Date of this Version
Journal of the American Association of Nurse Practitioners
To identify the best screening measure of daytime sleepiness in adults with heart failure (HF).
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.
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.
This is the peer reviewed version of the article which has been published in final form at 10.1111/j.1745-7599.2012.00784.x. This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving
heart failure, screening, sleep disorders, outcomes
Riegel, B., Hanlon, A. L., Zhang, X., Fleck, D., Sayers, S. L., Goldberg, L. R., & Weintraub, W. S. (2013). What is the Best Measure of Daytime Sleepiness in Adults With Heart Failure?. Journal of the American Association of Nurse Practitioners, 25 (5), 272-279. http://dx.doi.org/10.1111/j.1745-7599.2012.00784.x
Date Posted: 01 June 2016
This document has been peer reviewed.