Sleep quality and associated factors of patients with cerebrovascular disease in Trang hospital

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Navamon Sinlabud



Objective: 1) To study sleep quality among patients with cerebrovascular disease at Trang Hospital. 2) To study factors associated with sleep quality of the patients in 1)

Methods: This research uses a cross-sectional survey method to study patients with cerebrovascular disease
at Trang Hospital. The subjects are 129 outpatients of 18 and older at Trang hospital between December 2021 and February 2022. Research instruments are six documents consisting of personal information questionnaire, medical record, Insomnia Severity Index (Thai version), Epworth Sleepiness scale (Thai version), Pittsburgh Sleep Quality Index (Thai version) and Restless Leg Syndrome questionnaire. All data collected are statistically assessed by using a chi-squared test and Spearman’s correlation matrix.

Results: 53.5 percent of the test patients with cerebrovascular disease are poor sleep quality, about 31.8
percent has clinical insomnia, 7.8 percent suffers from mild excessive daytime sleepiness, and 7.8 percent are affected by restless leg syndrome. The three factors implicitly leading to poor sleep quality in the patients are socio-economic problem (P<.001), family history of psychiatric disease (P=.011) and history of psychiatric medication (P=.002). For excessive daytime sleepiness, it is mostly found in the patients with diabetes mellitus (P=.000) and dyslipidemia (P=.012). The Spearman’s correlation matrix indicates that recurrence of cerebrovascular disease is associated with sleep quality.

Conclusion: Socio-economic problem, family history of psychiatric disease or history of psychiatric medication
may cause poor sleep quality in patients with cerebrovascular disease. Furthermore, cerebrovascular disease patients with diabetes mellitus and dyslipidemia are prone to excessive daytime sleepiness. In reverse, poor
sleep quality may result in recurrence of cerebrovascular disease. Knowing the aforementioned factors relevant
to sleep quality is useful for monitoring in-patients with cerebrovascular disease. For those with recurrence of
the disease, their sleep quality should be seriously investigated so as to detect their sleep problems more

Keywords: sleep quality, insomnia, excessive daytime sleepiness, restless leg syndrome, cerebrovascular disease


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How to Cite
Sinlabud, N. (2022). Sleep quality and associated factors of patients with cerebrovascular disease in Trang hospital . Journal of the Psychiatric Association of Thailand, 67(3). Retrieved from
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