Impact of sleep quality and sleep chronotype on severity of coronary artery lesions in patients with coronary heart disease
10.3760/cma.j.cn115682-20241121-06398
- VernacularTitle:睡眠质量和睡眠时型对冠心病患者冠状动脉病变严重程度影响的研究
- Author:
Linqi LI
1
;
Xueqin GAO
1
;
Ping LIN
1
;
Zhenjuan ZHAO
1
;
Xinrui MA
1
Author Information
1. 哈尔滨医科大学附属第二医院心血管内科,哈尔滨 150000
- Publication Type:Journal Article
- Keywords:
Coronary heart disease;
Sleep quality;
Sleep chronotype;
Gensini score;
Interaction
- From:
Chinese Journal of Modern Nursing
2025;31(21):2844-2849
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the independent and interactive effects of sleep quality and sleep chronotype on the severity of coronary artery lesions in patients with coronary heart disease.Methods:From September 2023 to January 2024, 322 inpatients with coronary heart disease diagnosed by coronary angiography in the Department of Cardiovascular Medicine of the Second Affiliated Hospital of Harbin Medical University were selected for the study using the convenience sampling method. Pittsburgh Sleep Quality Index and the Chinese version of the Munich Chronotype Questionnaire were used to investigate the sleep quality and sleep chronotype, and the Gensini score was used to evaluate the severity of coronary artery lesions. Multiple ordered Logistic regression was used to explore the factors influencing the severity of coronary artery lesions in patients with coronary heart disease.Results:Multiple ordered Logistic regression analysis showed that total cholesterol, history of diabetes mellitus, sleep quality, and sleep chronotype were influencing factors in the severity of coronary artery lesions in patients with coronary heart disease ( P<0.05) . There were statistically significant main and interaction effects of sleep quality and sleep chronotype on the severity of coronary artery lesions ( P<0.05) . Conclusions:Sleep quality and sleep chronotype in patients with coronary heart disease have not only independent but also interactive effects on the severity of coronary artery lesions. Nursing staff can provide guidance and interventions for sleep quality and sleep chronotype that may help control the progression of coronary artery lesions in patients with coronary heart disease.