首页|康复期脑卒中患者日间过度嗜睡现状及影响因素研究

康复期脑卒中患者日间过度嗜睡现状及影响因素研究

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目的 调查康复期脑卒中患者日间过度嗜睡行为现状及影响因素.方法 便利选取189例康复期脑卒中患者作为调查对象,使用一般资料调查表、Epworth嗜睡量表、匹兹堡睡眠指数量表、美国国立卫生研究院卒中量表、汉密顿抑郁量表及中风后身体活动障碍量表进行调查.结果 康复期脑卒中患者Epworth嗜睡量表得分为10.00(6.00,14.00)分,日间过度嗜睡发生率为57.67%.多元线性回归分析结果显示,年龄、合并症数量、睡眠质量、神经功能以及抑郁程度是康复期脑卒中患者日间过度嗜睡的主要影响因素(均P<0.05),可解释日间过度嗜睡总变异的31.30%.结论 康复期脑卒中患者日间过度嗜睡水平较高,医护人员可结合相应影响因素制定针对性干预措施,以减少患者日间过度嗜睡行为发生.
Excessive daytime sleepiness and its influencing factors in stroke patients during re-habilitation
Objective To investigate the current status and influencing factors of excessive daytime sleepiness in stroke patients du-ring rehabilitation.Methods A total of 189 stroke patients during rehabilitation were conveniently selected,then they were surveyed by using a general information questionnaire,the Epworth Sleepiness Scale(ESS),the Pittsburgh Sleep Quality Index(PSQI),the National Institutes of Health Stroke Scale(NIHSS),the Hamilton Depression Scale(HAMD),and the Barriers to Physical Activity after Stroke Scale(BAPAS).Results The ESS score of the participants was 10.00(6.00,14.00),and the prevalence of ex-cessive daytime sleepiness was 57.67%.Multiple linear regression analysis showed that,age,number of comorbidities,the scores of PSQI,PSQI and HAMD were the main influencing factors of excessive daytime sleepiness in stroke patients during rehabilita-tion(all P<0.05),which explained 31.30%of the total variance.Conclusion The level of excessive daytime sleepiness in stroke patients during rehabilitation is high.Medical staff can develop targeted intervention measures based on the influencing factors,so as to reduce the occurrence of excessive daytime sleepiness in stroke patients.

strokerehabilitation periodexcessive daytime sleepinesssleep disorderquality of sleepneurological func-tiondepressionmotor dysfunction

田玲玲、谌秘、邹田子

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西安交通大学第一附属医院护理部(陕西西安,710061)

南昌大学第四附属医院教务科

南昌大学第一附属医院康复医学科

脑卒中 康复期 日间过度嗜睡 睡眠障碍 睡眠质量 神经功能 抑郁 活动障碍

江西省教育厅科学技术研究项目

170139

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(15)
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