title: Self-care strategies to facilitate sleep in patients with heart disease--a qualitative study.
abstract: This study aimed at exploring and describing the self-care management strategies used by patients with coronary artery disease to facilitate sleep. Qualitative interviews in a dialogue manner, in a phenomenographic reference frame analyzed according to manifest and latent principles of qualitative content analysis, were performed. A purposeful sampling technique was used including 11 patients with coronary heart disease in a Heart Medical Unit in a general hospital setting. Two main themes were identified: 'sleep-rhythm' and 'sleep-hygiene' including four descriptive categories. The categories reveal five basic responses including emotions, cognition, physical symptoms (reactions), behaviours and/or the sleep environment, which were related to perceived or actual presence of sleep-wake problems and health that were the underlying reason for the self-care management strategies. Basically, intervention studies that address these five responses for choice of non-pharmacological methods based on cognitive behavioural therapy provided by nurses are needed.
authors.affiliation: Department of Cardiology, Kärnsjukhuset, Skövde Hospital, Skövde, Sweden.
authors.forename: Anna
authors.initials: A
authors.lastname: Johansson
authors.forename: Johan
authors.initials: J
authors.lastname: Karlsson
authors.forename: Karin
authors.initials: K
authors.lastname: Brödje
authors.forename: Ulla
authors.initials: U
authors.lastname: Edell-Gustafsson
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006331:Heart Diseases / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012648:Self Care; D012890:Sleep