Melike Elif Teker Açıkel1, Ali Kubilay Korkut2

1Istanbul Haseki Training and Research Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey
2University of Halic, Faculty of Medicine, Department of Cardiovascular Surgery, Istanbul, Turkey

Keywords: Pittsburgh Sleep Quality Index survey, sleep disorder, coronary artery bypass

Abstract

Introduction: In general, after coronary artery bypass operation, 39% to 69% of patients experience insomnia, poor sleep quality, and lack of sleep continuity (frequent awakening, difficult sleep, restless sleep, and early morning awakening). The aim of this study was to investigate the sleep quality of patients on the preoperative 1st day, postoperative 3rd day, postoperative 7th day, and postoperative 30th day of a coronary artery bypass operation.

Patients and Methods: Ninety-nine patients who underwent elective coronary bypass operation in our clinic between January 2017 and January 2018 were included in this study. The patients were assessed using the Pittsburgh Sleep Quality Index (PSQI) questionnaire on the preoperative 1st day, postoperative 3rd day, postoperative 7th day, and postoperative 30th day.

Results: The mean age of total patients was 61.5 ± 11.4 years (range: 35-80); 67 were male and 22 were female. According to the results of the PSQI survey conducted on patients, there is a statistically significant increase in sleep quality on the postoperative 3rd day in comparison with the results of the preoperative 1st day evaluation. According to the postoperative 3rd day evaluation, there is a statistically significant decrease in sleep quality compared with the postoperative 7th and 30th days. Also, the PSQI scores of the postoperative period have a statistically significant correlation with age (p= 0.002, p= 0.004, p= 0.009).

Conclusion: Although sleep disturbance has a significant impact on the physical and emotional adaptation and recovery after coronary artery bypass operation, the number of studies conducted on this subject is quite low.

Ethics Committee Approval

The study protocol was approved by the Healty Sciences University Istanbul Training and Research Hospital Ethics Committee (No: 1579; Date: 07/12/2018).

Peer Review

Externally peer-reviewed.

Author Contributions

Concept/Design - MA; Analysis/Interpretation - MA, AK; Data Collection - MA; Writing - MA, AK; Critical Revision - MA; Final Approval -MA, AK; Statistical Analysis - MA, AK; Obtained Funding - MA, AK; Overall Responsibility - MA, AK.

Conflict of Interest

The authors declared that there was no conflict of interest during the preparation and publication of this article.

Financial Disclosure

The authors declared that this study has received no financial support.