Sleep support for sleep pattern improvement in patient with congestive heart failure

Abstract

Clinical standards for Congestive Heart Failure (CHF) management continue to emphasize that therapeutic rest is essential to minimize cardiac workload, stabilize heart rate, and enhance renal perfusion to promote diuresis. This study evaluates the efficacy of a non-pharmacological sleep support bundle—comprising deep breathing relaxation, aromatherapy, and the administration of warm milk—for a CHF patient experiencing significant sleep pattern disturbances.The intervention was designed to modulate the autonomic nervous system, reducing sympathetic drive to allow for physiological recovery. Results indicated that this multimodal approach effectively improved both the quality and quantity of the patient’s sleep. While the post-intervention Pittsburgh Sleep Quality Index (PSQI) score remained within the range indicating a sleep pattern disorder, subjective reports and clinical observations showed a marked positive shift in sleep efficiency and patient comfort.These findings suggest that integrative nursing interventions serve as a valuable adjunct to pharmacological therapy. By addressing the psychological and sensory barriers to rest, such strategies help mitigate the physiological stress of heart failure. Consequently, incorporating non-pharmacological support into standard CHF care plans can optimize recovery environments and improve the overall quality of treatment in the inpatient setting. Further research is recommended to assess the long-term impact of these interventions on cardiac remodelling and readmission rates.

Keywords: Congestive heart failure, nursing care, quality of life, sleep disturbance, sleep pattern