Da Rocha Patrícia C, Barroso Marina T M, Dantas Ana Amália T S G, Melo Luciana P, Campos Tania F
Universidade Federal do Rio Grande do Norte, Departamento de Fisioterapia, Avenida Senador Salgado Filho, 59066-800 Natal, RN, Brasil.
An Acad Bras Cienc. 2013 Sep;85(3):1197-206. doi: 10.1590/S0001-37652013005000053. Epub 2013 Aug 28.
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.
中风后睡眠问题的相关投诉尚未得到很好的确认。本研究的目的是调查中风患者睡眠质量和失眠投诉的预测因素。共有70名受试者参与了该研究，其中40名患者（57±7岁）和30名健康对照者（52±6岁）通过匹兹堡睡眠质量指数（PSQI）和睡眠习惯问卷进行评估。数据采用卡方检验、学生t检验和逻辑回归分析。平均而言，患者的睡眠质量较差（患者：6.3±3.5；对照者：3.9±2.2；p = 0.002），失眠投诉最为普遍（患者：37.5%；对照者：6.7%；p = 0.007）。无失眠投诉（OR = 0.120；95%CI = 0.017 - 0.873；p = 0.036）和睡眠潜伏期缩短（OR = 0.120；95%CI = 0.017 - 0.873；p = 0.036）是睡眠质量的保护因素。女性（OR = 11.098；95%CI = 1.167 - 105.559；p = 0.036）和睡眠碎片化（OR = 32.040；95%CI = 3.236 - 317.261；p = 0.003）是失眠投诉的危险因素。我们建议，在中风患者睡眠障碍的临床诊断过程中，应优先评估睡眠质量差和失眠的投诉。
