脑卒中康复患者睡眠质量现状及影响因素分析

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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

Key words： stroke sleep quality body image self-esteem

Received: 14 March 2023

PACS:

R743.3

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	Articles by authors
	LIU Weili
	CHU Fang
	GUO Wansheng
	XU Pingying
	YAO Xin
	LIU Yujia

Cite this article:

LIU Weili,CHU Fang,GUO Wansheng等. Analysis of sleep quality status and influencing factors of stroke rehabilitation patients[J]. HuNan ShiFan DaXue XueBao(YiXueBan), 2023, 20(4): 148-152.

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http://yxb.hunnu.edu.cn/EN/ OR http://yxb.hunnu.edu.cn/EN/Y2023/V20/I4/148

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