Validation of a novel sleep-quality questionnaire to assess sleep in the coronary care unit: a polysomnography study

Storti, Luciana Julio; Servantes, Denise Maria; Borges, Melania Aparecida; Bittencourt, Lia; Maroja, Fabrizio Urbinati; Poyares, Dalva; Burke, Patrick Rademaker; Santos, Vinícius Batista; Moreira, Rita Simone Lopes; Mancuso, Frederico José Neves; Paola, Ângelo Amato Vincenzo de; Tufik, Sérgio; Carvalho, Antônio Carlos; Cintra, Fátima Dumas

doi:10.1016/j.sleep.2015.03.014

Cited by 14 publications

(16 citation statements)

References 24 publications

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“…Nurse observation has yet to be established as reliable (Beecroft et al, ; Ritmala‐Castren et al, ), while PSG is intrusive and technically difficult and interpretation is uncertain using conventional scoring (Drouot et al, ; Watson et al, ). Therefore, patient self‐report, when possible, is recognized as a practical alternative for the assessment of sleep quality (Ritmala‐Castren et al, ; Storti et al, ). The Richards‐Campbell Sleep Questionnaire (RCSQ) (Richards et al, ) is a reliable self‐report instrument that has displayed evidence of validity against PSG.…”

Section: Introductionmentioning

confidence: 99%

Repeated sleep‐quality assessment and use of sleep‐promoting interventions in ICU

Menear

Elliott

Aitken

et al. 2017

Nursing in Critical Care

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To describe sleep quality using repeated subjective assessment and the ongoing use of sleep-promoting interventions in intensive care. It is well known that the critically ill experience sleep disruption while receiving treatment in the intensive care unit. Both the measurement and promotion of sleep is challenging in the complex environment of intensive care unit. Repeated subjective assessment of patients' sleep in the intensive care unit and use of sleep-promoting interventions has not been widely reported. An observational study was conducted in a 58-bed adult intensive care unit. Sleep quality was assessed using the Richards-Campbell Sleep Questionnaire (RCSQ) each morning. intensive care unit audit sleep-promoting intervention data were compared to data obtained prior to the implementation of a sleep guideline. Patients answered open-ended questions about the facilitators and deterrents of their sleep in intensive care unit. The sample (n = 50) was predominately male (76%) with a mean age: 62.6±16.9 years. Sleep quality was assessed on 2 days or more for 21 patients. The majority of patients (98%) received sleep-promoting interventions. Sleep quality had not improved significantly since the guideline was first implemented. The mean Richards-Campbell Sleep Questionnaire score was 47.9±24.1 mm. The main sleep deterrents were discomfort and noise. Frequently cited facilitators were nothing (i.e. nothing helped) and analgesia. The Richards-Campbell Sleep Questionnaire was used on repeated occasions, and sleep-promoting interventions were used extensively. There was no evidence of improvement in sleep quality since the implementation of a sleep guideline. The use of the Richards-Campbell Sleep Questionnaire for the subjective self-assessment of sleep quality in intensive care unit patients and the implementation of simple-promoting interventions by intensive care unit clinicians is both feasible and may be the most practical way to assess sleep in the intensive care unit context.

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Section: Introductionmentioning

confidence: 99%

Repeated sleep‐quality assessment and use of sleep‐promoting interventions in ICU

Menear

Elliott

Aitken

et al. 2017

Nursing in Critical Care

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“…Regarding gender and marital status, other sleep assessment studies in this population also presented similar results. (Andrechuk & Ceolim, ; Araújo et al., ; Storti et al., ).…”

Section: Discussionmentioning

confidence: 99%

“…This can interfere with the quality and quantity of sleep (Costa & Ceolim, ), considering both extrinsic and associated intrinsic factors. This may be a limiting factor in the study; however, a consensus was not found on the best time for sleep assessment in hospitalized patients with ACS, because previous studies performed this evaluation at different times (Andrechuk & Ceolim, ; Storti et al., ).…”

Section: Discussionmentioning

confidence: 99%

“…Intervening sleep factors of patients hospitalized with ACS, such as luminosity, were also considered, as well as noise levels due to informal staff member conversations, and the patient's apprehension about his disease (Storti et al., ). Other factors such as lack of self‐control, inability to play a role in the family, pain, and fear can also be identified as contributing factors to sleep fragmentation and unintended arousals (Dias et al., ; Magalhães et al., ; Membrive et al., ).…”

Section: Discussionmentioning

confidence: 99%

“…Another study that aimed to evaluate the sleep of hospitalized patients with ACS using a specific questionnaire and validating this questionnaire with the use of polysomnography identified that among the 99 participants, 22% were considered as bad sleepers, 43% were regular, and only 35% were good sleepers (Storti et al., ).…”

Section: Problem Identificationmentioning

confidence: 99%

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Diagnostic Accuracy of the Disturbed Sleep Pattern in Patients with Acute Coronary Syndrome

Manzoli

Correia

Botelho

et al. 2019

Int J of Nursing Knowl

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OBJECTIVE To clinically validate the nursing diagnosis, disturbed sleep pattern (00198), in patients with acute coronary syndrome. DATA COLLECTION A clinical validation study using the patient history, Visual Analog Sleep scale, and diagnostic inference. Accuracy techniques were performed. SYNTHESIS OF DATA There were 75 patients: 76.00% were men, and 82.66% had a myocardial infarction. The defining characteristic, changes in sleep pattern, presented a sensitivity of 0.900 and specificity of 0.9714. CONCLUSION Changes in sleep pattern was a predictor of the nursing diagnosis. IMPLICATIONS FOR PRACTICE Results will contribute to the identification of sleep disturbances, by nurses, emphasizing the importance of improving sleep during hospitalization. OBJETIVO Validar clinicamente o Diagnóstico de Enfermagem Padrão de Sono Prejudicado (00198) em pacientes com Síndrome Coronariana Aguda. MÉTODOS Estudo de validação clínica, utilizando Histórico de Enfermagem, Escalas Visuais Análogas do Sono e inferência diagnóstica. Realizada medidas de acurácia. RESULTADOS 75 pacientes, 76,00% homens e 82,66% com Infarto do Miocárdio. A característica definidora Alteração do Padrão de Sono teve 0,900 de Sensibilidade e 0,9714 de Especificidade. CONCLUSÕES Alteração do padrão de sono foi preditora do diagnóstico de enfermagem. IMPLICAÇÕES PARA A PRÁTICA Contribuirá na identificação de distúrbios do sono, pelos enfermeiros, ressaltando a importância da melhoria do sono durante a internação.

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Risk Factors for Disrupted Sleep in the ICU

Honarmand

Bosma

2022

Sleep in Critical Illness

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Validation of a novel sleep-quality questionnaire to assess sleep in the coronary care unit: a polysomnography study

Cited by 14 publications

References 24 publications

Repeated sleep‐quality assessment and use of sleep‐promoting interventions in ICU

Repeated sleep‐quality assessment and use of sleep‐promoting interventions in ICU

Diagnostic Accuracy of the Disturbed Sleep Pattern in Patients with Acute Coronary Syndrome

Risk Factors for Disrupted Sleep in the ICU

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