Williams-Cooke Cierra, Watts Elise, Bonnett Jonathan, Alshehri Mohammed, Siengsukon Catherine
Department of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, Kansas City, KS.
Rehabilitation Department, St. Luke's Hospital, Kansas City, MO.
Arch Rehabil Res Clin Transl. 2021 Jul 26;3(3):100150. doi: 10.1016/j.arrct.2021.100150. eCollection 2021 Sep.
To describe the change in sleep duration during inpatient rehabilitation and to determine if sleep quality and sleep duration is associated with functional disability for individuals after stroke. It was hypothesized that participants who experienced optimal sleep during inpatient rehabilitation would have greater functional ability at discharge.
Longitudinal observation study.
Inpatient rehabilitation unit at a large, urban hospital.
Thirty-seven individuals with acute stroke (N=37; mean age, 62.5±11.8y, male=20, female=17) were recruited from September 2018 to September 2019. Participants were invited to participate in the study by clinical personnel associated with their usual care as they were admitted to inpatient rehabilitation.
Not applicable.
Participants were asked to wear an actigraph for the duration of their rehabilitation program to assess sleep. The first 3 nights of actigraphy data were averaged to obtain total sleep time (TST) and sleep efficiency (SE) at admission, and the last 3 nights were averaged for TST and SE at discharge. Functional disability (primary outcome was FIM) at admission and discharge was gathered from the participants' medical records. One-way analysis of variance and chi-square analyses assessed for group differences, and regression modeling was used to determine if sleep was associated with functional ability at discharge.
Sixteen participants (43%) were categorized as "good sleepers" and 21 (57%) were "poor sleepers" based on their TST at admission. Of the poor sleepers, 14 participants (66%) remained short duration sleepers (<7h at admission and discharge). Sleep outcomes did not significantly predict FIM score at discharge.
Most participants had less than optimal sleep duration during inpatient rehabilitation. Efforts may be warranted to optimize sleep during inpatient rehabilitation.
描述住院康复期间睡眠时间的变化，并确定中风患者的睡眠质量和睡眠时间是否与功能残疾相关。研究假设为，在住院康复期间经历最佳睡眠的参与者在出院时将具有更强的功能能力。
纵向观察研究。
一家大型城市医院的住院康复科。
2018年9月至2019年9月招募了37名急性中风患者（N = 37；平均年龄62.5±11.8岁，男性20名，女性17名）。参与者在入住住院康复科时，由负责其常规护理的临床人员邀请参与本研究。
不适用。
要求参与者在整个康复计划期间佩戴活动记录仪以评估睡眠情况。活动记录仪数据的前3个晚上的平均值用于获取入院时的总睡眠时间（TST）和睡眠效率（SE），最后3个晚上的平均值用于获取出院时的TST和SE。从参与者的病历中收集入院和出院时的功能残疾情况（主要结局指标为FIM）。采用单因素方差分析和卡方分析评估组间差异，并使用回归模型确定睡眠是否与出院时的功能能力相关。
根据入院时的TST，16名参与者（43%）被归类为“睡眠良好者”，21名（57%）为“睡眠不佳者”。在睡眠不佳者中，14名参与者（66%）出院时仍为短睡眠者（入院和出院时均<7小时）。睡眠结局并未显著预测出院时的FIM评分。
大多数参与者在住院康复期间的睡眠时间未达到最佳。可能需要努力优化住院康复期间的睡眠。
