Potential effectiveness of sleep hygiene and relaxation Benson in improving the quality of sleep in patients with heart failure: Literature review
Heart failure has now become a global cardiovascular problem with high mortality and disability. Sleep disturbance is a common problem in heart failure patients. Sleep disorders that occur in patients with heart failure will cause increased levels of urine catecholamine, plasma leptin, and inflammatory markers. These changes are related to the development of hypertension, activation of the sympathetic nervous system, and blunting of chemoreflex, which will increase the heart burden and ultimately lead to a poor prognosis. Sleep disorders in heart failure patients can be treated with psychological interventions and behaviors including sleep hygiene and Benson relaxation. Nurses, as one of the health professionals, have an important role in this matter. This is because the scope of nursing is meeting basic human needs, namely sleep. Through intervention in sleep hygiene and relaxation, Benson is expected to be able to improve the patient's sleep quality.
Keywords: benson relaxation, heart failure, sleep disorders, sleep hygiene.
2. Brake R, Jones ID. Chronic heart failure part 1 : pathophysiology , signs and symptoms. 2017;(19).
3. Savarese G, Lund LH. Global Public Health Burden of Heart Failure. Card Fail Rev [Internet]. 2017 Apr [cited 2018 Oct 27];3(1):7–11. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28785469
4. Litbangkes. Info datin: Situasi Kesehatan Jantung. 2014;
5. Ignatavictus DD, Workman ML. Medical-Surgical Nursing Patient Centered Collaborative Care. 2013.
6. Wang TJ, Lee SC, Tsay SL, Tung HH. Factors influencing heart failure patients’ sleep quality. J Adv Nurs. 2010;66(8):1730–40.
7. Redeker NS, Jeon S, Muench U, Campbell D, Walsleben J. Insomnia Symptoms and Daytime Function in Stable Heart Failure. 2010;33(9).
8. Associados F, Padr AO, Em DES, Com P, Card N, Factores ACA, et al. in heart failure patients *. 2011;
9. Parati G, Lombardi C, Castagna F, Mattaliano P, Filardi PP, Agostoni P, et al. Heart failure and sleep disorders. Nat Rev Cardiol [Internet]. 2016 Jul 12 [cited 2018 Sep 19];13(7):389–403. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27173772
10. Yousefi S, Taraghi Z, Mousavinasab N. The effect of progressive muscle relaxation (PMR) on sleep quality in patients with chronic heart failure. 2017;8:4–9.
11. Tsuchihashi-Makaya M, Matsuoka S. Insomnia in Heart Failure. Circ J [Internet]. 2016 Jun 24 [cited 2018 Nov 20];80(7):1525–6. Available from: https://www.jstage.jst.go.jp/article/circj/80/7/80_CJ-16-0501/_article
12. Masahiko Setoguchi. Sleeping pills increase CV events in heart failure patients [Internet]. 2014 [cited 2018 Nov 20]. Available from: https://www.escardio.org/The-ESC/Press-Office/Press-releases/Sleeping-pills-increase-CV-events-in-heart-failure-patients
13. Koulivand PH, Khaleghi Ghadiri M, Gorji A. Lavender and the nervous system. Evid Based Complement Alternat Med [Internet]. 2013 [cited 2018 Nov 20];2013:681304. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23573142
14. Seifi L, Najafi Ghezeljeh T, Haghani H. Comparison of the Effects of Benson Muscle Relaxation and Nature Sounds on the Fatigue in Patients with Heart Failure: A Randomized Controlled Clinical Trial. Holist Nurs Pract. 2018;32(1):27–34.
15. Hayes D, Anstead MI, Ho J, Phillips BA. Insomnia and chronic heart failure. Heart Fail Rev. 2009;14(3):171–82.
16. Redeker NS, Stein S. Characteristics of sleep in patients with stable. 2006;(August):252–61.
17. Redeker NS, Knies AK, Hollenbeak C, Klar Yaggi H, Cline J, Andrews L, et al. Cognitive behavioral therapy for insomnia in stable heart failure: Protocol for a randomized controlled trial. Contemp Clin Trials [Internet]. 2017;55:16–23. Available from: http://dx.doi.org/10.1016/j.cct.2017.01.009
18. Fridlund B. Sleep Difficulties , Daytime Sleepiness , and Health- related Quality of Life in. 2004;19(4):234–42.
19. Andrews LK, Coviello J, Hurley E, Rose L, Redeker NS. “I’d eat a bucket of nails if you told me it would help me sleep:” Perceptions of insomnia and its treatment in patients with stable heart failure. Hear Lung J Acute Crit Care. 2013;42(5):339–45.
