No further peer-review has taken place upon the completion of the Sigma grant final report and its appearance in this repository.
Type | Dissertation |
Acquisition | Self-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Descriptive/Correlational |
Research Approach | Quantitative Research |
Keywords | Heart Failure; Sleep Quality; Self-management Ability; Cognitive Function; Intensive Care Unit |
Grantor | Case Western Reserve University |
Advisor | Dolansky, Mary; Burant, Christopher; Hardin, Heather; Josephson, Richard |
Level | PhD |
Year | 2020 |
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