| Clinical Characteristics of Sleep disorder in Patient after Hemorrhagic Stroke |
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Kyoung Hee Lee1 , Hyun Park2 , Cheol Soon Lee3 , Chul Hee Lee1 , In Sung Park1,4 , Jong Woo Han1 |
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Departments of 1Neurosurgery and 3Psychiatry Gyeongsang National University School of Medicine
and Gyeongsang National University Hospital, Jinju,
2Department of Neurosurgery Gyeongsang National University School of Medicine
and Gyeongsang National University Changwon Hospital, Changwon,
4Gyeongsang Institute of Health Science, Jinju, Korea |
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| Abstract |
Objective
In hemorrhagic stroke survivors, disturbed sleep is a common symptom. However, only a few studies have determined the quality of sleep in hemorrhagic stroke patients. The purpose of this study was to investigate the relationship between sleep disturbances or daytime sleepiness and clinical characteristics of hemorrhagic stroke patients.
Methods
Comprehensive surveys of clinical and psychiatric assessments were performed in 27 hemorrhagic stroke patients who were admitted to Department of Neurosurgery. Pittsburgh sleep quality index (PSQI) was used to evaluate the quality of sleep. Other rating scales such as Hamilton rating scale for anxiety (HAS), Hamilton rating scale for depression (HRSD), Modified Barthel Index, and Korean Mini‐Mental State Examination (KMMSE) were also used to examine the clinical characteristics of patients.
Results
Of the 27 hemorrhagic stroke patients interviewed, 23 (85.2%) were poor sleepers (global PSQI score >5). In partial correlation test, poor sleepers were significantly associated with anxiety (r=0.689, p<0.05) and depression (r=0.666, p<0.05). In multivariate logistic regression analysis, sleep efficiency (OR=46.66, p=0.01) was the only significant predictor of poor sleep compared to other factors including age, sex, HAS, HRDS, interval after stroke, KMMSE, and other factor of PSQI.
Conclusion
In hemorrhagic stroke patients, sleep disorders can affect the quality of life. It is important to assess depression and sleep efficiency when patients with hemorrhagic stroke show decreased quality of sleep. Further studies are needed to find the relation between sleep efficiency and other clinical factors. |
| Key Words:
Hemorrhagic stroke, Sleep disorder, Depression, Anxiety |
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