Research Article

Development and Validation of Sleep Disturbance Questionnaire in Patients with Acute Coronary Syndrome

Table 3

Factors and items of sleep disturbance questionnaire in ACS patients.

Factors NumberItemsFactor loading

First factor: sleep onset and continuity disorder1When I go to bed, it takes me a long time to fall asleep. 0.807
2Overall quality of sleep (no matter how long you slept)0.784
3Awaken during my sleep time and have trouble falling asleep again0.762
4Total sleep duration0.756
5I wake up earlier than my preference time0.526
6I am aggressive and irritable in the morning0.405

The second factor: disorder in daytime functioning7I wake up suddenly from sleep with an unpleasant feeling of fear, anxiety, tension, or unhappiness0.765
8I have a lot of nightmares in the sleep time0.713
9I sometimes have unusual feelings in my legs at night, such as creeping, crawling, tingling burning, or itching sensations0.600
10I wake up in the morning with feeling of fatigue and exhaustion0.608
11I have headache in the morning after waking up0.604
12I feel drowsy or sleepy during the day0.451
13I have no enough concentration in the day because of sleepiness 0.418

Third factor: sleep disturbance caused by environmental factors14I can not sleep because of turned on lights0.696
15I can not sleep because of environmental noise (such as cell phones, noise from medical instrument, crosstalk of nurses, and moan of other patients)0.690
16I can not get into a comfortable position in bed (by bed or pillow) which causes sleep disturbance 0.676
17I can not sleep because of unpleasant ward’s odor 0.666
18I wake up from sleep because of high increased or decreased temperature 0.574

Fourth factor: disorder caused by cardiac disease19I have cardiac problems in my sleep recently (chest pain, palpitation) 0.714
20I wake up from sleep because of chest pain0.432

Fifth factor: respiratory disorder during sleep21I must sleep in special position (lying down on pillow, using two pillow for elevating head)0.838
22I wake up from sleep because of snoring0.808
23I wake up from sleep because of short of breath or chocking0.538