Insomnıa ın Heart Faılure Patıents ın a Hospıtal Settıng: Causes, Consequences, and Interventıons.

Abstract

Purpose of review: This review explores the causes, consequences, and management approaches of hospital-acquired insomnia in patients with heart failure (HF). It examines the key factors contributing to insomnia in hospitalized HF patients, its impact on health outcomes, and effective management strategies to address the issue.

Recent findings: Recent research highlights that environmental factors (such as noise, lighting, and medical interventions) and clinical symptoms (including dyspnea and nocturia) significantly contribute to insomnia in hospitalized HF patients. Insomnia exacerbates HF symptoms, increasing hospitalization rates, healthcare costs, and the risk of cardiovascular complications. Non-pharmacological interventions have improved sleep quality and overall well-being, including Cognitive Behavioral Therapy for Insomnia (CBT-I), sleep hygiene education, and supervised exercise programs. Hospital-acquired insomnia negatively affects both the physical and psychosocial health of HF patients. Effective management requires a multidisciplinary approach, incorporating both pharmacological and non-pharmacological strategies. Nurses play a crucial role in implementing sleep-promoting interventions. Creating a hospital environment that supports sleep, raising healthcare professionals' awareness, and integrating evidence-based interventions can enhance recovery outcomes. Future research should focus on long-term studies evaluating the efficacy of insomnia management strategies in HF patients.