Relationship between anxiety and both quality of sleep and stroke-specific quality of life in cerebral infarction patients

Objective:To investigate the correlation between anxiety and both quality of sleep and stroke-specific quality of life of patients with cerebral infarction.Method:One hundred and seventy ischemic stroke patients were divided into anxiety group(98 cases)and non-anxiety group(72 cases)according to their Hamilton anxiety scale(HAMA) scores.After routine treatment of western medicine for 2 weeks,quality of sleep was evaluated with Pittsburgh Sleep Quality Index(PSQI)and stroke-specific quality of life was assessed with Stroke Impact Scale 3.0(SIS 3.0).Correlation analysis was performed between anxiety and both quality of sleep and stroke-specific quality of life.Result:Compared with non-anxiety patients,patients with anxiety had lower scores in memory/thinking dimension of SIS(P0.01)and higher scores in PSQI overall scores and all the factors of PSQI.HAMA overall scores and mental anxiety factor scores were closely related to PSQI overall scores as well as all the factor scores except for medication scores(P0.01,P0.001).Somatic anxiety scores were related to subjective sleep quality,sleep latency,sleep disturbance and daily dysfunction and overall PSQI scores(P0.05,P0.001).HAMA overall scores,mental anxiety and somatic anxiety factor scores were significantly correlated to memory/thinking scores(P0.05,P0.001).HAMA overall scores and somatic anxiety scores were correlated to mobile function and hand function scores(P 0.05,P0.01).Conclusion:Cerebral infarction patients with anxiety had worse quality of sleep and lower stroke-specific quality of life.Stroke-specific quality of life and quality of sleep in cerebral infarction patients were negatively influenced by anxiety.