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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Poor Sleep Quality I Related to Impaired Functional Status Following Stroke
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Poor Sleep Quality I Related to Impaired Functional Status Following Stroke

机译：睡眠质量不佳，我涉及行程后的功能性质受损

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Introduction: Sleep disorders are more prevalent in patients with previous stroke compared to healthy individuals. The main objective of the present study was to investigate the impact of sleep quality on the functional status of patients with a history of stroke, upon admission to inpatient rehabilitation. Methods: Fifty patients (mean age: 69 +/- 11 years) with previous stroke were consecutively included in this single center cross-sectional observational study upon admission to inpatient rehabilitation. Pittsburgh Sleep Questionnaire Index (PSQI) was calculated for all patients and patients were divided into 2 groups according to PSQI scores (PSQI 5 as poor sleepers). A specialist evaluated the level of muscle spasticity and disability, walking capability, and overall performance of daily activity of all enrolled patients using the functional ambulation scale (FAS) score, modified Brunnstrom Classification, Modified Ashworth scale, and Beck Depression Inventory. Results: The FAS score (3.4 +/- 1.3 versus 1.8 +/- 1.7, P = .004) and Brunnstrom scores of upper limb (3.8 +/- 1.1 versus 2.5 +/- 1.6, P = .005), lower limb (4.3 +/- 1.4 versus 3.1 +/- 1.7, P = .013) and hand (3.6 +/- 1.5 versus 2.3 +/- 1.6, P = .006) were significantly higher in good sleepers than poor sleepers. Linear regression analysis revealed that PSQI score (coefficient beta = -.360, 95% CI: -.212-.032, P = .009) and age (coefficient beta = -.291, 95% CI: .100-.245, P = .032) were independently associated with FAS score. Conclusion: Results of the present study indicate that presence of poor sleep quality is associated with poor functional status which might further impair the outcomes of the rehabilitation and accordingly the health-related quality of life in patients admitted for stroke rehabilitation.
机译：介绍：与健康个体相比，睡眠障碍更普遍。本研究的主要目的是调查睡眠质量对卒中历史患者功能状况的影响，因为入住住院性康复。方法：50例患者（平均年龄：69 +/-11岁）与先前的中风一起纳入本单中心横截面观察研究后，入院康复后。匹兹堡睡眠问卷调查问卷指数（PSQI）是针对所有患者和患者分为2组，根据PSQI分数（PSQI 5作为睡眠者）。专家评估所有注册患者的肌痉挛和残疾水平，步行能力和每日活动的整体性能，使用功能的救护尺度（FAS）得分，改进的Brunnstrom分类，改进的Ashworth Scale以及Beck抑郁症库存。结果：FAS分数（3.4 +/- 1.3与1.8 +/- 1.7，p = .004）和上肢的Brunnstrom分数（3.8 +/- 1.1与2.5 +/- 1.6，p = .005），下肢（4.3 +/- 1.4与3.1 +/- 1.7，p = .013）和手（3.6 +/- 1.5与2.3 +/- 1.6，p = .006）在良好的睡眠者中显着高于贫困睡眠者。线性回归分析显示PSQI评分（系数β= -.360,95％CI：0.212-.032，P = .009）和年龄（系数β= -291,95％CI：.100-.245 ，p = .032）与FAS分数独立相关。结论：本研究结果表明，睡眠质量差的存在与功能状况不佳，可能会进一步损害康复的结果，并因此患有患者的康复康复的患者的健康状生活质量。

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