Liu Wei, Liu Xingyue, Wang Jian, Peng Shuzhi, Li Jie, Pei Mengyun, Qiu Zhichao, Zhang Peng
General Medical Department, Lianyang Community Health Service Center, Shanghai, China.
School of Health and Social Care, Shanghai urban construction vocational college, Shanghai, China.
J Stroke Cerebrovasc Dis. 2023 Nov;32(11):107368. doi: 10.1016/j.jstrokecerebrovasdis.2023.107368. Epub 2023 Sep 22.
Sleep and psychological disorders are common complaints in stroke survivors. The effectiveness of sleep duration in post-stroke on mental well-being and health outcomes has been reported recently. This study aimed to investigate the mediating effect of sleep duration on the relationship between anxiety and health-related quality of life in Chinese post-stroke; MATERIALS AND METHODS: We conducted a quantitative, cross-sectional study with participants recruited through a multistage, stratified, probability proportional to size sampling method. Anxiety, health-related quality of life, and sleep duration were measured by Zung Self-rating Anxiety Scale, World Health Organization Quality of Life Questionnaire, and a self-administered, structured questionnaire. A multiple linear regression analysis was conducted to identify the association between anxiety, sleep duration, and quality of life. The direct and indirect effects of sleep duration on health-related quality of life was assessed using the bootstrap method via Model 4 (parallel mediation) of SPSS PROCESS macro; RESULTS: A total of 856 post-stroke patients participated in the study, and incidence of anxiety symptom amongst post-stroke was 33.53%. Sleep duration mainly plays partial mediating roles in the relationship between mild-to-moderate anxiety and quality of life in physical, psychological, and environment domains, with sleep duration of 7-8h playing a major role; CONCLUSIONS: A significant relationship among anxiety, sleep duration, and quality of life in post-stroke was found in this study. The sleep duration partially mediated the association between anxiety and quality of life. Suitable prevention methods and early interventions for sleep duration may improve the quality of life for post-stroke anxiety.
睡眠和心理障碍是中风幸存者常见的问题。近期有研究报道了中风后睡眠时间对心理健康和健康结局的影响。本研究旨在探讨睡眠时间在中国中风患者中对焦虑与健康相关生活质量关系的中介作用；材料与方法：我们采用多阶段、分层、按规模大小概率抽样的方法招募参与者，进行了一项定量横断面研究。焦虑、健康相关生活质量和睡眠时间分别通过zung自评焦虑量表、世界卫生组织生活质量问卷和一份自行填写的结构化问卷进行测量。采用多元线性回归分析确定焦虑、睡眠时间和生活质量之间的关联。通过SPSS PROCESS宏的模型4（平行中介）使用自助法评估睡眠时间对健康相关生活质量的直接和间接影响；结果：共有856名中风后患者参与本研究，中风后焦虑症状发生率为33.53%。睡眠时间在轻度至中度焦虑与身体、心理和环境领域生活质量的关系中主要起部分中介作用，其中7 - 8小时的睡眠时间起主要作用；结论：本研究发现中风后焦虑、睡眠时间和生活质量之间存在显著关系。睡眠时间部分中介了焦虑与生活质量之间的关联。针对睡眠时间的适当预防方法和早期干预可能会改善中风后焦虑患者的生活质量。
