Use of an Evidence-Based Protocol to Screen for Sleep-Disordered Breathing in a Heart Failure Disease Management Clinic

作者：Garner Shelby L^*; Traverse Ramona D

来源：Journal of Nursing Care Quality, 2014, 29(3): 230-236.

DOI：10.1097/NCQ.0000000000000047

• Epworth Sleepiness Scale
• evidence-based practice
• heart failure
• Knowledge to Action theoretical framework
• overnight pulse oximetry testing
• polysomnography
• screening protocol
• sleep-disordered breathing

Undiagnosed and untreated sleep-disordered breathing can lead to negative health outcomes and increased utilization of health resources among patients with heart failure. The purpose of this evidence-based practice project was to implement and evaluate a new multifaceted sleep-disordered breathing screening protocol in a heart failure disease management clinic. The combined use of a symptoms questionnaire, the Epworth Sleepiness Scale, and overnight pulse oximetry was significantly more effective in identifying patients with a positive diagnosis of sleep-disordered breathing than using the Epworth Sleepiness Scale alone (P < .05).

• 出版日期2014-9