Predictive factors of subjective sleep quality and insomnia complaint in patients with stroke: implications for clinical practice

The complaints regarding sleep problems have not been well identified after a stroke. The aim of this study was to investigate the predictive factors of sleep quality and insomnia complaints in patients with stroke. A total of 70 subjects, 40 patients (57 ± 7 years) and 30 healthy controls (52 ± 6 y...

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Published in:	Anais da Academia Brasileira de Ciências Vol. 85; no. 3; pp. 1197 - 1206
Main Authors:	Da Rocha, Patrícia C, Barroso, Marina T M, Dantas, Ana Amália T S G, Melo, Luciana P, Campos, Tania F
Format:	Journal Article
Language:	English
Published:	Brazil Academia Brasileira de Ciências 01-09-2013
Subjects:	acidente vascular Encefalico Aged Case-Control Studies disturbios do sono Educational Status Female Humans insonia Male Middle Aged MULTIDISCIPLINARY SCIENCES qualidade do sono Risk Factors Sleep Initiation and Maintenance Disorders - etiology Sleep Initiation and Maintenance Disorders - physiopathology Stroke - complications Stroke - physiopathology Surveys and Questionnaires qualidade do sono sleep disturbances acidente vascular Encefalico insonia disturbios do sono stroke sleep quality insomnia
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Summary:	The complaints regarding sleep problems have not been well identified after a stroke. The aim of this study was to investigate the predictive factors of sleep quality and insomnia complaints in patients with stroke. A total of 70 subjects, 40 patients (57 ± 7 years) and 30 healthy controls (52 ± 6 years) assessed by the Pittsburgh Sleep Quality Index (PSQI) and the Sleep Habits Questionnaire took part in the study. The data were analyzed using the chi-square test, the Student's t-test and logistic regression analysis. On average, the patients showed poor sleep quality (patients: 6.3 ± 3.5; controls: 3.9 ± 2.2; p= 0.002) and insomnia complaint was the most prevalent (patients: 37.5%; controls: 6.7%; p= 0.007). The absence of insomnia complaint (OR= 0.120; 95%CI= 0.017-0.873; p= 0.036) and the decreased latency of sleep (OR= 0.120; 95%CI= 0.017-0.873; p= 0.036) were the protective factors of sleep quality. Female sex (OR= 11.098; 95%CI= 1.167-105.559; p= 0.036) and fragmented sleep (OR= 32.040; 95%CI= 3.236-317.261; p= 0.003) were the risk factors for insomnia complaint. We suggest that complaints of poor sleep quality and insomnia should be given priority assessment during clinical diagnosis of sleep disorders in stroke.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0001-3765 1678-2690 1678-2690 0001-3765
DOI:	10.1590/S0001-37652013005000053