The Effectiveness of Supportive Nursing Care in Sleep Quality of Patients with Heart Failure

Sunday, 27 July 2014

Ai-Fu Chiou, PhD, RN
School of Nursing, National Yang-Ming University, Taipei, Taiwan
Yia-Ling Chang, RN
Tri-Service General Hospital, Taipei, Taiwan


Sleep disturbance is one of the most common complaints in heart failure patients. Up to 74% heart failure patients reported poor sleep. However, research related to sleep disturbance of heart failure patients is limited in Taiwan. This study aimed to examine the effects of supportive care program in sleep disturbance of heart failure patients.


An experimental design was used. Subjects were selected using a purposeful sampling and were randomly assigned to the intervention (n=30) or control group (n=30). Patients in the intervention group received an 12-week supportive care program including education on sleep hygiene, coaching self-care, emotional support and nursing visit monthly at home. The control group received regular nursing care. Data is collected by structural questionnaire. Participants completed structural questionnaire in pre-test, fourth, 8th and 12th weeks after intervention. The instruments included basic data, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, Symptom Distress Scale, Hospital Anxiety and Depression Scale and Social Support Scale. Data analysis included descriptive statistics, independent t-test, chi-square, Mann-Whitney U test, and generalized estimating equation.


data collection is on-going.


The results of this study will contribute to the knowledge of nursing care of patients with health failure.