北苏拉威西沿海地区急性脑卒中患者的睡眠质量与认知障碍

Sekplin A. S. Sekeon, Finny Warouw, E. Mantjoro, Junita M. P. Sampoerno
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摘要

背景:睡眠质量被认为是脑卒中的非传统危险因素之一。认知障碍在中风幸存者中很普遍。关于印度尼西亚东部沿海地区中风患者睡眠质量与认知障碍之间关系的数据有限。本研究的目的是分析北苏拉威西沿海地区急性中风患者的睡眠质量与认知障碍之间的关系。对象和方法:这是一项基于医院的横断面研究,于2018年5月至6月在万鸦老R. D. Kandou总医院进行。本研究选取了39例急性脑卒中患者,并制定了一定的入选标准。因变量为认知障碍,采用Mini Mental Status Examination (MMSE)测量。自变量为匹兹堡睡眠质量指数(PSQI)测量的睡眠质量。通过病史、体格检查和神经影像学检查诊断卒中。数据分析采用卡方检验,奇数比作为相关性的度量。结果:样本特征如下:年龄(Mean= 59.10;SD= 10.43),男性(51.3%),高中(48.7%),家庭主妇(25.6%),居住在万鸦老(61.5%),卒中前一个月睡眠质量差(79.5%),卒中后认知障碍(53.8%)。睡眠质量差的中风患者发生认知障碍的可能性是睡眠质量好的中风患者的2.3倍(OR= 2.30;95%CI= 0.46 ~ 11.42;p = 0.290)。结论:北苏拉威西沿海地区急性脑卒中患者睡眠质量较差。急性脑卒中患者睡眠质量与认知障碍之间存在相关性,但无统计学意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sleep Quality and Cognitive Disorder among Acute Stroke Patients from Coastal Areas in North Sulawesi
Background: Sleep quality is considered as one of the non-conventional risk factors for stroke. Cognitive disorder is prevalent among stroke survivors. There is limited data on the association between sleep quality and cognitive disorder among stroke patients from coastal eastern part of Indonesia. The objective of the study was to analyze the association between sleep quality and cognitive disorder among acute stroke patients from coastal areas in North Sulawesi. Subjects and Method: This was a hospital-based cross-sectional study carried out at Prof. dr. R. D. Kandou General Hospital of Manado, from May to June 2018. A sample of 39 acute stroke patients were selected for this study with some eligibility criteria. The dependent variable was cognitive disorder measured by Mini Mental Status Examination (MMSE). The independent variable was sleep quality measured by the Pittsburg Sleep Quality Index (PSQI). Stroke was diagnosed from history taking, physical examination, and neuroimaging study. The data were analyzed by chi square test and Odd Ratio as the measure of association. Results: Sample characteristics were as follows: Age (Mean= 59.10; SD= 10.43), male (51.3%), high school (48.7%), homemaker/housewife (25.6%), residence in Manado (61.5%), poor sleep quality a month prior to stroke (79.5%), cognitive disorder after stroke (53.8%). Stroke patients with poor sleep quality were 2.3 times more likely to experience cognitive disorder than counterparts with good quality of sleep (OR= 2.30; 95%CI= 0.46 to 11.42; p= 0.290). Conclusion: Majority of acute stroke patients from coastal areas in North Sulawesi experience poor sleep quality. There is an association between sleep quality and cognitive disorder among acute stroke patients, but it is not statistically significant.
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