Open AccessWhat is the best measure of daytime sleepiness in adults with heart failure?
Author(s) -
Riegel Barbara,
Hanlon Alexandra L.,
Zhang Xuemei,
Fleck Desiree,
Sayers Steven L.,
Goldberg Lee R.,
Weintraub William S.
Publication year - 2013
Publication title -
journal of the american association of nurse practitioners
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.414
H-Index - 19
eISSN - 2327-6924
pISSN - 2327-6886
DOI - 10.1111/j.1745-7599.2012.00784.x
Subject(s) - epworth sleepiness scale , daytime , excessive daytime sleepiness , medicine , likert scale , physical therapy , polysomnography , sleep disorder , psychology , psychiatry , insomnia , developmental psychology , apnea , atmospheric sciences , geology
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.