Effect of modified attention and interpretation therapy on fatigue and sleep quality in patients with post-stroke hemiplegia

BackgroundPatients with post-stroke hemiplegia are likely to experience fatigue and sleep disorder. Attention and interpretation therapy （AIT） has been shown to promote psychological flexibility， thereby alleviating their stress， improving emotional management and somatopsychic adaptation. Currently， there is a lack of application of AIT in patients with post-stroke hemiplegia.ObjectiveTo explore the effect of modified AIT on fatigue and sleep quality in patients with post-stroke hemiplegia， so as to provide references for physical and mental rehabilitation nursing of post-stroke hemiplegia patients.MethodsA total of 120 patients with post-stroke hemiplegia attending the rehabilitation medicine department of North China University of Science and Technology Affiliated Hospital from August 1， 2021 to June 30， 2022 and fulfilling the Chinese guidelines for diagnosis and treatment of acute ischemic stroke 2018 and the Chinese guidelines for diagnosis and treatment of acute intracerebral hemorrhage 2019 were enrolled. Patients were assigned into two groups using random number table methods， each with 60 cases. Control group was given chronic illness trajectory model-based nursing， while study group received modified AIT intervention. All participants were evaluated using the Chinese version of Neurological Fatigue Index for Stroke （NFI-Stroke） and Pittsburgh Sleep Quality Index （PSQI） at the baseline， after 4 weeks and 8 weeks of intervention.ResultsThe repeated measures ANOVA on PSQI total score and scores on sleep quality， sleep time， sleep duration， sleep efficiency， sleep disturbance and daytime dysfunction revealed a significant group effect， time effect and interaction effect （Fgroup=4.281， 5.598， 8.814， 4.351， 4.302， 4.091， 7.608， Ftime=122.230， 19.698， 19.289， 16.403， 15.421， 28.879， 90.876， Finteraction=19.508， 3.227， 11.586， 5.237， 5.507， 5.799， 3.338， P<0.05）. Significant group effect， time effect and interaction effect were reported on NFI-Stroke total score and scores on physical subscale and cognitive subscale （Fgroup=7.140， 5.466， 5.547， Ftime=362.192， 309.817， 70.888， Finteraction=21.079， 13.430， 13.354， P<0.05）.ConclusionModified AIT may help alleviate fatigue and improve sleep quality in patients with post-stroke hemiplegia.［Fundey by 2022 Medical Science Research Project of Hebei Province （numeber， 20221544）］