Poor sleep quality and its determinants among stroke survivors in Northwest Ethiopia
Abstract Sleep disorders are highly prevalent and linked bidirectionally to stroke as risk factors for stroke to worsen the outcomes. To date, most of the studies on post-stroke sleep were conducted in Western countries. Quality of sleep among stroke patients is masked by other physical and medical...
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Nature Portfolio
2025-03-01
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| author | Gashaw Walle Ayehu Assefa Agegnehu Teshome Nega Dagnew Baye Getachew Yideg Yitbarek Abraham Tsedalu Amare Aragaw Tesfaw Sintayehu Asnakew Daniel Atlaw |
| author_facet | Gashaw Walle Ayehu Assefa Agegnehu Teshome Nega Dagnew Baye Getachew Yideg Yitbarek Abraham Tsedalu Amare Aragaw Tesfaw Sintayehu Asnakew Daniel Atlaw |
| author_sort | Gashaw Walle Ayehu |
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| description | Abstract Sleep disorders are highly prevalent and linked bidirectionally to stroke as risk factors for stroke to worsen the outcomes. To date, most of the studies on post-stroke sleep were conducted in Western countries. Quality of sleep among stroke patients is masked by other physical and medical complications and limited attention is given in Ethiopia. To address this gap the current study aims to estimate the incidence of poor sleep quality and its determinants among stroke survivors in Northwest Ethiopia. A prospective cohort study was conducted in three public referral hospitals from June 2022 to December 2022. The study included 403 stroke survivors at the three-month follow-up. We conducted analyses of bivariable and multivariable logistic regression to look into the relationship between the outcome and the explanatory variables. Statistics were given as odds ratios and 95% confidence intervals, with a significance level of p < 0.05. The overall incidence of poor sleep quality was 50.1%, with a mean Global Sleep Quality (GSQ score) of 5.15 (SD ± 0.16). According to Pittsburgh Sleep Quality Index (PSQI) data, the mean sleep hour was 6.15. History of alcohol consumption, complications during admission, and time between the onset of symptoms and hospital arrival were predictors of sleep quality. Sleep quality was observed in half of stroke survivors. The study’s findings point to the significance of screening for sleep quality following a stroke and further research is needed including admitted and non-admitted stroke patients. |
| format | Article |
| id | doaj-art-aba20293ea5441a189ef1fb9f380c10c |
| institution | OA Journals |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-03-01 |
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| spelling | doaj-art-aba20293ea5441a189ef1fb9f380c10c2025-08-20T01:57:49ZengNature PortfolioScientific Reports2045-23222025-03-011511810.1038/s41598-025-92340-xPoor sleep quality and its determinants among stroke survivors in Northwest EthiopiaGashaw Walle Ayehu0Assefa Agegnehu Teshome1Nega Dagnew Baye2Getachew Yideg Yitbarek3Abraham Tsedalu Amare4Aragaw Tesfaw5Sintayehu Asnakew6Daniel Atlaw7Department of Biomedical Sciences, College of Health Science, Debre Tabor UniversityDepartment of Biomedical Sciences, College of Health Science, Debre Tabor UniversityDepartment of Biomedical Sciences, College of Health Science, Debre Tabor UniversityDepartment of Biomedical Sciences, College of Health Science, Debre Tabor UniversityDepartment of Adult Health Nursing, College of Health Science, Debre Tabor UniversityDepartment of Public Health, College of Health Science, Debre Tabor UniversityDepartment of Psychiatry, School of Medicine, College of Health Science, Debre Tabor UniversityDepartment of Biomedical Sciences, Goba Referral Hospital, Madda Walabu UniversityAbstract Sleep disorders are highly prevalent and linked bidirectionally to stroke as risk factors for stroke to worsen the outcomes. To date, most of the studies on post-stroke sleep were conducted in Western countries. Quality of sleep among stroke patients is masked by other physical and medical complications and limited attention is given in Ethiopia. To address this gap the current study aims to estimate the incidence of poor sleep quality and its determinants among stroke survivors in Northwest Ethiopia. A prospective cohort study was conducted in three public referral hospitals from June 2022 to December 2022. The study included 403 stroke survivors at the three-month follow-up. We conducted analyses of bivariable and multivariable logistic regression to look into the relationship between the outcome and the explanatory variables. Statistics were given as odds ratios and 95% confidence intervals, with a significance level of p < 0.05. The overall incidence of poor sleep quality was 50.1%, with a mean Global Sleep Quality (GSQ score) of 5.15 (SD ± 0.16). According to Pittsburgh Sleep Quality Index (PSQI) data, the mean sleep hour was 6.15. History of alcohol consumption, complications during admission, and time between the onset of symptoms and hospital arrival were predictors of sleep quality. Sleep quality was observed in half of stroke survivors. The study’s findings point to the significance of screening for sleep quality following a stroke and further research is needed including admitted and non-admitted stroke patients.https://doi.org/10.1038/s41598-025-92340-xPoor sleep qualityDeterminantsStroke survivors |
| spellingShingle | Gashaw Walle Ayehu Assefa Agegnehu Teshome Nega Dagnew Baye Getachew Yideg Yitbarek Abraham Tsedalu Amare Aragaw Tesfaw Sintayehu Asnakew Daniel Atlaw Poor sleep quality and its determinants among stroke survivors in Northwest Ethiopia Scientific Reports Poor sleep quality Determinants Stroke survivors |
| title | Poor sleep quality and its determinants among stroke survivors in Northwest Ethiopia |
| title_full | Poor sleep quality and its determinants among stroke survivors in Northwest Ethiopia |
| title_fullStr | Poor sleep quality and its determinants among stroke survivors in Northwest Ethiopia |
| title_full_unstemmed | Poor sleep quality and its determinants among stroke survivors in Northwest Ethiopia |
| title_short | Poor sleep quality and its determinants among stroke survivors in Northwest Ethiopia |
| title_sort | poor sleep quality and its determinants among stroke survivors in northwest ethiopia |
| topic | Poor sleep quality Determinants Stroke survivors |
| url | https://doi.org/10.1038/s41598-025-92340-x |
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