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Patient-nurse interrater reliability and agreement of the Richards-Campbell sleep questionnaire

机译：患者-护士间的信度和Richards-Campbell睡眠问卷的一致性

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Background The Richards-Campbell Sleep Questionnaire (RCSQ) is a simple, validated survey instrument for measuring sleep quality in intensive care patients. Although both patients and nurses can complete the RCSQ, interrater reliability and agreement have not been fully evaluated. Objectives To evaluate patient-nurse interrater reliability and agreement of the RCSQ in a medical intensive care unit. Methods The instrument included 5 RCSQ items plus a rating of nighttime noise, each scored by using a 100-mm visual analogue scale. The mean of the 5 RCSQ items comprised a total score. For 24 days, the night-shift nurses in the medical intensive care unit completed the RCSQ regarding their patients' overnight sleep quality. Upon awakening, all conscious, nondelirious patients completed the RCSQ. Neither nurses nor patients knew the others' ratings. Patient-nurse agreement was evaluated by using mean differences and Bland-Altman plots. Reliability was evaluated by using intraclass correlation coefficients. Results Thirty-three patients had a total of 92 paired patientnurse assessments. For all RCSQ items, nurses' scores were higher (indicating"better" sleep) than patients' scores, with significantly higher ratings for sleep depth (mean [SD], 67 [21] vs 48 [35], P = .001), awakenings (68 [21] vs 60 [33], P = .03), and total score (68 [19] vs 57 [28], P = .01). The Bland-Altman plots also showed that nurses' ratings were generally higher than patients' ratings. Intraclass correlation coefficients of patient-nurse pairs ranged from 0.13 to 0.49 across the survey questions. Conclusions Patient-nurse interrater reliability on the RCSQ was"slight" to"moderate," with nurses tending to overestimate patients' perceived sleep quality.
机译：背景Richards-Campbell睡眠调查表（RCSQ）是一种简单且经过验证的调查工具，用于测量重症监护患者的睡眠质量。尽管患者和护士都可以完成RCSQ，但尚未完全评估间位器的可靠性和一致性。目的评估重症监护病房中患者-护士间的信度和RCSQ的一致性。方法该仪器包括5个RCSQ项目以及一个夜间噪音等级，每个项目均使用100毫米视觉模拟量表进行评分。 5个RCSQ项目的平均值包括总分。在24天中，重症监护病房的夜班护士完成了有关患者通宵睡眠质量的RCSQ。唤醒后，所有有意识的，无妄想的患者均完成了RCSQ。护士和患者都不了解其他人的等级。通过使用均值差和Bland-Altman图来评估患者与护士的一致性。通过使用类内相关系数来评估可靠性。结果33例患者共进行了92次配对患者护士评估。对于所有RCSQ项目，护士的得分均高于患者的得分（表明“更好”的睡眠），而睡眠深度的得分则明显更高（平均值[SD]，67 [21] vs 48 [35]，P = .001） ，觉醒（68 [21] vs 60 [33]，P = .03）和总分（68 [19] vs 57 [28]，P = 0.01）。 Bland-Altman图还显示，护士的评分通常高于患者的评分。在整个调查问题中，患者-护士对的类内相关系数在0.13至0.49之间。结论RCSQ上患者-护士间的可靠性从“轻微”到“中等”，护士倾向于高估患者的感知睡眠质量。

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