title: Health related management plans improve sleep disorders of patients with chronic liver disease.
abstract: BACKGROUND
  Sleep disorders (SDs) are commonly occurred in patients with chronic liver disease (CLD) and always bring with uncomfortable experience Lavender hot-bathing, foot-soaking, or progressive relaxation have been widely used to provide comfortable feeling for CLD patients and promote their sleep quality.
  
  
  OBJECTIVE
  Thus, the aim of present study is to investigate effective intervention from above mentioned in the managements of SD and promote sleep quality for CLD patients.
  
  
  METHODS
  This study was conducted in People's Liberation Army No. 302 Hospital. A total of 317 subjects joined in our research. Initially, 197 CLD patients were enrolled and divided randomly into four groups for receiving lavender hot-bathing and foot-soaking, progressive relaxation, or the combination of both methods, and controls. After that, all of enrolled subjects were given sleep state questionnaires to assess their sleep qualities and other associated factors. Self-rating scores of sleep (SRSS) was sued to assess sleep disorder. Furthermore, another cohort with 120 CLD patients were also investigated for further confirming related findings.
  
  
  RESULTS
  The SRSS scores were significantly higher in the patients with CLD (62.94%) than those of domestic common model and internal medicine inpatients. However, all three methods of intervention were effectively decreased SRSS scores. The four mostly influencing factors of sleep states were short sleep, difficulty falling asleep, staying asleep and early morning awakening. Besides, age was identified as one of associating with sleep states. 44.67% of patients suffered from polyuria, abdominal distention or itch of skin. And those factors contributed to major risk factors of sleep disorder. Furthermore, sleep states also influenced by environmental interference (37.06%).
  
  
  CONCLUSIONS
  The health managements of health education could reduce risk factors and implement intervention strategies, effectively decreased occurrence of sleep disorder related symptoms.
authors: Liberation Army No. 302 Hospital Medical Imaging Center Fengtai District Beijing 100039, China.
authors: Chunzi
authors: C
authors: Liu
authors: Liberation Army No. 302 Hospital Medical Imaging Center Fengtai District Beijing 100039, China.
authors: Hui
authors: H
authors: Xie
authors: Liberation Army No. 302 Hospital Medical Imaging Center Fengtai District Beijing 100039, China.
authors: Xin
authors: X
authors: Zhang
authors: Liberation Army No. 302 Hospital Medical Imaging Center Fengtai District Beijing 100039, China.
authors: Yanbo
authors: Y
authors: Yu
authors: Liberation Army No. 302 Hospital Medical Imaging Center Fengtai District Beijing 100039, China.
authors: Xiaoning
authors: X
authors: Zhang
authors: Liberation Army No. 302 Hospital Medical Imaging Center Fengtai District Beijing 100039, China.
authors: Yanyan
authors: Y
authors: Sun
authors: Liberation Army No. 302 Hospital Medical Imaging Center Fengtai District Beijing 100039, China.
authors: Lin
authors: L
authors: Zhou
authors: Liberation Army No. 302 Hospital Medical Imaging Center Fengtai District Beijing 100039, China.
authors: Beibei
authors: B
authors: Su
authors: Liberation Army No. 302 Hospital Medical Imaging Center Fengtai District Beijing 100039, China.
authors: Huaming
authors: H
authors: Wang
keywords: Sleep disorders; chronic liver disease; self-rating scores of sleep