Chulalongkorn Medical Journal


Background: Stroke is one of the leading causes of death and serious long-term disability worldwide. A common consequence of stroke is reduced quality of sleep. Objective: To study the quality of sleep in patients with stroke, related factors and the compatibility of wearable tracker device for collecting sleep data. Methods: This cross-sectional study included 66 subjects with stroke at Phramongkutklao Hospital using questionnaires including demographic questions, sleep quality assessment (PSQI), and the satisfaction of Wearable tracker tool assessments. Each subject received a wearable tracker to examine the sleep quality. Results: According to the PSQI assessment, the majority of subjects had poor sleep quality or insomnia (93.9%). Factors related to sleep quality included level of education, sleep range, time to go bed time after 12:00 am, waking time during 4:00 am - 06:00 am, and deep sleep time, duration of stroke suffering for more than 1 week, and use of antidiabetic drugs. According to the use of wearable tracker tool, total sleep duration and deep sleep duration were significantly correlated with PSQI, and the acceptability of the device was good. Conclusion: The majority of the subjects had poor sleep quality. Factors related to sleep quality included both personal factors and illness factors. Additionally, the wearable tracker tool showed the possibility to measure the sleep activity accurately and was acceptable by the patients. These findings could help clinician to examine the quality of sleep in patients with stroke.


Faculty of Medicine, Chulalongkorn University



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