Effect of Sleep Quality on Self Care Agency and Blood Pressure Control in Hypertensive Patients
PDF
Cite
Share
Request
Original Article
P: 278-287
September 2022

Effect of Sleep Quality on Self Care Agency and Blood Pressure Control in Hypertensive Patients

J Turk Sleep Med 2022;9(3):278-287
1. Kelkit Lokman Hekim Mesleki ve Teknik Anadolu Lisesi, Gümüşhane, Türkiye
2. Yalova Üniversitesi Sağlık Bilimleri Fakültesi, Halk Sağlığı Hemşireliği Anabilim Dalı, Hemşirelik Bölümü, Yalova, Türkiye
No information available.
No information available
Received Date: 27.09.2021
Accepted Date: 24.05.2022
Publish Date: 05.09.2022
PDF
Cite
Share
Request

ABSTRACT

Objective:

The aim of this study was to determine the effect of sleep quality on self-care agency and blood pressure control in patients with hypertension.

Materials and Methods:

This descriptive-cross-sectional study was carried out in family health centers no.1 and no.2, located in the district center of a province in the Eastern Black Sea Region of Turkey, between February and May 2016. Two hundred-ninety one hypertension patients aged 18 years and older were included in the study. Data were collected using the descriptive questionnaire, the Pittsburgh sleep quality index (PSQI) and the self-care agency scale. Blood pressure, height and weight measurements of the patients were made.

Results:

It was determined that 43.3% of the hypertensives had poor sleep quality and the mean score of the self-care scale was 93.64±22.19. Hypertensive patients with good sleep quality had a significantly higher blood pressure control rate than those with poor sleep quality, and there was a very weak positive significant correlation between PSQI total score and mean systolic blood pressure (p<0.05). In addition, a very weak negative and significant correlation was determined between the PSQI total score and the self-care agency scale mean score (p<0.01, p<0.001).

Conclusion:

It was determined that about half of the patients had poor sleep quality, their perception of self-care agency was above moderate, and as sleep quality improved, self-care power and blood pressure control ratio increased. As a result, nurses should evaluate the sleep quality of hypertensive patients in the management of hypertension and should consider this situation in the patient’s compliance with the disease and treatment.

Keywords:
Hypertension, sleep quality, self-care agency, blood pressure control, nursing

