脑卒中后失眠现状及影响因素分析

Analysis of the Current Situation and Influencing Factors of Insomnia after Stroke

摘要: 目的：探讨脑卒中后失眠患者的现状及相关因素对失眠的影响，为防治和护理脑卒中后失眠患者提供相关依据。方法：基于医院住院患者病历系统，选取2023年10月至2024年8月于贵州某三甲医院就诊的120例脑卒中患者作为研究对象，收集脑卒中患者的一般资料、失眠情况及相关疾病情况，采用多因素Logistic回归分析探究脑卒中后失眠的影响因素。结果：研究结果显示120例脑卒中患者的失眠发生率为60.83%，其中高血压[OR = 0.175, 95% CI (0.175, 0.872)]、冠心病[OR = 0.106, 95% CI (0.113, 0.871)]、偏瘫[OR = 4.849, 95% CI (0.439, 53.532)]、失语[OR = 0.322, 95% CI (0.190, 5.414)]是脑卒中失眠的主要影响因素(P < 0.05)。结论：针对高血压、冠心病、偏瘫、失语等危险因素进行针对性治疗和护理，从而有效预防和改善脑卒中失眠患者的睡眠质量，促进疾病康复。

Abstract: Objective: To explore the current situation of post-stroke insomnia patients and the impact of related factors on insomnia, and provide relevant basis for the prevention, treatment and nursing of post-stroke insomnia patients. Method: Based on the hospital's inpatient medical record system, 120 stroke patients who visited a tertiary hospital in Guizhou from October 2023 to August 2024 were selected as the research subjects. General information, insomnia status, and related disease status of stroke patients were collected, and multiple logistic regression analysis was used to explore the influencing factors of post-stroke insomnia. Result: The research results showed that the incidence of insomnia in 120 stroke patients was 60.83%, among which hypertension [OR = 0.175, 95% CI (0.175, 0.872)], coronary heart disease [OR = 0.106, 95% CI (0.113, 0.871)], hemiplegia [OR = 4.849, 95% CI (0.439, 53.532)], and aphasia [OR = 0.322, 95% CI (0.190, 5.414)] were the main influencing factors of insomnia in stroke patients (P < 0.05). Conclusion: Targeted treatment and nursing for risk factors such as hypertension, coronary heart disease, hemiplegia, and aphasia can effectively prevent and improve the sleep quality of stroke insomnia patients and promote disease recovery.