Sleep Quality in Thai Patients with Ischemic Stroke
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Abstract
Objective: To evaluate sleep quality after the incidence of ischemic stroke and to investigate the association between sleep quality and demographic and clinical characteristics. Methods: This cross-sectional analytical study collected the data from outpatients with ischemic stroke in stroke and neurology clinic 2 at King Chulalongkorn Memorial Hospital within 12 months post-discharge from the inpatient setting. Sleep quality was assessed using the Thai version of the Pittsburgh Sleep Quality Index (T-PSQI). Results: 206 patients from the total of 360 ischemic stroke patients (57.2%) who had poor sleep quality (T-PSQI >5) with the average T-PSQI score after ischemic stroke of 8.21 ± 2.33.
In the second dimension of the T-PSQI (time taken to fall asleep), score in a worse level was found in 101 patients (28.1%), indicating prolonged sleep onset and being unable to fall asleep within 30 minutes after bedtime. Factors significantly associated with poor sleep quality included a history of sleeping pill use (OR=16.44, P<0.001), score on the modified Rankin Scale (mRS) ≥3 (OR=2.18, P=0.005), and post-stroke depression (PSDS-T score >6) (OR=4.63, P<0.001). Conclusion: 57.2% of ischemic stroke patients had poor sleep quality. Factors associated with poor sleep quality included a history of sleeping pill use, stroke severity (mRS), and post-stroke depression. Therefore, special attention should be given to ischemic stroke patients with the aforementioned factors.
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ผลการวิจัยและความคิดเห็นที่ปรากฏในบทความถือเป็นความคิดเห็นและอยู่ในความรับผิดชอบของผู้นิพนธ์ มิใช่ความเห็นหรือความรับผิดชอบของกองบรรณาธิการ หรือคณะเภสัชศาสตร์ มหาวิทยาลัยสงขลานครินทร์ ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากการพิมพ์ บทความที่ได้รับการเผยแพร่โดยวารสารเภสัชกรรมไทยถือเป็นสิทธิ์ของวารสารฯ
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