References

1
World Health Organization. Improving hypertension control in 3 million people: Country experiences of programme development and implementation. 2020.
2
Türk Hipertansiyon ve Böbrek Hastalıkları Derneği. Türk hipertansiyon prevalans çalışması. 2012. http://www.turkhipertansiyon.org/prevelans_calismasi_2.php. Erişim tarihi: 02.03.2017.
3
World Health Organization. A global brief on hypertension. Geneva, Switzerland 2013. WHO/DCO/WHD/2013.2.
4
Gangwisch JE, Heymsfield SB, Boden-Albala B, Buijs RM, Kreier F, Pickering TG, Rundle AG, Zammit GK, Malaspina D. Short sleep duration as a risk factor for hypertension. Analyses of the first national health and nutrition examination survey. Hypertension 2006;47:833-9.
5
Bruno RM, Palagini L, Gemignani A, Virdis A, Di Giulio A, Ghiadoni L, Riemann D, Taddei S. Poor sleep quality and resistant hypertension. Sleep Med 2013;14:1157-63.
6
Liu RQ, Qian Z, Trevathan E, Chang JJ, Zelicoff A, Hao YT, Lin S, Dong GH. Poor sleep quality association with high risk of hypertension and elevated blood pressure in China: results from a large population-based study. Hypertens Res 2016;39:54-9.
7
Bansil P, Kuklina EV, Merritt RK, Yoon PW. Associations between sleep disorders, sleep duration, quality of sleep, and hypertension: results from the national health and nutrition examination survey, 2005 to 2008. J Clin Hypertens (Greenwich) 2011;13:739-43.
8
Taylor SG, Renpenning K. Self-care science, nursing theory, and evidence-based practice. Springer Publishing Company, New York. 2011.
9
Saleema L, Panpakdee O, Arpanantikul, M, Chai-Aroon T. The influence of basic conditioning factors and self-care agency on self-care behaviors in Thais with hypertension. Pacific Rim Int J Nurs Res 2016;20:5-17.
10
Gohar F, Greenfield SM, Beevers DG, Lip GYH, Jolly K. Self-care and adherence to medication: a survey in the hypertension outpatient clinic. BMC Complement Altern Med 2008;8:4.
11
Hacıhasanoğlu Aşılar R. Hipertansiyonda tedaviye uyum ve öz-bakım yönetimi. Kardiyovasküler Hemşirelik Dergisi 2015;6:151-9.
12
Zinat Motlagh, SF, Chaman R, Sadeghi E, Eslami AA. Self-Care behaviors and related factors in hypertensive patients. Iran Red Crescent Med J 2016;18. doi: 10.5812/ircmj.35805
13
Huda S, Amatayakul A, Karuncharernpanit S. Factors associated with self-care management among adult people with hypertension in Jepara, Central Java, Indonesia. The 3rd Annual Conference of the Asian Network for Public Opinion Research (ANPOR) Bangkok Thailand. 2015.
14
Savaşan A. The Relationship between Anger and Self-Care Agency in Patients with Hypertension. Journal of Psychiatric Nurses 2009;1:13-7.
15
Drevenhorn E, Bengtson A, Nyberg P, Kjellgren KI. Assessment of hypertensive patient’s self-care agency after counseling training of nurses. J Am Assoc Nurse Pract 2015;27:624-30.
16
Çapık C. İstatistiksel güç analizi ve hemşirelik araştırmalarında kullanımı: Temel Bilgiler. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2014;17:268-74.
17
Sevent Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. The JNC 7 Report. JAMA 2003;289:2560-72.
18
WHO Consultation. Obesity: preventing and managing the global epidemic. World Health Organ Tech Rep Ser 2000;894:i-xii, 1-253.
19
Daskalopoulou SS, Rabi DM, Zarnke KB, Dasgupta K, Nerenberg K, Cloutier L, Gelfer M, Lamarre-Cliche M, Milot A, Bolli P, McKay DW, Tremblay G, McLean D, Tobe SW, Ruzicka M, Burns KD, Vallée M, Ramesh Prasad GV, Lebel M, Feldman RD, Selby P, Pipe A, Schiffrin EL, McFarlane PA, Oh P, Hegele RA, Khara M, Wilson TW, Brian Penner S, Burgess E, Herman RJ, Bacon SL, Rabkin SW, Gilbert RE, Campbell TS, Grover S, Honos G, Lindsay P, Hill MD, Coutts SB, Gubitz G, Campbell NR, Moe GW, Howlett JG, Boulanger JM, Prebtani A, Larochelle P, Leiter LA, Jones C, Ogilvie RI, Woo V, Kaczorowski J, Trudeau L, Petrella RJ, Hiremath S, Stone JA, Drouin D, Lavoie KL, Hamet P, Fodor G, Grégoire JC, Fournier A, Lewanczuk R, Dresser GK, Sharma M, Reid D, Benoit G, Feber J, Harris KC, Poirier L, Padwal RS. The 2015 Canadian Hypertension Education Program Recommendations for Blood Pressure Measurement, Diagnosis, Assessment of Risk, Prevention, and Treatment of Hypertension. Can J Cardiol 2015;31:549-68.
20
Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res 1989;28:193-213.
21
Ağargün MY, Kara H, Anlar Ö. Pittsburgh Uyku Kalite İndeksinin Geçerliliği ve Güvenirliği. Türk Psikiyatri Dergisi 1996;7:107-15.
22
Kearney BY, Fleischer BJ. Development of an instrument to measure exercise of self-care agency. Res Nurs Health 1979;2:25-34.
23
Nahcivan NÖ. Sağlıklı gençlerde öz-bakım gücü ve aile ortamının etkisi. Doktora Tezi, İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü, İstanbul. 1993.
24
Demir K, Kaya Z, Kayrak M, Bacaksız A, Duman Ç. Orta yaş hipertansif bireylerde kan basıncı kontrolü ve uyku kalitesi arasındaki ilişkinin analizi. Selçuk Üniv Tıp Derg 2011;27:83-7.
25
Kara B, Tenekeci EG. Sleep quality and associated factors in older Turkish adults with hypertension: A Pilot Study. J Transcult Nurs 2017;28:296-305.
26
Hanus JS, Amboni G, Rosa MI, Ceretta LB, Tuon L. The Quality and characteristics of sleep of hypertensive patients. Rev Esc Enferm USP 2015;49:596-602.
27
Alebiosu OC, Ogunsemi OO, Familoni OB, Adebayo PB, Ayodele OE. Quality of sleep among hypertensive patients in a semi-urban Nigerian community: a prospective study. Postgrad Med 2009;121:166-72.
28
Ademe S, Aga F, Gela D. Hypertension self-care practice and associated factors among patients in public health facilities of Dessie town, Ethiopia. BMC Health Serv Res 2019;19:51.
29
Bakoğlu E, Yetkin A. Hipertansiyonlu hastaların öz bakım gücünün değerlendirmesi. C.Ü. Hemşirelik Yüksekokulu Dergisi 2000;4:41-9.
30
Parlar Kılıç S, Kılıç N, Demirel C. The Correlation between social support and self-care agency in elderly patients with hypertension. J Educ Res Nurs 2021;18:240-7.
31
Akyol AD, Çetinkaya Y, Bakan G, Yaralı S, Akkuş S. Self-care agency and factors related to this agency among patients with hypertension. J Clin Nurs 2007;16:679-87.
32
Riegel B, Weaver TE. Poor sleep and impaired self-care: towards a comprehensive model linking sleep, cognition, and heart failure outcomes. Eur J Cardiovasc Nurs 2009;8:337-44.
33
Halmo R, Galuszka J, Langova K, Galuszkova D. Self-care in patients with chronic heart failure. pilot study- self-care includes problems. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2015;159:124-30.
34
Zhang Y, Tan X. Compliance with care and poor sleep quality among hypertensive adults in a mountainous area of Hubei Province, People's Republic of China. Patient Prefer Adherence 2019;13:1221-7.
35
Zareban I, Araban M, Rohani MR, Karimy M, Zamani-Alavijeh F, Babanejad M, Babanejad M, Stein LAR. High blood pressure self-care among hypertensive patients in Iran: a theory-driven study. J Hum Hypertens 2020;36:445-52.
36
Gozum S, Hacihasanoglu R. Reliability and Validity of the Turkish Adaptation of Medication Adherence Self-Efficacy Scale in Hypertensive Patients. Eur J Cardiovasc Nurs 2009;8:129-36.
37
Hacihasanoğlu R, Gözüm S, Capik C. Validity of the Turkish version of the medication adherence self-efficacy scale-short form in hypertensive patients. Anadolu Kardiyol Derg 2012;12:241-8.
38
Lee JE, Han HR, Song H, Kim J, Kim KB, Ryu JP, Kim MT. Correlates of self-care behaviors for managing hypertension among Korean Americans: a questionnaire survey. Int J Nurs Stud 2010;47:411-7.
39
Riegel B, Glaser D, Richards K, Sayers SL, Marzolf A, Weintraub WS, Goldberg LR. Modifiable factors associated with sleep dysfunction in adults with heart failure. Eur J Cardiovasc Nurs 2012;11:402-9.
40
Kharisna D, Ropi H, Rahayu U. The Factors that are related to self-care agency in patients with hypertension. JKP 2018;6:1-17.
41
Nemingani D, El-Shereel EAA Thubiany MMAL. Hypertensive patients: self-care management practices in Al-Taif, KSA. Int J Sci Res 2015;4:1705-14.
42
Hussen FM, Adem HA, Roba HS, Mengistie B, Assefa N. Self-care practice and associated factors among hypertensive patients in public health facilities in Harar Town, Eastern Ethiopia: A cross-sectional study. SAGE Open Med 2020;8. doi: 10.1177/2050312120974145.
43
Warren-Findlow J, Seymour RB, Brunner Huber LR. The association between self-efficacy and hypertension self-care activities among African American adults. J Community Health 2012;37:15-24.
44
Chang AK, Sok SR. Predictors of sedentary behavior in elderly Koreans with hypertension. J Nurs Res 2015;23:262-70.