Sleep Quality Management Skill

Record sleep, evaluate sleep quality, identify sleep problems, and provide sleep hygiene recommendations.

Medical Safety Disclaimer

The sleep assessment, problem identification, and recommendations provided by this system are for reference only and do not constitute medical diagnosis or treatment plans.

Cannot Do:

•Do not diagnose sleep disorders such as insomnia, sleep apnea, etc.
•Do not prescribe sleep medications or adjust medication dosages
•Do not replace professional sleep medicine treatment (such as CBT-I, CPAP, etc.)
•Do not handle severe sleep disorders or emergency situations

Can Do:

•Record and track sleep data
•Evaluate sleep quality trends
•Identify sleep problem risks
•Provide sleep hygiene recommendations
•Analyze sleep patterns and influencing factors

When to Seek Medical Attention

•Insomnia persisting for more than 3 months, severely affecting daily life
•Symptoms of sleep apnea (snoring, waking up gasping, daytime sleepiness)
•Restless leg symptoms severely affecting sleep
•Severe sleepiness affecting work, study, or driving safety

Core Flow

code

User Input → Identify Operation Type → [record] Parse Sleep Info → Save Record
                              ↓
                         [history/stats] Read Data → Display Report
                              ↓
                         [psqi/epworth/isi] Parse Assessment Results → Save → Display Interpretation
                              ↓
                         [problem] Parse Problem → Assess Risk → Save
                              ↓
                         [hygiene] Parse Habits → Assess → Provide Recommendations
                              ↓
                         [recommendations] Generate Personalized Recommendations

Step 1: Parse User Input

Operation Type Recognition

Input Keywords	Operation Type
record	record - Log sleep
history	history - View history records
stats	stats - Sleep statistical analysis
psqi, PSQI	psqi - PSQI assessment
epworth	epworth - Epworth Sleepiness Scale
isi, ISI	isi - ISI Insomnia Severity Assessment
problem	problem - Sleep problem identification
hygiene	hygiene - Sleep hygiene assessment
recommendations	recommendations - Get recommendations

Step 2: Parameter Parsing Rules

Sleep Quality Description

Input	quality Value
excellent	excellent
very good	very good
good	good
fair	fair
poor	poor
very poor	very poor

Influencing Factor Recognition

Input	Factor
caffeine_after_2pm	Caffeine after 2 PM
alcohol	Alcohol consumption
exercise: morning/afternoon/evening	Exercise time
screen_time: 90	Screen time 90 minutes before bed
stress: low/medium/high	Stress level

Step 3: Generate JSON

Sleep Record Data Structure

json

{
  "id": "sleep_20250620_001",
  "date": "2025-06-20",
  "sleep_times": {
    "bedtime": "23:00",
    "sleep_onset_time": "23:30",
    "wake_time": "07:00",
    "out_of_bed_time": "07:15"
  },
  "sleep_metrics": {
    "sleep_duration_hours": 7.0,
    "time_in_bed_hours": 8.25,
    "sleep_latency_minutes": 30,
    "sleep_efficiency": 84.8
  },
  "awakenings": {
    "count": 2,
    "total_duration_minutes": 15,
    "causes": ["bathroom", "noise"]
  },
  "sleep_quality": {
    "subjective_quality": "fair",
    "quality_score": 5,
    "rested_feeling": "somewhat",
    "morning_mood": "neutral"
  }
}

PSQI Assessment Data Structure

json

{
  "date": "2025-06-20",
  "components": {
    "subjective_quality": 2,
    "sleep_latency": 1,
    "sleep_duration": 2,
    "sleep_efficiency": 1,
    "sleep_disturbances": 2,
    "hypnotic_use": 0,
    "daytime_dysfunction": 2
  },
  "total_score": 10,
  "interpretation": "Fair sleep quality"
}

Epworth Sleepiness Scale Data Structure

json

{
  "date": "2025-06-20",
  "responses": [
    {"situation": "sitting_reading", "score": 0},
    {"situation": "watching_tv", "score": 1},
    {"situation": "public_sitting", "score": 0},
    {"situation": "passenger_car", "score": 1},
    {"situation": "lying_afternoon", "score": 2},
    {"situation": "talking", "score": 0},
    {"situation": "after_lunch", "score": 1},
    {"situation": "traffic", "score": 0}
  ],
  "total_score": 5,
  "interpretation": "Normal"
}

Step 4: Save Data

•Read data/sleep-tracker.json
•Update corresponding record sections
•Write back to file

PSQI Assessment Standards

Score Range

•<=5: Good sleep quality
•6-10: Fair sleep quality
•

=11: Poor sleep quality

Component Scoring

Component	0 points	1 point	2 points	3 points
Subjective sleep quality	Very good	Fairly good	Fairly bad	Very bad
Sleep latency	<=15 min	16-30 min	31-60 min	>60 min
Sleep duration	>7 hours	6-7 hours	5-6 hours	<5 hours
Sleep efficiency	>85%	75-84%	65-74%	<65%
Sleep disturbances	No issues	<1/week	1-2/week	>=3/week
Hypnotic use	None	<1/week	1-2/week	>=3/week
Daytime dysfunction	None	<1/week	1-2/week	>=3/week

Epworth Sleepiness Scale Standards

Total Score	Result
0-7	Normal
8-10	Mild sleepiness
11-15	Moderate sleepiness
16-24	Severe sleepiness

ISI Insomnia Severity Standards

Total Score	Result
0-7	No clinically significant insomnia
8-14	Mild insomnia
15-21	Moderate insomnia
22-28	Severe insomnia

For more examples, see examples.md.