School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Department of Nursing, Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Sleep Breath. 2024 Nov 25;29(1):5. doi: 10.1007/s11325-024-03200-3.
Post-stroke depression (PSD) and post-stroke sleep disorders (PSSD) are common concurrent symptoms in post-stroke patients, and their early detection may have an impact on stroke recovery and prognosis. The purpose of this study is to determine the relationship between PSD and PSSD.
We systematically searched PubMed, Embase, Web of Science, Cochrane Library, APA PsycInfo, Medline, Scopus, Technology Periodical Database (VIP), China Biology Medicine (CBM), China National Knowledge Infrastructure (CNKI), and WanFang Data databases for studies on the association between PSD and PSSD, with a search timeframe ranging from database construction to May 9, 2024, two researchers independently performed literature search, screening and quality assessment, and RevMan (version 5.4) and Stata (version 15.1) software were used for statistical analysis.
We included 16 studies, nine in Chinese and seven in English, with 2,284 stroke patients. The results showed that the pooled Fisher's Z was 0.58 (95% CI = 0.52-0.65, P < 0.00001). After data transformation, the pooled r-value was 0.52, indicating a positive correlation between PSD and PSSD.
The available evidence suggested that PSD was positively correlated with PSSD. Given the correlation between PSD and PSSD, alleviating PSSD may reduce the incidence of PSD, and improving PSD may also improve patients' sleep quality.
脑卒中后抑郁（PSD）和脑卒中后睡眠障碍（PSSD）是脑卒中患者常见的并存症状，早期发现可能对脑卒中的恢复和预后产生影响。本研究旨在探讨 PSD 与 PSSD 的关系。
我们系统地检索了 PubMed、Embase、Web of Science、Cochrane 图书馆、APA PsycInfo、Medline、Scopus、中国科技期刊数据库（VIP）、中国生物医学文献数据库（CBM）、中国知网（CNKI）和万方数据知识服务平台，检索时限均从数据库建库至 2024 年 5 月 9 日，两名研究人员独立进行文献检索、筛选和质量评估，采用 RevMan（版本 5.4）和 Stata（版本 15.1）软件进行统计分析。
共纳入 16 项研究，其中中文 9 项，英文 7 项，共纳入 2284 例脑卒中患者。结果显示，合并 Fisher Z 值为 0.58（95%CI=0.52-0.65，P<0.00001）。经数据转换后，合并 r 值为 0.52，表明 PSD 与 PSSD 呈正相关。
现有证据表明 PSD 与 PSSD 呈正相关。鉴于 PSD 与 PSSD 之间的相关性，缓解 PSSD 可能会降低 PSD 的发生率，改善 PSD 也可能改善患者的睡眠质量。