20. Redeker NS, Jeon S, Andrews L, Cline J, Mohsenin V, Jacoby D. Effects of Cognitive Behavioral Therapy for Insomnia on Sleep-Related Cognitions Among Patients With Stable Heart Failure. Behav Sleep Med. 2017;2002(August):1–13.
21. Sawatari H, Nishizaka MK, Miyazono M, Ando S, Inoue S, Takemoto M, et al. Three nights leg thermal therapy could improve sleep quality in patients with chronic heart failure. Heart Vessels [Internet]. 2017; Available from: http://link.springer.com/10.1007/s00380-017-1047-7
22. Colten HR, Altevogt BM, Research I of M (US) C on SM and. Extent and Health Consequences of Chronic Sleep Loss and Sleep Disorders. 2006 [cited 2018 Oct 30]; Available from: https://www.ncbi.nlm.nih.gov/books/NBK19961/
23. NANDA. Nursing Diagnoses: definitions and classification 2015-2017. tenth edit. Wiley Blackwell; 2014.
24. Bulechek GM, Butcher HK, Dochterman JM, Wagner C. Nursing Inteventions Classification (NIC). 2013. 638 p.
25. Kwekkeboom KL, Bratzke LC. A Systematic Review of Relaxation, Meditation, and Guided Imagery Strategies for Symptom Management in Heart Failure. 2017;31(5):457–68.
26. Dyonzak J V. Diagnosis and psychological and behavioral treatment of insomnia. Disease-a-Month [Internet]. 2011;57(7):338–44. Available from: http://dx.doi.org/10.1016/j.disamonth.2011.04.006
27. National Sleep Foundation. Depression & Sleep 2 - National Sleep Foundation [Internet]. 2018 [cited 2018 Nov 27]. Available from: https://www.sleepfoundation.org/sleep-disorders-problems/depression-and-sleep/page/0/1
28. Posner D, Gehrman PR. Sleep Hygiene [Internet]. Behavioral Treatments for Sleep Disorders. Elsevier Inc.; 2011. 31-43 p. Available from: http://dx.doi.org/10.1016/B978-0-12-381522-4.00003-1
29. Pinna GD, Robbi E, La Rovere MT, Taurino AE, Bruschi C, Guazzotti G, et al. Differential impact of body position on the severity of disordered breathing in heart failure patients with obstructive vs. central sleep apnoea. Eur J Heart Fail. 2015;17(12):1302–9.
30. Basoglu OK, Keskin B, Tasbakan MS, Gurgun C. Effect of semirecumbent sleep position on severity of obstructive sleep apnea in patients with heart failure. J Card Fail. 2015;21(10):842–7.
31. Rambod M, Pourali-Mohammadi N, Pasyar N, Rafii F, Sharif F. The effect of Benson’s relaxation technique on the quality of sleep of Iranian hemodialysis patients: A randomized trial. Complement Ther Med [Internet]. 2013 Dec [cited 2018 Oct 30];21(6):577–84. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24280464
32. Audrey Berman & Shirlee Snyder. Kozier & Erb’s Fundamental of Nursing Concepts, Process and Practice. 9th editio. 2012.
33. Dang-Vu TT, Schabus M, Cologan V, Maquet P. Sleep: Implications for Theories of Dreaming and Consciousness [Internet]. Encyclopedia of Consciousness. Elsevier; 2017. 357-373 p. Available from: http://dx.doi.org/10.1016/B978-0-12-809324-5.05972-1
34. Martínez MP, Miró E, Sánchez AI, Díaz-Piedra C, Cáliz R, Vlaeyen JWS, et al. Cognitive-behavioral therapy for insomnia and sleep hygiene in fibromyalgia: A randomized controlled trial. J Behav Med. 2014;37(4):683–97.
35. Soleimani F, Motaarefi H, Hasanpour-Dehkordi A. Effect of sleep hygiene education on sleep quality in hemodialysis patients. J Clin Diagnostic Res. 2016;10(12):LC01-LC04.
36. Rambod M, Pourali-Mohammadi N, Pasyar N, Rafii F, Sharif F. The effect of Benson’s relaxation technique on the quality of sleep of Iranian hemodialysis patients: A randomized trial. Complement Ther Med [Internet]. 2013;21(6):577–84. Available from: http://dx.doi.org/10.1016/j.ctim.2013.08.009
37. Roya A, Mohsen K, Hassan RM, Morteza HS. Effect of the benson relaxation technique on quality of sleep in patients with chronic heart disease [Internet]. Vol. 21. JOURNAL OF SABZEVAR UNIVERSITY OF MEDICAL SCIENCES; 2014 [cited 2018 Oct 10]. p. 492–500. Available from: https://www.sid.ir/En/Journal/ViewPaper.aspx?ID=407540