ABSTRACT
Background: Sleep disturbances are common among stroke survivors and can significantly impact their overall well-being and quality of life. While previous research has highlighted various factors associated with sleep disturbances in stroke survivors, there remains a need to comprehensively examine the predictors of sleep quality in this population. Aims: To investigate the predictors of quality of sleep among stroke survivors. Methods: This was a cross-sectional study with fifty-five (55) participants aged 18 and above. Participants were recruited using a purposive sampling technique. Socio-demographic, strokerelated, clinical and psychosocial variables were assessed. Pittsburgh Sleep Quality Index was used to assess sleep quality. Clinical and psychosocial variables such as motor function, cognition, balance, stroke severity, self-efficacy, self-esteem, depression, anxiety, and perceived stress were measured using standardized tools. Descriptive statistics and inferential statistics of Chi-square, Spearman ranks test and Multiple logistic regression were used to analyse the data with alpha level set at <0.05. Results: Majority of the respondents 42 (76.4%) had poor sleep quality. The average PSQI of the respondents was 9.22 (±4.62). There was a significant relationship between comorbidities (X2=5.813, p=0.011), NIHSS score (severity of stroke) (r=0.295, p=0.029), MAS score (motor function) (r=-0.348, p=0.009), BBS score (balance) (r= -0.483, p=<0.001), SSEQ score (selfefficacy) (r=-0.506, p=<0.001), RSES score (self-esteem) (r=-0.506, p=<0.001), PHQ-9 score (depression) (r=0.427, p=<0.001), HADS score (anxiety) (r=0.405, p=0.002), PSS score (perceived stress) (r=0.437, p=<0.001) and sleep quality. Duration of stroke (B=1.116, P=0.008) and Anxiety (B=0.811, p=0.021) emerged as significant predictors of sleep quality among the participants. Conclusion: Majority of stroke survivors had poor sleep quality. Anxiety and duration of stroke emerged as significant predictors of sleep quality among stroke survivors. Keywords: Sleep quality, Stroke survivors, Cerebrovascular Accident
