INSOMNIA AS A RISK FACTOR OF STROKE DEVELOPMENT
DOI:
https://doi.org/10.11603/1681-2786.2021.2.12375Keywords:
stroke, insomnia, risk factors, insomnia severity indexAbstract
Purpose: to study the effect of sleep disorders on the development of stroke (MI).
Materials and Methods. A survey of 98 patients with MI to study the impact of sleep disorders on the development of MI in the stroke department and in the intensive care unit and crisis conditions of the Municipal Non-Profit Enterprise «Ternopil Regional Clinical Psychoneurological Hospital» Ternopil Regional Council (KNP «TOKPNL» TOR). The state of sleep disorders was studied using the Pittsburgh Sleep Quality Questionnaire (PSQI) and the Insomnia Severity Index (ISI).
Results. It was found that in one third of elderly patients (34.4 %) night sleep lasted less than 7 hours, the index of insomnia severity was 16.13 ± 1.25 points (moderate sleep disorders) and the proportion of moderate sleep disorders prevailed (43.75 ± 1.04 %) and the presence of severe sleep disorders (18.75 ± 1.66 %) was noted. Patients older than 60 years were the largest group with detected MI (65.3 %), while hypertension was detected in them in 68.8 % of cases, which indicates the impact of sleep disorders on the development of hypertension and MI.
Treatment of sleep disorders should be part of the prevention of cardiovascular disease, cerebrovascular disease and stroke. According to leading experts, it is best to use cognitive-behavioral therapy to treat sleep disorders.
Conclusions. Given the proven impact of sleep disorders (insomnia) on the development of cerebrovascular diseases, it is necessary to introduce a number of informational and educational measures in the public health system in order to prevent them and improve the level of knowledge about psychological education / sleep hygiene. In order to identify and correct misconceptions about sleep and misconceptions about insomnia and its consequences, consult a psychologist or psychotherapist for patients with hypertension, people over 60 years and all patients who complain of sleep disorders.
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