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Learning Objective 1: Assessment of sleep patterns enables the nurse to intervene immediately by implementing interventions with the client.
Learning Objective 2: The PSQI is an effective instrument created by Buysse et.al in 1989, measuring the quality and patterns of sleep in the older adult
Method: The Pittsburgh Sleep Quality Index (PSQI) is an effective instrument created by Buysse et.al in 1989. It measured the quality and patterns of sleep in the older adult. It differentiates “poor” from “good” sleep by measuring seven areas: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, and sleep disturbances, use of sleep medication, and daytime dysfunction over a month. The client self relates each of these seven areas of sleep. Scoring of the answers is based on a 0 to 3 scale, 3 reflecting the negative extreme on the Likert scale. A global sum of “5”or greater indicates a “poor” sleeper
Result: . 7 patients who had sleeping problems were assessed. Data using the PSQI was collected from the 18th of June till the 18th of July 2010. Of these 7 patients, 4 summed up to 5 to 6 as their global PSQI score. 2 were given sleep medication to improve their sleeping patterns and 2 were referred to a psychologist. 3 were found to have subjective sleep problems; 2 were overweight and were asked to start an exercise program. 1 was found to lead a sedentary lifestyle and was encouraged to be active.
Conclusion: The PSQI can be used for both initial assessment and ongoing comparative measurements with older adults across all health settings. The scale can be adapted to enable the client to respond verbally to items on the scale by having the nurse read the statements to the client
See more of: World Academy of Nursing Science: Oral Paper & Posters