Kontakt 2019, 21(2):128-134 | DOI: 10.32725/kont.2019.001
The reliability of the Czech version of the Richards-Campbell Sleep QuestionnaireNursing - Original article
- 1 Comenius University in Bratislava, Jesseniuss Faculty of Medicine in Martin, Department of Nursing, Martin, Slovak Republic
- 2 AGEL Educational and Research Institute (VAVIA), Prostějov, Czech Republic
- 3 University of Ostrava, Faculty of Medicine, Department of Nursing and Midwifery, Ostrava, Czech Republic
- 4 Hospital Nový Jičín, Interdisciplinary Intensive Care Unit, Nový Jičín, Czech Republic
Background: Sleep disorders are very frequent among all intensive care unit patients, and disturbed sleep quality has clear and straightforward negative consequences for patients' recovery and level of distress. To promote sleep, nurses must have instruments for observing and evaluating patients' sleep.
Objective: The objective of the research was to determine the internal consistency of the Richards-Campbell Sleep Questionnaire (RCSQ) and to compare the selected relationships between the variables (gender, age, type of admission) in the Czech clinical environment of the intensive care unit.
Design: Cross-sectional study.
Methods: The RCSQ has been translated according to the translation and cultural adaptation manual. The quality of sleep was assessed using the Czech version of the RCSQ. The sample consisted of 105 patients hospitalised in an interdisciplinary intensive care unit. The quality of sleep was measured using a visual analogue scale (0-100).
Results: The internal consistency (Cronbach's α) of the Czech version of the RCSQ is 0.89. The average RCSQ score in the sample was 53.2 (SD 20.1). Return to sleep was the lowest rated item at 51 (SD 24.2), while sleep quality was the highest rated item at 55.6 (SD 26.4). There was no statistically significant relationship (p < 0.05) between sleep quality and selected variables: age (F = 0.1; p = 0.736), gender (F = 0; p = 0.929), type of admission (F = 1.8; p = 0.183).
Conclusions: The study demonstrates that the Czech version of the RCSQ is rated as a reliable tool and can be used to subjectively assess sleep quality in critically ill patients. The association between sleep quality and selected variables has not been statistically proven and its perception is very individual.
Keywords: Intensive care unit; Reliability; Richards-Campbell Sleep Questionnaire; Sleep quality
Received: October 20, 2018; Accepted: January 22, 2019; Prepublished online: January 30, 2019; Published: June 17, 2019 Show citation
References
- Aitken LM, Elliott R, Mitchell M, Davis C, Macfarlane B, Ullman A, et al. (2017). Sleep assessment by patients and nurses in the intensive care. Austr Crit Care 30(2): 59-66. DOI: 10.1016/j.aucc.2016.04.001.
Go to original source...
Go to PubMed... - Bem SL (1974). The measurement of psychological androgyny. J Consult Clin Psychol 42(2): 155-162.
Go to original source... - Buter H, Koopmans M (2015). Plasma glutamine after acute or elective admission on the ICU. Crit Care 19(Suppl. 1): P402. DOI: 10.1186/cc14482.
Go to original source... - Chen JH, Chao YH, Lu SF, Shiung TF, Chao YF (2012). The effectiveness of valerian acupressure on the sleep of ICU patients: A randomized clinical trial. Int J Nurs Stud 49(8): 913-920. DOI: 10.1016/j.ijnurstu.2012.02.012.
Go to original source...
Go to PubMed... - Chen LX, Ji DH, Zhang F, Li JH, Cui L, Bai CJ, et al. (2018). Richards-Campbell sleep questionnaire: psychometric properties of Chinese critically ill patients. Nurs Crit Care [Epub ahead of print]. DOI: 10.1111/nicc.12357.
Go to original source...
Go to PubMed... - Cooper AB, Thornley KS, Young GB, Slutsky AS, Stewart TE, Hanly PJ (2000). Sleep in critically ill patients requiring mechanical ventilation. Chest 117(3): 809-818. DOI: 10.1378/chest.117.3.809.
Go to original source...
Go to PubMed... - Drake CH, Richardson G, Roehrs T, Scofield H, Roth T (2004). Vulnerability to stress-related sleep disturbance and hyperarousal. Sleep 27(2): 285-291.
Go to original source...
