Poster Presentation
Thursday, 20 July 2006
10:00 AM - 10:30 AM
Thursday, 20 July 2006
3:00 PM - 3:30 PM
This presentation is part of : Poster Presentations II
Sleep Disturbance After Myocardial Infarction
Naglaa M. El Mokadem, PhD, RN, Nursing Program, Sultan Qaboos University, Al Khoud, Oman
Learning Objective #1: Examine the change in sleep disturbance over time during the first six weeks of recovery after myocardial infarction (MI)
Learning Objective #2: Determine to what extent do the dose of beta-blocker therapy, anxiety and depression levels, demographic varibles contribute to the change in sleep disturbance after MI

Objectives: To examine the change in sleep disturbance over time during the first six weeks of recovery after myocardial infarction (MI). Also, to determine to what extent do the dose of beta-blocker therapy, patients' perception of the severity of disease, anxiety and depression levels, age, gender, and marital status contribute to the change in sleep disturbance during the first six weeks after MI.

Design: A prospective, descriptive repeated measures design was used.

Sample: A convenience sample of 60 individual (mean age 54 years) with first time MI participated in the study.

Methods: Investigator interviewed the subjects face-to-face three times: third day of admission and two and six weeks after discharge.

Findings: Sleep disturbance significantly decreased over time. The main effect of time on sleep disturbance was significant, F (2,1) = 17.2, p < 0.00, however, the decrease did not remain when controlling for the selected covariates, suggesting that sleep disturbance is influenced by these covariates.

Conclusion: Findings of the study showed that sleep disturbance was significantly declined during the early recovery period.

Implications: Developing practice guidelines and home-going discharge protocols should include specific approaches that take into account contextual factors. Treating at-risk patients with early interventions may be useful.   

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