Chronic Heart Failure (CHF)
Conditions
Keywords
Chronic Heart Failure, Sleep Quality, Sleep Hygiene, Cognitive-Behavioral Strategies
Brief summary
This study aims to evaluate the effectiveness of a structured nursing intervention incorporating sleep hygiene education and cognitive-behavioral strategies on improving sleep quality among patients with chronic heart failure. Sleep disturbances are common in patients with chronic heart failure and are associated with poorer functional status, reduced quality of life, and increased healthcare utilization. Participants will receive a structured nursing intervention that includes education on healthy sleep practices and cognitive-behavioral techniques to improve sleep.
Detailed description
Chronic heart failure is a progressive cardiovascular condition that is frequently accompanied by sleep disturbances, including insomnia, fragmented sleep, and poor sleep quality. These sleep problems contribute to fatigue, impaired daily functioning, poor self-care, and reduced health-related quality of life. Although pharmacological treatment is essential for heart failure management, non-pharmacological interventions such as sleep hygiene education and cognitive-behavioral strategies have shown promise in improving sleep outcomes. This study will evaluate the effectiveness of a structured nursing intervention that integrates sleep hygiene education with cognitive-behavioral strategies for improving sleep quality among patients with chronic heart failure. The intervention will be delivered by trained nurses through structured educational sessions and individualized counseling. The sleep hygiene component includes education on maintaining a regular sleep schedule, optimizing the sleep environment, limiting caffeine and stimulating activities before bedtime, promoting physical activity appropriate to the patient's condition, and establishing healthy bedtime routines. The cognitive-behavioral component includes relaxation techniques, cognitive restructuring of maladaptive beliefs about sleep, stimulus control, and behavioral strategies to reduce sleep-related anxiety. Participants will be assessed at baseline before the intervention and at predetermined follow-up intervals after completion of the program. The primary outcome is sleep quality measured using a validated sleep assessment instrument. Secondary outcomes may include fatigue, quality of life, daytime functioning, and adherence to recommended sleep practices. The findings of this study are expected to support the integration of evidence-based nursing interventions into routine care for patients with chronic heart failure to improve sleep and overall well-being.
Interventions
BEHAVIORALStructured Nursing Intervention Incorporating Sleep Hygiene and Cognitive-Behavioral Strategies
Participants assigned to the intervention group will receive a structured nurse-led program consisting of sleep hygiene education and cognitive-behavioral strategies in addition to usual care. The intervention includes education on healthy sleep practices, establishing regular sleep schedules, optimizing the sleep environment, relaxation techniques, cognitive restructuring of maladaptive beliefs about sleep, stimulus control, and behavioral strategies to improve sleep quality. The program is delivered through structured educational sessions and follow-up support according to the study protocol.
Sponsors
Al-Zaytoonah University of Jordan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Masking description
Outcome assessors will be blinded to participants' group allocation to minimize assessment bias. Participants and the nurses delivering the intervention cannot be blinded because of the nature of the educational and behavioral intervention.
Intervention model description
Participants will be randomly assigned to one of two parallel groups. The intervention group will receive a structured nursing intervention incorporating sleep hygiene education and cognitive-behavioral strategies in addition to usual care, while the control group will receive usual care alone. Outcomes will be assessed at baseline and after completion of the intervention to compare changes in sleep quality between the two groups.
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Adult patients aged 18 to 65 years. * Diagnosed with chronic heart failure for at least 6 months according to the New York Heart Association (NYHA) classification. * Experiencing poor sleep quality as indicated by a score \>5 on the Pittsburgh Sleep Quality Index during the previous month.
Exclusion criteria
* Patients with diagnosed psychiatric disorders or severe cognitive impairment. * Patients receiving sedative-hypnotic therapy initiated within the previous month. * Patients diagnosed with obstructive sleep apnea requiring continuous positive airway pressure therapy. * Patients participating in other behavioral intervention program
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sleep Quality | Baseline and 3 months after completion of the intervention. | Sleep quality will be assessed using the Pittsburgh Sleep Quality Index (PSQI). The PSQI is a validated self-reported questionnaire that measures subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleep medication, and daytime dysfunction. Higher global PSQI scores indicate poorer sleep quality. |
Countries
Jordan
Outcome results
None listed