Go to PubMed... - Eliassen KM, Hopstock LA (2011). Sleep promotion in the ICU a survey of nurses interventions. Intensive Cril Care Nurs 27(3): 138-142. DOI: 10.1016/j.iccn.2011.03.001.
Go to original source...
Go to PubMed... - Elliott RM, McKinley S (2014). The development of a clinical practice guideline to improve sleep in intensive care patients: A solution focused approach. Intensive Crit Care Nurs 30(5): 246-256. DOI: 10.1016/j.iccn.2014.04.003.
Go to original source...
Go to PubMed... - Figureoa-Ramos MI, Arroyo-Novoa CM, Lee KA, Padilla G, Puntillo KA (2009). Sleep and delirium in ICU patients: a review of mechanisms and manifestations. Intensive Care Med 35(5): 781-795. DOI: 10.1007/s00134-009-1397-4.
Go to original source...
Go to PubMed... - Flannery AH, Oyler DH, Weinhouse GL (2016). The impact of interventions to improve sleep on delirium in the ICU: A systematic review and research framework. Crit Care Med 44(12): 2231-2240. DOI: 10.1097/CCM.0000000000001952.
Go to original source...
Go to PubMed... - Fontaine DK, Prinkey BL, Pope-Smith B (2001). Designing humanistic critical care environments. Critical Care Nurs Q 24(3): 21-34.
Go to original source... - Formánková L (2009). Zábrodská K: Variace na gender. Poststrukturalismus, diskursivní analýza a genderová identita. Gender, rovné příležitosti, výzkum 10(2): 76-78.
- Freedman NS, Gazendam J, Levan L, Pack AI, Schwab RJ (2001). Abnormal sleep/wake cycles and the effect of environmental noise on sleep disruption in the intensive care unit. Am J Respir Crit Care Med 163(2): 451-457. DOI: 10.1164/ajrccm.163.2.9912128.
Go to original source...
Go to PubMed... - Friese RS (2008). Sleep and recovery from critical illness and injury: A review of theory, current practice, and future directions. Crit Care Med 36(3): 697-705. DOI: 10.1097/CCM.0B013E3181643F29.
Go to original source...
Go to PubMed... - Frisk, U, Nördstorm G (2003). Patients' sleep in an intensive care unit-patients' and nurses' perception. Intensive Crit Care Nurs 19(6): 342-349. DOI: 10.1016/S0964-3397(03)00076-4.
Go to original source...
Go to PubMed... - Ganz FD (2012). Sleep and immune function. Crit Care Nurs 32(2): 19-24. DOI: 10.4037/ccn2012689.
Go to original source...
Go to PubMed... - Gardner G, Collins C, Osborne S, Henderson A, Eastwood M (2009). Creating a therapeutic environment: A non - randomised controlled trial of a quiet time intervention for patients in acute care. Int J Nurs Stud 46(6): 778-786. DOI: 10.1016/j.ijnurstu.2008.12.009.
Go to original source...
Go to PubMed... - Hoey LM, Fulbrook P, Douglas JA (2014). Sleep assessment of hospitalised patients: a literature review. Int J Nurs Stud 51(9): 1281-1288. DOI: 10.1016/j.ijnurstu.2014.02.001.
Go to original source...
Go to PubMed... - Hofhuis J, Hautvast JLA, Schrijvers AJP, Bakker J (2003). Quality of life on admission to the intensive care: can we query the relatives? Intensive Care Med 29(6): 974-979. DOI: 10.1007/s00134-003-1763-6.
Go to original source...
Go to PubMed... - Hu RF, Jiang XY, Chen J, Zeng Z, Chen XY, Li Y, et al. (2015). Non-pharamacological interventions for sleep promotion in the intensive care unit. Cochrane Database Syst Rev (10): CD008808. DOI: 10.1002/14651858.CD008808.pub2.
Go to original source...
Go to PubMed... - Jeffs EL, Darbyshire JL (2017). Measuring sleep in the intensive care unit: a critical appraisal of the use of subjective methods. J Intensive Care Med 1: 885066617712197. DOI: 10.1177/0885066617712197.
Go to original source...
Go to PubMed... - Kamdar BB, King LM, Collop NA, Sakamuri S, Colantuoni E, Neufeld KJ (2013). The effect of a quality improvement intervention on perceived sleep quality and cognition in a medical ICU. Crit Care Med 41(2): 800-809. DOI: 10.1097/CCM.0b013e3182746442.
Go to original source...
