Document Type
Journal Article
Date of this Version
5-2013
Publication Source
Journal of the American Association of Nurse Practitioners
Volume
25
Issue
5
Start Page
272
Last Page
279
DOI
10.1111/j.1745-7599.2012.00784.x
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.
Copyright/Permission Statement
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
Keywords
heart failure, screening, sleep disorders, outcomes
Recommended Citation
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.