Babkair Lisa A, Huri Hanadi, Alharbi Walaa, Turkistani Yara, Alaslani Ruba, Alandijani Nisreen, Hakami Fatimah Hamad
Faculty of Nursing, King AbdulAziz University, Jeddah 21589, Saudi Arabia.
King Abdullah Medical Complex, Jeddah 23816, Saudi Arabia.
Healthcare (Basel). 2023 Dec 26;12(1):58. doi: 10.3390/healthcare12010058.
Stroke is a serious health problem that can lead to the development of depressive symptoms, sleep disturbances, and functional dependence in stroke survivors. The change in stroke survivors' quality of life results in negative health outcomes for stroke survivors and caregivers. This study aims to investigate the association between sleep quality and depressive symptoms among stroke survivors and caregivers in Saudi Arabia.
A cross-sectional design was used to collect data from 100 stroke survivors and 80 caregivers using the patient health questionnaire and Pittsburgh Sleep Quality Index.
43% of the stroke survivors reported depressive symptoms and 65% had poor sleep quality; 21% of the caregivers reported depressive symptoms and 46% reported poor sleep quality. A strong association between sleep quality and depressive symptoms was detected for the stroke survivors and caregivers: ( = 0.885, < 0.001); ( = 0.669, < 0.001), respectively. A strong association was found between caregivers' depressive symptoms and patient post-stroke depressive symptoms (r = 0.502, < 0.001). A moderate association was found between stroke survivors' sleep quality and caregivers' sleep quality ( = 0.407, < 0.001). There was a moderate association between stroke survivors' depressive symptoms and caregivers' sleep quality ( = 0.456, < 0.001). Moreover, there was a moderate association between stroke survivors' sleep quality and caregivers' depressive symptoms ( = 0.492, < 0.001).
Poor sleep quality and depressive symptoms are common among stroke survivors and caregivers. This study found an association between the two variables. Therefore, depressive symptoms and sleep disturbances in stroke survivors and caregivers should receive more attention. Future research should focus on an interventional study to enhance sleep quality and decrease the risk of depressive symptoms.
中风是一个严重的健康问题，可导致中风幸存者出现抑郁症状、睡眠障碍和功能依赖。中风幸存者生活质量的变化会给中风幸存者及其照顾者带来负面的健康结果。本研究旨在调查沙特阿拉伯中风幸存者及其照顾者的睡眠质量与抑郁症状之间的关联。
采用横断面设计，使用患者健康问卷和匹兹堡睡眠质量指数从100名中风幸存者和80名照顾者中收集数据。
43%的中风幸存者报告有抑郁症状，65%睡眠质量差；21%的照顾者报告有抑郁症状，46%报告睡眠质量差。中风幸存者及其照顾者的睡眠质量与抑郁症状之间存在强关联：（=0.885，<0.001）；（=0.669，<0.001），分别。照顾者的抑郁症状与患者中风后的抑郁症状之间存在强关联（r = 0.502，<0.001）。中风幸存者的睡眠质量与照顾者的睡眠质量之间存在中度关联（=0.407，<0.001）。中风幸存者的抑郁症状与照顾者的睡眠质量之间存在中度关联（=0.456，<0.001）。此外，中风幸存者的睡眠质量与照顾者的抑郁症状之间存在中度关联（=0.492，<0.001）。
睡眠质量差和抑郁症状在中风幸存者及其照顾者中很常见。本研究发现了这两个变量之间的关联。因此，中风幸存者及其照顾者的抑郁症状和睡眠障碍应得到更多关注。未来的研究应侧重于干预性研究，以提高睡眠质量并降低抑郁症状的风险。