Go to PubMed... - Krotsetis S, Richards KC, Behncke A, Köpke S (2017). The reliability of the German version of the Richards Campbell Sleep Questionnaire. Nursing Crit Care 22(4): 247-252. DOI: 10.1111/nicc.12275.
Go to original source...
Go to PubMed... - Leung RS, Bradley TD (2001). Sleep apnea and cardiovacular disease. Am J Respir Crit Care Med 164(12): 2147-2165. DOI: 10.1164/ajrccm.164.12.2107045.
Go to original source...
Go to PubMed... - Li SY, Wang TJ, Wu SF, Liang SY, Tung HH (2011). Efficacy of controlling night-time noise and activities to improve patients'sleep quality in a surgical intensive care unit. J Clin Nurs 20(3-4): 396-407. DOI: 10.1111/j.1365-2702.2010.03507.x.
Go to original source...
Go to PubMed... - Matsumoto M, Sugama J, Nemoto T, Kurita T, Matsuo J, Dai M, et al. (2015). The nature of sleep in 10 bedridden elderly patients with disorders of consciousness in a Japanese hospital. Biol Res Nurs 17(1): 13-20. DOI: 10.1177/1099800414523118.
Go to original source...
Go to PubMed... - McKinley S, Fien M, Elliott R, Elliott D (2013). Sleep during and after critical illness and psychological health in recovery. Aust Crit Care 26(2): 83-101. DOI: 10.1016/j.aucc.2013.02.008.
Go to original source... - Mellot KG, Sharp PB, Anderson LM (2008). Biobehavioral measures in a critical - care healing environment. J Holist Nurs 26(2): 128-135. DOI: 10.1177/0898010107306690.
Go to original source...
Go to PubMed... - Meloun M, Hill M, Militký J, Vrbíková J, Stanická S, Skrha S (2004). New methodology of influential point detection in regression model building for the prediction of metabolic clearance rate of glucose. Clin Chem Lab Med 42(3): 311-322. DOI: 10.1515/CCLM.2004.057.
Go to original source...
Go to PubMed... - Meloun M, Militký J, Hill M, Brereton RG (2002). Crucial problems in regression modelling and their solutions. Analyst 127(4): 433-450. DOI: 10.1039/B110779H.
Go to original source...
Go to PubMed... - Menear A, Elliott R, Aitken LM, Lal S, McKinley S (2017). Repeated sleep quality assessment and use of sleep-promoting interventions in ICU. Nurs Crit Care 22(6): 348-354. DOI: 10.1111/nicc.12315.
Go to original source...
Go to PubMed... - Mostaghimi L, Obermeyer WH, Ballamudi B, Martinez-Gonzalez D, Benca RM (2005). Effects of sleep deprivation on wound healing. J Sleep Res 14(3): 213-219. DOI: 10.1111/j.1365-2869.2005.00455.x.
Go to original source...
Go to PubMed... - Navarro-García MÁ, de Carlos Alegre V, Martinez-Oroz A, Irigoyen-Aristorena MI, Elizondo-Sotro A, Indurain-Fernández S, et al. (2017). Quality of sleep in patients undergoing cardiac surgery during the postoperative period in intesive care. Enferm Intensiva 28(3): 114-124. DOI: 10.1016/j.enfi.2016.10.005.
Go to original source...
Go to PubMed... - Nicolás A, Aizpitarte E, Iruarrizaga A, Vázquez M, Margall A, Asiain C (2008). Perception of night-time sleep by surgical patients in an intensive care unit. Nurs Crit Care 13(1): 25-33. DOI: 10.1111/j.1478-5153.2007.00255.x.
Go to original source...
Go to PubMed... - Norton C, Flood D, Brittin A, Miles J (2015). Improving sleep for patients in acute hospitals. Nurs Stand 29(28): 396-407. DOI: 10.7748/ns.29.28.35.e8947.
Go to original source...
Go to PubMed... - Parthasarathy S, Tobin MJ (2004). Sleep in the intensive care unit. Intensive Care Med 30(2): 197-206. DOI: 10.1007/s00134-003-2030-6.
Go to original source...
Go to PubMed... - Patel J, Baldwin J, Bunting P, Laha S (2014). The effect of a multicomponent multidisciplinary bundle of interventions on sleep and delirium in medical and surgical intensive care patients. Anaesthesia 69(6): 540-549. DOI: 10.1111/anae.12638.
