Post-stroke insomnia in community-dwelling patients with chronic motor stroke: Physiological evidence and implications for stroke care (original) (raw)

Sleep-Wake Patterns during the Acute Phase after First-Ever Stroke

This study describes the pattern of day and night sleep and explores relationships between these patterns and sociodemographic and clinical factors as well as sleep environmental context and the patient's subjective sleep quality. Data from 110 patients with first-ever stroke was collected by structured interview surveys, medical record, and objective estimated sleep data from wrist actigraphy. The variability in estimated sleep is large. Half the patients slept either <6 hours or >8 hours per night, and 78% had more than nine awakenings per night. Men slept less than women, and patients sleeping at home had fewer awakenings than those who slept in hospital. It was estimated sleep during daytime in all, except 4, patients. Longer stay in hospital was related to more daytime sleep, and the subjective sleep quality correlated with estimated sleep time, wake time, and wake percentage

TYPES OF SLEEP DISORDERS IN PATIENTS WITH STROKE- A PROSPECTIVE OBSERVATIONAL COHORT STUDY IN A TERTIARY CARE TEACHING HOSPITAL

A sleep disorder, or somnipathy, is a slowly growing medical disorder of the sleep patterns of a person or animal. Some sleep disorders are serious enough to interfere with normal physical, mental, social and emotional functions. Sleep disorders majorly observed in the patients with stroke, people age 50 and above. The methodology of this study involves, the subjects who satisfy the study category are taken into study and patient consent form was taken. Subject information was collected using data collection forms and details of the study were secured. Later the standard questionnaires are asked and filled before and after the treatment. The collected data from the subjects with the help of questionnaires are assessed to determine the type of sleep disorders in subjects who are newly diagnosed with stroke (both ischemic and haemorrhagic). Results obtained in our study concludes that Snoring is the most common type sleep disorder in patients with stroke followed by Day time sleepiness followed by Sleep talking followed by Sleep apnoea followed by Night terrors followed by Sleep paralysis followed by Bruxism, Restless leg syndrome, Nightmares and Narcolepsy. However, sleep disorders are self-limiting in the early stages, so by educating bringing awareness about medication usage, lifestyle modification, dietary modifications, sleep hygiene and by counselling and providing patient information leaflets we observed there is a gradual decrease in symptoms. Increasing awareness and improving screening for sleep disorders plays a key role in the primary and secondary prevention of stroke and in improving stroke outcomes. [2][3]