Hoey Lynn M, Fulbrook Paul, Douglas James A
Sleep Disorders Centre, The Prince Charles Hospital, Brisbane, Australia.
Nursing Research & Practice Development Centre, The Prince Charles Hospital, School of Nursing, Midwifery & Paramedicine and Australia Catholic University, Brisbane.
Int J Nurs Stud. 2014 Sep;51(9):1281-8. doi: 10.1016/j.ijnurstu.2014.02.001. Epub 2014 Feb 15.
Sleep is a dynamic and essential part of human life and health. In healthcare settings, nurses are strategically placed to promote sleep and sleep health. In this regard, nursing actions should be based upon effective methods of assessment of patient sleep. Standardised sleep assessment does not currently occur in the care of acute hospitalised patients. Use of an appropriate measurement tool would help evaluate inpatient sleep. An effective, efficient sleep assessment tool is needed to aid clinicians. Such assessment would enable specific nursing intervention to be tailored to individual patients.
The objective of this paper was to examine the literature on sleep measurement to identify subjective sleep assessment tools that may be suitable for routine use with hospitalised patients, and to evaluate their reliability and validity.
A review of existing literature was undertaken to identify and evaluate subjective sleep measurement tools.
The initial literature searches identified 402 articles, of which ten met the criteria for review. These reported on three subjective sleep measurement scales: the Richards-Campbell Sleep Questionnaire; the St Mary's Hospital Sleep Questionnaire; and the Verran Snyder-Halpern Sleep Scale. The Richards-Campbell Sleep Questionnaire is brief and easy to use. In specific samples, its items correlate with domains reflecting sleep quality and has shown excellent internal consistency. Equivocal results and scoring challenges were found with the St Mary's Hospital Sleep Questionnaire. The Verran Snyder-Halpern Sleep Scale captured sleep disturbance and total sleep time, but time-to-complete is more burdensome than the Richards-Campbell Sleep Questionnaire.
The current use of sleep assessment instruments in the acute hospital setting is restricted mainly to research activities. Of the three tools identified that could be used clinically to measure inpatient sleep, and although it was developed for use in the intensive care setting, the Richards-Campbell Sleep Questionnaire held greatest potential due to its ease and rapidity of use. However, it has yet to be validated for use with general hospital inpatients, and further research is required in this area.
睡眠是人类生活与健康中动态且至关重要的一部分。在医疗环境中，护士处于促进睡眠及睡眠健康的关键位置。就此而言，护理行动应以有效的患者睡眠评估方法为基础。目前，急性住院患者护理中尚未进行标准化的睡眠评估。使用合适的测量工具将有助于评估住院患者的睡眠情况。临床医生需要一种有效且高效的睡眠评估工具。这样的评估能够使针对个体患者的特定护理干预得以实施。
本文的目的是研究有关睡眠测量的文献，以确定可能适用于住院患者常规使用的主观睡眠评估工具，并评估其可靠性和有效性。
对现有文献进行综述，以识别和评估主观睡眠测量工具。
初步文献检索共识别出402篇文章，其中10篇符合综述标准。这些文章报道了三种主观睡眠测量量表：理查兹 - 坎贝尔睡眠问卷、圣玛丽医院睡眠问卷和韦兰·斯奈德 - 哈尔彭睡眠量表。理查兹 - 坎贝尔睡眠问卷简短且易于使用。在特定样本中，其项目与反映睡眠质量的领域相关，且显示出良好的内部一致性。圣玛丽医院睡眠问卷的结果不明确且存在评分挑战。韦兰·斯奈德 - 哈尔彭睡眠量表能够获取睡眠障碍和总睡眠时间，但完成所需时间比理查兹 - 坎贝尔睡眠问卷更繁重。
目前急性医院环境中睡眠评估工具的使用主要局限于研究活动。在识别出的可临床用于测量住院患者睡眠的三种工具中，尽管理查兹 - 坎贝尔睡眠问卷是为重症监护环境开发的，但因其使用简便快捷，具有最大的应用潜力。然而，它尚未在综合医院住院患者中进行有效性验证，该领域需要进一步研究。
