Abstract：Objective To explore the status quo and influencing factors of sleep quality in stroke rehabilitation patients. Methods A total of 123 patients with stroke who received rehabilitation treatment in our hospital from March, 2020 to June, 2021 were selected as the research objects. Pittsburgh Sleep Quality Index (PSQI), Rosenberg Self-esteem Scale, Body Image Scale and Hospital Anxiety and Depression Scale were used to evaluate the sleep quality, body image, self-esteem and anxiety and depression status of patients. Pearson correlation coefficient was used to analyze the correlation between sleep quality and body image, self-esteem, anxiety and depression, and multivariate Logistic regression equation was used to analyze the influencing factors of poor sleep quality in stroke rehabilitation patients. Results Among 123 patients, 52.84% (65/123) had PSQI subjective sleep quality, 55.28% (68/123) had long sleep latency, 42.28% (52/123) had short sleep time, and 47.15% (58/123) had low normal sleep efficiency. Pearson correlation coefficient analysis showed that the total score of PSQI was positively correlated with HADS-A, HADS-D, BID and RSES. Multivariate Logistic regression analysis showed that the payment methods of medical expenses (OR= 2.071, 95% CI: 1.874~2.908), HADS-A (OR= 1.296, 95% CI: 1.060 ~ 1.586) and HADS-D (OR= 1.483, 95% CI: 1.081 ~ 1.869) and rses (OR=0.682, 95% CI: 0.524 ~ 0.888) are the influencing factors of poor sleep quality in stroke rehabilitation patients. Conclusions Most stroke rehabilitation patients have poor sleep quality, and the sleep quality of stroke rehabilitation patients is significantly correlated with patients' body image, self-esteem, anxiety and depression, and payment methods of medical expenses. When managing stroke rehabilitation patients, it is necessary to consider the patient's body image, self-esteem, anxiety and depression, and the payment method of medical expenses, so as to improve the sleep quality of patients
[1] 黎建乐, 王莹, 冯慧宇, 等. 广东省脑卒中流行病学调查[J]. 中国神经精神疾病杂志, 2020, 46(01): 1-7. [2] 李万君, 凡子莲. 老年缺血性脑卒中病人睡眠质量、抑郁发生情况及相关危险因素分析[J]. 实用老年医学, 2020, 34 (07): 679-682+686. [3] Xiao M, Huang G, Feng L, et al.Impact of sleep quality on post-stroke anxiety in stroke patients[J]. Brain Behav, 2020, 10(12): e01716. [4] Kobylańska M, Kowalska J, Neustein J, et al.The role of biopsychosocial factors in the rehabilitation process of individuals with a stroke[J]. Work, 2018, 61(4): 523-535. [5] McDermott M, Brown DL, Chervin RD. Sleep disorders and the risk of stroke[J]. Expert Rev Neurother, 2018, 18(7): 523-531. [6] Gonzalez-Aquines A, Martinez-Roque D, Baltazar Trevino-Herrera A, et al. [Obstructive sleep apnea syndrome and its relationship with ischaemic stroke][J]. Rev Neurol, 2019, 69(6): 255-260. [7] 张通, 赵军. 中国脑卒中早期康复治疗指南[J]. 中华神经科杂志, 2017, 50(06): 405-412. [8] 刘贤臣, 唐茂芹, 胡蕾, 等 . 匹兹堡睡眠质量指数的信度和效度研究[J]. 中华精神科杂志, 1996, 29(2): 103-107. [9] 叶维菲, 徐俊冕. “综合性医院焦虑抑郁量表”在综合性医院患者中的应用与评价[J]. 中国行为医学杂志, 1993, 2(3): 17. [10] 申自力, 蔡太生. Rosenberg自尊量表中文版条目8的处理[J]. 中国心理卫生杂志, 2008, 22(9): 661-663. [11] 沈碧玉, 刘经纬, 徐旭娟, 等. 中文版身体形象障碍量表在强直性脊柱炎患者中的信效度检验[J]. 护士进修杂志, 2017, 32(15): 1347-1350. [12] 连至炜, 祝春素, 刘远立. 我国中老年人抑郁和脑卒中发病风险关系的队列研究[J]. 中国全科医学, 2021, 24(7): 842-846. [13] Wang X, Ji X.Interactions between remote ischemic conditioning and post-stroke sleep regulation[J]. Front Med, 2021, 15(6): 867-876. [14] Iddagoda MT, Inderjeeth CA, Chan K, et al.Post-stroke sleep disturbances and rehabilitation outcomes: a prospective cohort study[J]. Intern Med J, 2020, 50(2): 208-213. [15] West A, Simonsen SA, Jennum P, et al.An exploratory investigation of the effect of naturalistic light on fatigue and subjective sleep quality in stroke patients admitted for rehabilitation: A randomized controlled trial[J]. NeuroRehabilitation, 2019, 45(2): 187-200. [16] Xue X, Jin XM, Luo KL, et al.Effectiveness of Yijinjing on cognitive functions in post-stroke patients with mild cognitive impairment: study protocol for a randomized controlled trial[J]. Trials, 2021, 22(1): 265. [17] Rayward AT, Duncan MJ, Brown WJ, et al.A cross-sectional cluster analysis of the combined association of physical activity and sleep with sociodemographic and health characteristics in mid-aged and older adults[J]. Maturitas, 2017, 102(1): 56-61. [18] Maglione JE, Ancoli-Israel S, Peters KW, et al.Depressive symptoms and subjective and objective sleep in community-dwelling older women[J]. J Am Geriatr Soc, 2012, 60(4): 635-643. [19] He W, Qiu H, Zhu J, et al.The effect of uric acid on sleep quality after acute ischemic stroke[J]. J Clin Neurosci, 2019, 69(1): 155-159. [20] Zhao Q, Wang CT, Cao CC.[Effect of Tiaoshen Qianyang acupuncture on blood pressure and sleep quality in patients with stroke-related sleep disorders complicated with hypertension][J]. Zhongguo Zhen Jiu, 2022, 42(2): 126-130. [21] 朱振华, 张银玲, 张欣唯, 等 . 军校大学生人际关系与睡眠质量的相关性研究[J]. 解放军预防医学杂志, 2017, 35(5): 492-494. [22] 白雅萍, 林英, 吴冬梅, 等. 农村地区中老年高血压患者睡眠质量及影响因素[J]. 中国老年学杂志, 2021, 41(13): 2839-2842. [23] 董慧茜, 李乐华, 沈屹东, 等. 某医学院校学生睡眠质量与压力感知、社会支持及自尊水平[J]. 中国健康心理学杂志, 2014, 22(1): 108-110.
2023, Vol. 20 
