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What is the best measure of daytime sleepiness in adults with heart failure?
Riegel, Barbara Hanlon, Alexandra L. Zhang, Xuemei Fleck, Desiree Sayers, Steven L. Goldberg, Lee R. Weintraub, William S.
Riegel, Barbara
Hanlon, Alexandra L.
Zhang, Xuemei
Fleck, Desiree
Sayers, Steven L.
Goldberg, Lee R.
Weintraub, William S.
Abstract
Purpose: To identify the best screening measure of daytime sleepiness inadults with heart failure (HF).Data sources: A total of 280 adults with HF completed the Epworth Sleepi-ness Scale, the Stanford Sleepiness Scale, and a single Likert item measuringdaytime sleepiness. The sensitivity and specificity of these self-report measureswere assessed in relation to a measure of daytime dysfunction from poor sleepquality.Conclusions: Only 16% of the sample reported significant daytime dysfunc-tion because of poor sleep quality. Those reporting daytime dysfunction werelikely to be younger (p < .001), to be unmarried (p = .002), to have New YorkHeart Association (NYHA) functional class IV HF (p = .015), and to report lowincome (p = .006) and fewer hours of sleep (p = .015). The measure of daytimesleepiness that was most sensitive to daytime dysfunction was a single Likertitem measured on a 10-point (1–10) scale. Patients with a score ≥4were2.4times more likely to have daytime dysfunction than those with a score < 4.Implications for practice: Complaints of daytime dysfunction because ofpoor sleep are not common in adults with HF. Routine use of a single ques-tion about daytime sleepiness can help nurse practitioners to identify those HFpatients with significant sleep issues that may require further screening.
Keywords
Heart failure, screening, sleep disorders, outcomes
Date
2013
Type
Journal article
Journal
Journal of the American Association of Nursing Practitioners
Book
Volume
25
Issue
5
Page Range
272-279
Article Number
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
File Access
Controlled