The Association between Sleep Quality and Depressive Symptoms among Stroke Survivors and Caregivers
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Participants
2.2. Measurement Tools
2.2.1. Sociodemographic Questionnaire
2.2.2. Patient Health Questionnaire (PHQ-9)
2.2.3. Pittsburgh Sleep Quality Index (PSQI)
2.3. Data Collection Procedures
2.4. Statistical Analysis
3. Results
4. Discussion
4.1. Limitation of the Study
4.2. Implications and Recommendations for Nursing Practice
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Characteristics | Patients N = 100 N (%) | Caregivers N = 80 N (%) | |
---|---|---|---|
Sex | Male | 59 (59) | 35 (43.8) |
Female | 41 (41) | 45 (46.3) | |
Nationality | Saudi | 89 (89) | 69 (86.3) |
Non-Saudi | 11 (11) | 11(13.8) | |
Marital Status | Married | 66 (66) | 49 (61.3) |
Single | 11 (11) | 25 (31.3) | |
Widowed | 13 (13) | 3 (3.8) | |
Divorced | 10 (10) | 3 (3.8) | |
Education | Elementary school | 16 (16) | 2 (2.5) |
Middle school | 17 (17) | 3 (3.8) | |
High school | 35 (35) | 20 (25) | |
University | 16 (16) | 46 (57.5) | |
Higher degree | 3 (3) | 5 (6.3) | |
Other | 13 (13) | 4 (5) | |
Employment | Employed | 26 (26) | 46 (57.5) |
Unemployed | 16 (16) | 10 (12.5) | |
Retired | 26 (26) | 10 (12.5) | |
Housewife | 32 (32) | 14 (17.5) | |
Monthly salary (Saudi riyal) | <2000 | 19 (19) | 5 (6.3) |
2000–5000 | 17 (17) | 19 (23.8) | |
5000–10,000 | 14 (14) | 22 (27.5) | |
>10,000 | 13 (13) | 18 (22.5) | |
Do not know | 37 (37) | 16 (20) | |
City | Jeddah | 92 (92) | 72 (90) |
Makkah | 3 (3) | - | |
Other | 5 (5) | 8 (10) | |
Relation to patient | Father | - | 27 (33.8) |
Mother | - | 29 (36.3) | |
Spouse | - | 12 (15) | |
Sibling | - | 7 (8.8) | |
Other | - | 5 (6.3) | |
Hospital | KFGH | 55 (55) | - |
KAMC | 45 (45) | - | |
Stroke duration | <Year | 30 (30) | - |
One year | 26 (26) | - | |
>Year | 44 (44) | - |
Characteristics | Patients N = 100 N (%) | Caregivers N = 80 N (%) |
---|---|---|
Diabetes Mellitus | 60 (60) | 13 (16.3) |
Hypertension | 65 (65) | 20 (25) |
Heart disease | 16 (16) | 7 (8.8) |
Kidney disease | 6 (6) | 1 (1.3) |
Hyperlipidemia | 35 (35) | 9 (11.3) |
Obesity | 8 (8) | 2 (2.5) |
Smoking | 16 (16) | 15 (18.8) |
History of stroke | 18 (18) | - |
Other | 7 (7) | 4 (5) |
Patient N (%) | Caregiver N (%) | ||
---|---|---|---|
PHQ-9 severity | 0–4 None | 27 (27) | 29 (36.3) |
5–9 Mild | 23 (23) | 28 (35) | |
10–14 Moderate | 30 (30) | 13 (16.3) | |
15–19 Moderately Severe | 14 (14) | 10 (12.5) | |
20–27 Severe | 6 (6) | 0 |
Patient | Caregiver | |||||||
---|---|---|---|---|---|---|---|---|
Minimum | Maximum | Mean | SD | Minimum | Maximum | Mean | SD | |
PSQI | 0 | 17 | 7.85 | 3.622 | 0 | 14 | 6.16 | 3.046 |
PHQ-9 | 0 | 23 | 9.56 | 5.823 | 0 | 19 | 6.96 | 4.753 |
Score | Patient N (%) | Caregivers N (%) | |
---|---|---|---|
PHQ-9 | ≥10 | 43 (43) | 17 (21.3) |
<10 | 57 (57) | 63 (78.8) | |
PQSI | >5 | 65 (65) | 37 (46.3) |
<5 | 35 (35) | 42 (52.5) |
1 | 2 | 3 | 4 | |
---|---|---|---|---|
1—PHQ-9 for patient | - | |||
2—PSQI for patient | 0.885 ** | - | ||
3—PHQ-9 for caregivers | 0.502 ** | 0.492 ** | - | |
4—PSQI for caregivers | 0.456 ** | 0.407 ** | 0.669 ** | - |
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Babkair, L.A.; Huri, H.; Alharbi, W.; Turkistani, Y.; Alaslani, R.; Alandijani, N.; Hakami, F.H. The Association between Sleep Quality and Depressive Symptoms among Stroke Survivors and Caregivers. Healthcare 2024, 12, 58. https://doi.org/10.3390/healthcare12010058
Babkair LA, Huri H, Alharbi W, Turkistani Y, Alaslani R, Alandijani N, Hakami FH. The Association between Sleep Quality and Depressive Symptoms among Stroke Survivors and Caregivers. Healthcare. 2024; 12(1):58. https://doi.org/10.3390/healthcare12010058
Chicago/Turabian StyleBabkair, Lisa A., Hanadi Huri, Walaa Alharbi, Yara Turkistani, Ruba Alaslani, Nisreen Alandijani, and Fatimah Hamad Hakami. 2024. "The Association between Sleep Quality and Depressive Symptoms among Stroke Survivors and Caregivers" Healthcare 12, no. 1: 58. https://doi.org/10.3390/healthcare12010058
APA StyleBabkair, L. A., Huri, H., Alharbi, W., Turkistani, Y., Alaslani, R., Alandijani, N., & Hakami, F. H. (2024). The Association between Sleep Quality and Depressive Symptoms among Stroke Survivors and Caregivers. Healthcare, 12(1), 58. https://doi.org/10.3390/healthcare12010058