Effect of a Nurse-Led Cognitive-Behavioral Therapy on Sleep Quality in Patients Undergoing Open Heart Surgery: A Prospective Randomized Clinical Trial
| Author | Seyede Fatemeh Gheiasi | en |
| Author | Elham Hosseini | en |
| Author | Farshad Sharifi | en |
| Author | Maryam Esmaeili | en |
| Author | Farnaz Etesam | en |
| Author | Elham Navab | en |
| Orcid | Seyede Fatemeh Gheiasi [0000-0002-9191-4283] | en |
| Orcid | Elham Hosseini [0000-0002-6866-6699] | en |
| Orcid | Farshad Sharifi [0000-0002-2035-6587] | en |
| Orcid | Maryam Esmaeili [0000-0002-4798-2270] | en |
| Orcid | Farnaz Etesam [0000-0002-4083-4216] | en |
| Orcid | Elham Navab [0000-0002-5210-9070] | en |
| Issued Date | 2024-02-29 | en |
| Abstract | Background: Sleep disorders are one of the most common complications in patients undergoing open-heart surgery. Cognitive-behavioral therapy (CBT-I) is used as a way to improve sleep quality. Objectives: This study aimed to determine the effect of a nurse-led CBT-I on sleep quality among patients undergoing open-heart surgery. Methods: This prospective randomized clinical trial was conducted on 90 patients undergoing open-heart surgery in both intervention and control groups (N = 45). The control group received routine care. The intervention group received 10-12 sessions of nurse-led CBT-I. The demographic questionnaire and the Pittsburgh Sleep Quality Index (PSQI) were used to collect data. The data was analyzed in SPSS v. 22 software using X2, independent sample t -test, analysis of covariance (ANCOVA), and paired t-test. Results: The majority of samples were in the age range of 31 - 40 years (33.33%) and male (53.33%). The results of the independent t-test showed that the mean total PSQI score in the 2 groups before the intervention was not significantly different (P = 0.245). Also, the results of ANCOVA showed that the mean total PSQI score after the intervention has a significant difference in the 2 groups (P = 0.0001). Conclusions: Nurse-led CBT-I intervention helps to improve the sleep quality of patients after open-heart surgery by reducing their automatic thoughts that affect behavior. Thus, it is recommended that training in nurse-led CBT-I be included in the nurses' academic training program, as well as in continuing education programs for nurses working in heart surgery wards. | en |
| DOI | https://doi.org/10.5812/healthscope-133858 | en |
| Keyword | Cognitive Behavioral Therapy | en |
| Keyword | Nurse-Led Intervention | en |
| Keyword | Sleep Quality | en |
| Keyword | Coronary Artery Bypass | en |
| Keyword | Critical Care Nursing | en |
| Publisher | Brieflands | en |
| Title | Effect of a Nurse-Led Cognitive-Behavioral Therapy on Sleep Quality in Patients Undergoing Open Heart Surgery: A Prospective Randomized Clinical Trial | en |
| Type | Research Article | en |