Go to original source...
Go to PubMed... - Pisani MA, Friese RS, Gehlbach BK, Schwab RJ, Weinhouse GL, Jones SF (2015). Sleep in the intensive care unit. Am J Respir Crit Care Med 191(7): 731-738. DOI: 10.1164/rccm.201411-2099CI.
Go to original source...
Go to PubMed... - Poongkunran C, John SG, Kannan AS, Shetty S, Bime Ch, Parthasarathy S (2015). A meta-analysis of sleep-promotinginterventions during critical illness. Am J Med 128(10): 1126-1137. DOI: 10.1016/j.amjmed.2015.05.026.
Go to original source...
Go to PubMed... - Richards KC, O'Sullivan PS, Philips RL (2000). Measurement of sleep in critically ill patients. J Nurs Meas 8(2): 131-144.
Go to original source...
Go to PubMed... - Ritmala-Castren M, Axelin A, Kiljunen K, Sainio C, Leino-Kilpi H (2017). Sleep in the intensive care unit - nurses' documentation and patients' perspectives. Nurs Crit Care 22(4): 238-246. DOI: 10.1111/nicc.12102.
Go to original source...
Go to PubMed... - Ritmala-Castren M, Virtanen I, Vahlberg T, Leivo S, Kaukonen KM, Leino-Kilpi H (2016). Evaluation of patients' sleep by nurses in an ICU. J Clin Nurs 25(11-12): 1606-1613. DOI: 10.1111/jocn.13148.
Go to original source...
Go to PubMed... - Rittayamai N, Wilcox E, Drouot X, Mehta S, Goffi A, Brochard L (2016). Positive and negative effects of mechanical ventilation on sleep in the ICU: a review with clinical recommendations. Intensive Care Med 42(4): 531-541. DOI: 10.1007/s00134-015-4179-1.
Go to original source...
Go to PubMed... - Roche Campo F, Drouot X, Thille AW, Galia F, Cabello B, d'Ortho MP, Brochard L (2010). Poor sleep quality is associated with late noninvasive ventilation failure in patients with acute hypercapnic respiratory failure. Crit Care Med 38(2): 477-485. DOI: 10.1097/CCM.0b013e3181bc8243.
Go to original source...
Go to PubMed... - Salzmann-Erikson M, Lagerqvist L, Pousette S (2016). Keep calm and have a good night: nurses' strategies to promote inpatients' sleep in the hospital environment. Scand J Caring Sci 30(2): 356-364. DOI: 10.1111/scs.12255.
Go to original source...
Go to PubMed... - Spiegel K, Leproult R, Van Cauter E (1999). Impact of sleep debt on metabolic and endocrine function. Lancet 354(9188): 1435-1439. DOI: 10.1016/S0140-6736(99)01376-8.
Go to original source...
Go to PubMed... - Sterniczuk R, Rusak B, Rockwood K (2014). Sleep disturbance in older ICU patients. Clin Interv Aging 9: 969-977. DOI: 10.2147/CIA.S59927.
Go to original source...
Go to PubMed... - Tembo A, Parker V (2009). Factors that impact on sleep in intensive care patients. Intensive Crit Care Nurs 25(6): 314-322. DOI: 10.1016/j.iccn.2009.07.002.
Go to original source...
Go to PubMed... - Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. (2007). Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol 60(1): 34-42. DOI: 10.1016/j.jclinepi.2006.03.012.
Go to original source...
Go to PubMed... - Weinhouse GL, Schwab RJ (2006). Sleep in the critically ill patient. Sleep 29(5): 707-716.
Go to original source...
Go to PubMed... - Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, et al. (2005). Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation. Value Health 8(2): 94-104. DOI: 10.1111/j.1524-4733.2005.04054.x.
Go to original source...
Go to PubMed... - Wu L, Sun D (2017). Sleep duration and falls: a systematic review and meta-analysis of observational studies. J Sleep Res 26(3): 293-301. DOI: 10.1111/jsr.12505.
Go to original source...
Go to PubMed... - Ye L, Keane K, Hutton Johnson S, Dykes PC (2013). How do clinicians assess, communicate about and manage patient sleep in the hospital? J Nurs Admin 43(6): 342-347. DOI: 10.1097/NNA.0b013e3182942c8a.
Go to original source...
Go to PubMed...
This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.


