Karaca Burcu
Department of Physical Medicine and Rehabilitation, Kırıkkale University Faculty of Medicine, Yahşihan, Kirikkale, Turkey.
J Stroke Cerebrovasc Dis. 2016 Mar;25(3):727-32. doi: 10.1016/j.jstrokecerebrovasdis.2015.11.015. Epub 2015 Dec 30.
The aim of this study is to evaluate the sleep quality of stroke patients, to present the influencing factors, and thus to provide more effective rehabilitation in hospitals' inpatient clinics.
Twenty-three stroke patients who received inpatient treatment at Bolu Physical Therapy and Rehabilitation Hospital were retrospectively evaluated in the study. Educational background, occupation, body mass index, symptom duration, etiology, dominant hemisphere, affected hemisphere, comorbid diseases, and Brunnstrom recovery stages (9), Pittsburgh Sleep Quality Index (PSQI) score, Beck Depression Inventory (BDI) score, and Functional Independence Measure score were assessed.
In multivariate linear regression analysis, we found that BDI score (P = .030) and comorbid diseases (P = .040) had the highest effect on change in PSQI.
Depression and comorbid diseases were the most effective factors on poststroke sleep disorder in patients who underwent neurological rehabilitation and they should be managed to increase the efficacy of the neurological rehabilitation.
本研究旨在评估中风患者的睡眠质量，呈现影响因素，从而在医院住院诊所提供更有效的康复治疗。
本研究对在博卢物理治疗与康复医院接受住院治疗的23例中风患者进行了回顾性评估。评估了教育背景、职业、体重指数、症状持续时间、病因、优势半球、患侧半球、合并疾病、布伦斯特伦恢复阶段（9个）、匹兹堡睡眠质量指数（PSQI）评分、贝克抑郁量表（BDI）评分和功能独立性测量评分。
在多变量线性回归分析中，我们发现BDI评分（P = 0.030）和合并疾病（P = 0.040）对PSQI变化的影响最大。
抑郁和合并疾病是接受神经康复治疗的患者中风后睡眠障碍的最有效影响因素，应对其进行处理以提高神经康复的疗效。
