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Mediating Effect Analysis of Social Connectedness Between Fear of Progression and Sleep Quality in Patients With Chronic Heart Failure

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  • Yan Li
  • Jiamin Li
  • Jingwen Qin
  • Sixin Zhou
  • Kaizheng Gong

Abstract

Poor sleep quality is prevalent among patients with chronic heart failure (HF), with fear of progression being one of its independent predictors. However, the pathways through which it exerts its influence have not been fully elucidated. A total of 246 patients with chronic HF, hospitalized in the cardiology department of a hospital from January to June 2024, were selected for this study using a convenience sampling method. Data were collected using the General Information Questionnaire, Social Connectedness Scale, the Fear of Progression Questionnaire-Short Form, and the Pittsburgh Sleep Quality Index. Stratified regression analysis was conducted to assess the effects of fear of progression and social connectedness on sleep quality. The mediating effect of social connectedness in fear of progression and sleep quality was tested by SPSS PROCESS. The mean age of the patients in this study was 73.84 years ( SD , 11.53), with 52.4% being female. The study revealed that patients with chronic HF had sleep quality, fear of progression, and social connectedness had mean scores of 11.83 ( SD , 3.76), 29.52 ( SD , 7.03), and 3.51 ( SD , 0.67), respectively. Regression analysis showed that fear of progression positively predicted poor sleep quality ( β  = .539, p  

Suggested Citation

  • Yan Li & Jiamin Li & Jingwen Qin & Sixin Zhou & Kaizheng Gong, 2025. "Mediating Effect Analysis of Social Connectedness Between Fear of Progression and Sleep Quality in Patients With Chronic Heart Failure," Clinical Nursing Research, , vol. 34(5), pages 223-233, June.
    • Handle: RePEc:sae:clnure:v:34:y:2025:i:5:p:223-233
    DOI: 10.1177/10547738251344666
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    References listed on IDEAS

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    1. Pablo Jorge-Samitier & Angela Durante & Vicente Gea-Caballero & Isabel Antón-Solanas & María Teresa Fernández-Rodrigo & Raúl Juárez-Vela, 2020. "Sleep Quality in Patients with Heart Failure in the Spanish Population: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(21), pages 1-12, October.
    2. Oda Karin Nordfonn & Ingvild Margreta Morken & Lars Edvin Bru & Anne Marie Lunde Husebø, 2019. "Patients’ experience with heart failure treatment and self‐care—A qualitative study exploring the burden of treatment," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(9-10), pages 1782-1793, May.
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