Format

Send to

Choose Destination
See comment in PubMed Commons below
J Am Assoc Nurse Pract. 2013 May;25(5):272-9. doi: 10.1111/j.1745-7599.2012.00784.x. Epub 2012 Sep 24.

What is the best measure of daytime sleepiness in adults with heart failure?

Author information

1
School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.

Abstract

PURPOSE:

To identify the best screening measure of daytime sleepiness in adults with heart failure (HF).

DATA SOURCES:

A total of 280 adults with HF completed the Epworth Sleepiness Scale, the Stanford Sleepiness Scale, and a single Likert item measuring daytime sleepiness. The sensitivity and specificity of these self-report measures were assessed in relation to a measure of daytime dysfunction from poor sleep quality.

CONCLUSIONS:

Only 16% of the sample reported significant daytime dysfunction because of poor sleep quality. Those reporting daytime dysfunction were likely to be younger (p < .001), to be unmarried (p = .002), to have New York Heart Association (NYHA) functional class IV HF (p = .015), and to report low income (p = .006) and fewer hours of sleep (p = .015). The measure of daytime sleepiness that was most sensitive to daytime dysfunction was a single Likert item measured on a 10-point (1-10) scale. Patients with a score ≥4 were 2.4 times more likely to have daytime dysfunction than those with a score <4.

IMPLICATIONS FOR PRACTICE:

Complaints of daytime dysfunction because of poor sleep are not common in adults with HF. Routine use of a single question about daytime sleepiness can help nurse practitioners to identify those HF patients with significant sleep issues that may require further screening.

KEYWORDS:

Heart failure; outcomes; screening; sleep disorders

PMID:
24170569
PMCID:
PMC4130314
DOI:
10.1111/j.1745-7599.2012.00784.x
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Wiley Icon for PubMed Central
    Loading ...
    Support Center