理查兹-坎贝尔睡眠量表的护患一致性评估研究

Study on the consistency of evaluating sleep quality between patients and nurses using Richards⁃Campbell Sleep Questionnaire

目的:调查重症监护室病人自我报告的睡眠质量情况及每日评估睡眠的可行性,探究病人与护士分别使用理查兹-坎贝尔睡眠量表(Richards-Campbell Sleep Questionnaire,RCSQ)评估病人夜间睡眠质量的一致性。方法:选取2022年10月—2023年7月在我院重症监护室(ICU)住院的140例重症监护病人,采用RCSQ分别由护士对病人和病人对自身完成夜间睡眠质量评价,采用配对t检验、组内相关系数(ICC)、Bland-Altman图比较护患评价的一致性。结果:最终共收集到101例病人的727份睡眠报告,总睡眠平均分为52.28分,93例(92.1%)病人至少完成了1次报告,80例(79.2%)病人提供2次及以上的报告。101例病人共完成299次护患配对评估,ICC为0.31~0.59,相关性介于一般到中等,在睡眠深度、睡眠觉醒、重回睡眠、总分上,护士得分高于病人,差异有统计学意义(P<0.05)。结论:采用RCSQ评估睡眠可行性高。睡眠报告表明重症监护室病人睡眠质量低,护士倾向高估病人感知的睡眠质量。

Objective:To investigate the self-reported sleep quality of ICU patients and the feasibility of daily sleep assessment,and to explore the consistency between patients and nurses in evaluating patients'nighttime sleep quality using the Richards-Campbell Sleep Questionnaire(RCSQ).Methods:140 intensive care patients admitted to our hospital from October 2022 to July 2023 were selected.Nurses and patients completed night sleep quality evaluations using RCSQ.Paired t-tests,Intra-class correlation coefficient(ICC),and Bland Altman plot were used to compare the consistency of nurse patient evaluations.Results:A total of 727 sleep reports were collected from 101 patients,with a total average sleep score of 52.28.93(92.1%)patients completed at least one report,and 80(79.2%)patients provided two or more reports.A total of 101 patients completed 299 nurse patient matching evaluations,with ICC values ranging from 0.31 to 0.59,with a correlation ranging from average to moderate.Nurses scored higher than patients in terms of sleep depth,awakening,return to sleep,and total sleep scores(P<0.05).Conclusions:RCSQ is highly feasible for sleep assessment.Sleep reports indicate that ICU patients have poor sleep quality,and nurses tend to overestimate the perceived sleep quality of patients.