Detail
Článek
Článek online
FT
Medvik - BMČ
  • Je něco špatně v tomto záznamu ?

Sleep quality assessment in intensive care: actigraphy vs. Richards-Campbell sleep questionnaire

H. Locihová, K. Axmann, K. Žiaková, D. Šerková, S. Černochová

. 2020 ; 13 (4) : 235-241. [pub] -

Jazyk angličtina Země Brazílie

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc21010241

Introduction: It has been repeatedly shown that sleep of intensive care unit (ICU) patients is fragmented and its architecture is impaired. As sleep disorders have numerous negative effects on the organism, there have been efforts to implement sleep-promoting strategies into practice. When comparing the effectiveness of such measures, sleep quality assessment itself is a considerable problem. Objective: The study aimed to assess the quality and quantity of night sleep in ICU patients simultaneously with actigraphy (ACT) and the Richards-Campbell Sleep Questionnaire (RCSQ). The secondary goals were to test the performance and effectiveness of the above methods and to verify correlations between selected RCSQ items and actigraph parameters. Methods: A single-center prospective observational study (20 patients staying in a Interdisciplinary Intensive Care Unit). The quality of sleep was assessed using a Czech version of the RCSQ and ACT. The obtained data were analyzed and their dependence or correlations were verified by selected statistical tests. Results: The mean RCSQ score was 47.6 (SD 24.4). The worst results were found for sleep latency (44.4; SD 31.2); the best results were for sleep quality (50.2; SD 29.4). The mean sleep effciency measured with ACT reached 86.6% (SD 9.2); the mean number of awakenings per night was 17.1 (SD 8.5). The RCSQ total parameter with a cutoff of 50 (RCSQ total = 50 good sleep / RCSQ total < 50 poor sleep) was shown to be suitable for discrimination of subjectively perceived sleep quality in ICU patients. However, the study failed to show statistically significant relations between subjectively perceived sleep quality (RCSQ) and ACT measurements. Conclusion: The RCSQ appears to be a suitable instrument for assessing night sleep quality in ICU patients. On the other hand, the study showed a very low level of agreement between subjective sleep quality assessment and objective ACT measurements. The main drawback of ACT is low reliability of obtained data. Further research is needed to determine its role in sleep quality assessment in the ICU setting.

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc21010241
003      
CZ-PrNML
005      
20210714133611.0
007      
ta
008      
210413s2020 bl f 000 0|eng||
009      
AR
024    7_
$a 10.5935/1984-0063.20190145 $2 doi
035    __
$a (PubMed)33564370
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a bl
100    1_
$a Locihová, Hana $u Department of Nursing, Jesseniuss Faculty of Medicine in Martin, Comenius University in Bratislava, Slovakia ; AGEL Educational and Research Institute (VAVIA), Prostějov, Czech Republic
245    10
$a Sleep quality assessment in intensive care: actigraphy vs. Richards-Campbell sleep questionnaire / $c H. Locihová, K. Axmann, K. Žiaková, D. Šerková, S. Černochová
520    9_
$a Introduction: It has been repeatedly shown that sleep of intensive care unit (ICU) patients is fragmented and its architecture is impaired. As sleep disorders have numerous negative effects on the organism, there have been efforts to implement sleep-promoting strategies into practice. When comparing the effectiveness of such measures, sleep quality assessment itself is a considerable problem. Objective: The study aimed to assess the quality and quantity of night sleep in ICU patients simultaneously with actigraphy (ACT) and the Richards-Campbell Sleep Questionnaire (RCSQ). The secondary goals were to test the performance and effectiveness of the above methods and to verify correlations between selected RCSQ items and actigraph parameters. Methods: A single-center prospective observational study (20 patients staying in a Interdisciplinary Intensive Care Unit). The quality of sleep was assessed using a Czech version of the RCSQ and ACT. The obtained data were analyzed and their dependence or correlations were verified by selected statistical tests. Results: The mean RCSQ score was 47.6 (SD 24.4). The worst results were found for sleep latency (44.4; SD 31.2); the best results were for sleep quality (50.2; SD 29.4). The mean sleep effciency measured with ACT reached 86.6% (SD 9.2); the mean number of awakenings per night was 17.1 (SD 8.5). The RCSQ total parameter with a cutoff of 50 (RCSQ total = 50 good sleep / RCSQ total < 50 poor sleep) was shown to be suitable for discrimination of subjectively perceived sleep quality in ICU patients. However, the study failed to show statistically significant relations between subjectively perceived sleep quality (RCSQ) and ACT measurements. Conclusion: The RCSQ appears to be a suitable instrument for assessing night sleep quality in ICU patients. On the other hand, the study showed a very low level of agreement between subjective sleep quality assessment and objective ACT measurements. The main drawback of ACT is low reliability of obtained data. Further research is needed to determine its role in sleep quality assessment in the ICU setting.
655    _2
$a časopisecké články $7 D016428
700    1_
$a Axmann, Karel $u Department of Anaesthesiology and Resuscitation and Intensive Care Medicine, University Hospital Olomouc ; Faculty of Medicine and Dentistry, Palacky University Olomouc, Czech Republic
700    1_
$a Žiaková, Katarína $u Department of Nursing, Jesseniuss Faculty of Medicine in Martin, Comenius University in Bratislava, Slovakia
700    1_
$a Šerková, Dagmar $u Department of Nursing and Midwifery, Ostrava, University of Ostrava, Faculty of Medicine, Czech Republic ; Interdisciplinary Intensive Care Unit, Hospital Nový Jičín, Czech Republic
700    1_
$a Černochová, Simona $u Interdisciplinary Intensive Care Unit, Hospital Nový Jičín, Czech Republic
773    0_
$w MED00207099 $t Sleep science (Sao Paulo, Brazil) $x 1984-0659 $g Roč. 13, č. 4 (2020), s. 235-241
856    41
$u https://pubmed.ncbi.nlm.nih.gov/33564370 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y - $z 0
990    __
$a 20210413 $b ABA008
991    __
$a 20210714133610 $b ABA008
999    __
$a ind $b bmc $g 1649742 $s 1130617
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2020 $b 13 $c 4 $d 235-241 $e - $i 1984-0659 $m Sleep science $n Sleep Sci $x MED00207099
LZP    __
$a Pubmed-20210413

Najít záznam

Citační ukazatele

Možnosti archivace