Sleep disturbances in women with HIV or AIDS: efficacy of a tailored sleep promotion intervention.

Abstract:

BACKGROUND:Poor sleep is a frequent complaint of persons with HIV infection. OBJECTIVES:To pilot test a tailored sleep promotion intervention protocol based on principles of sleep hygiene in a convenience sample of 30 HIV seropositive women. METHODS:At baseline and 1 week after implementing the intervention, sleep was assessed by self-report measures and wrist actigraphy. Objective sleep measures include total sleep time, number of awakenings, and sleep efficiency, as well as level of daytime activity, 24-hr activity rhythm, and amount of sleep during the day. RESULTS:Prior to the intervention, women averaged 6.4 hr (SD = 1.99) of sleep, and 67% (n = 20) of the sample napped more than 30 min per day. After allowing 1 week to implement sleep hygiene principles to promote healthy sleep behaviors, there was a significant improvement in their perception of sleep and a significant change in their 24-hr activity rhythm. This involved more activity and less napping during the day. DISCUSSION:Although there was minimal change in objective measures of nighttime sleep for the group as a whole, those with initiation insomnia and maintenance insomnia benefited most from the intervention. These findings support the utility of a tailored sleep promotion intervention for women who are HIV positive to address their unique form of sleep disturbance.

journal_name

Nurs Res

journal_title

Nursing research

authors

Hudson AL,Portillo CJ,Lee KA

doi

10.1097/01.NNR.0000313501.84604.2c

subject

Has Abstract

pub_date

2008-09-01 00:00:00

pages

360-6

issue

5

eissn

0029-6562

issn

1538-9847

pii

00006199-200809000-00008

journal_volume

57

pub_type

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