RELATIONSHIPS AMONG SELF-MANAGEMENT ABILITY, COGNITIVE FUNCTION, AND SLEEP QUALITY IN ADVANCED HEART FAILURE INTENSIVE CARE UNIT PATIENTS

Bibliographic Details
Main Author:	Edmiston, Elizabeth Ann
Language:	English
Published:	Case Western Reserve University School of Graduate Studies / OhioLINK 2020
Subjects:	Nursing Self-management heart failure sleep quality cognitive function intensive care
Online Access:	http://rave.ohiolink.edu/etdc/view?acc_num=case158566822189443

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spelling	ndltd-OhioLink-oai-etd.ohiolink.edu-case1585668221894432021-08-03T07:14:07Z RELATIONSHIPS AMONG SELF-MANAGEMENT ABILITY, COGNITIVE FUNCTION, AND SLEEP QUALITY IN ADVANCED HEART FAILURE INTENSIVE CARE UNIT PATIENTS Edmiston, Elizabeth Ann Nursing Self-management heart failure sleep quality cognitive function intensive care As the amount of heart failure (HF) patients and treatment complexity increases, many hospitals are implementing Advanced Heart Failure Intensive Care Unit (AHFICU). The success of this new care model depends on understanding unique patient characteristics including factors related to their ability to home self-manage, cognitive function, and sleep quality. Nursing interventions can then be implemented to meet needs of this unique population. Therefore, the purpose of this study is to understand relationships among sleep quality, cognitive function, and self-management ability at discharge in AHFICU patients.A convenience sample of 43 adults admitted to this setting for HF was recruited. Data were collected using interviews, phone calls, and medical record reviews at admission, discharge, and post-discharge from University Hospitals in Cleveland, Ohio.Results indicated that less than half were able to self-manage HF pre-admission according to two measures. Most participants excluded for discharge disposition had inadequate self-management ability. However, most patients had adequate HF knowledge pre-admission and discharge. Over half of participants had mild cognitive impairment at admission and mild cognitive impairment at baseline was found in many participants who were not discharged home. Poor sleep quality was noted in patients during hospitalization and mean sleep quality scores were similar pre-admission and during hospitalization. Sleep quality significantly improved post-discharge when compared with other times, cognitive function at admission predicted cognitive function at discharge, and cognitive function at discharge predicted HF knowledge at discharge. Sleep quality trended toward predicting cognitive function at discharge. Most participants had advanced HF. Furthermore, these patients had higher comorbidity, more medications, longer total hospital stay, and higher obstructive sleep apnea prevalence than other HF populations.The present study is the first to examine self-management ability, cognitive function, and sleep quality in patients admitted to AHFICU. It is essential nurses understand unique characteristics of this population as self-management ability and sleep quality may be much worse in these patients compared with HF patients admitted to the hospital. New approaches are needed that engage significant others in home self-management. These findings provide a foundation for future research exploring self-management ability, cognitive function, and sleep quality in AHFICU patients. 2020-05-29 English text Case Western Reserve University School of Graduate Studies / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=case158566822189443 http://rave.ohiolink.edu/etdc/view?acc_num=case158566822189443 restricted--full text unavailable until 2022-05-17 This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.
collection	NDLTD
language	English
sources	NDLTD
topic	Nursing Self-management heart failure sleep quality cognitive function intensive care
spellingShingle	Nursing Self-management heart failure sleep quality cognitive function intensive care Edmiston, Elizabeth Ann RELATIONSHIPS AMONG SELF-MANAGEMENT ABILITY, COGNITIVE FUNCTION, AND SLEEP QUALITY IN ADVANCED HEART FAILURE INTENSIVE CARE UNIT PATIENTS
author	Edmiston, Elizabeth Ann
author_facet	Edmiston, Elizabeth Ann
author_sort	Edmiston, Elizabeth Ann
title	RELATIONSHIPS AMONG SELF-MANAGEMENT ABILITY, COGNITIVE FUNCTION, AND SLEEP QUALITY IN ADVANCED HEART FAILURE INTENSIVE CARE UNIT PATIENTS
title_short	RELATIONSHIPS AMONG SELF-MANAGEMENT ABILITY, COGNITIVE FUNCTION, AND SLEEP QUALITY IN ADVANCED HEART FAILURE INTENSIVE CARE UNIT PATIENTS
title_full	RELATIONSHIPS AMONG SELF-MANAGEMENT ABILITY, COGNITIVE FUNCTION, AND SLEEP QUALITY IN ADVANCED HEART FAILURE INTENSIVE CARE UNIT PATIENTS
title_fullStr	RELATIONSHIPS AMONG SELF-MANAGEMENT ABILITY, COGNITIVE FUNCTION, AND SLEEP QUALITY IN ADVANCED HEART FAILURE INTENSIVE CARE UNIT PATIENTS
title_full_unstemmed	RELATIONSHIPS AMONG SELF-MANAGEMENT ABILITY, COGNITIVE FUNCTION, AND SLEEP QUALITY IN ADVANCED HEART FAILURE INTENSIVE CARE UNIT PATIENTS
title_sort	relationships among self-management ability, cognitive function, and sleep quality in advanced heart failure intensive care unit patients
publisher	Case Western Reserve University School of Graduate Studies / OhioLINK
publishDate	2020
url	http://rave.ohiolink.edu/etdc/view?acc_num=case158566822189443
work_keys_str_mv	AT edmistonelizabethann relationshipsamongselfmanagementabilitycognitivefunctionandsleepqualityinadvancedheartfailureintensivecareunitpatients
_version_	1719456893226713088

RELATIONSHIPS AMONG SELF-MANAGEMENT ABILITY, COGNITIVE FUNCTION, AND SLEEP QUALITY IN ADVANCED HEART FAILURE INTENSIVE CARE UNIT PATIENTS

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