Relationship Between Physiological Factors, Emotional Status and Daily Activities With Sleep Quality in Spinal Cord Injury

Abstract

Background and Objectives: Generally, spinal cord injuries can lead to functional limitations and restrict participation in different areas of occupations. One of the areas of occupations that are less considered is rest and sleep. The aim of this study was to investigate the relationships between physiological, emotional status and daily activities, and sleep quality in patients with spinal cord injury. Methods: The present study was a cross-sectional analytical study that was conducted in 2019-2020. The statistical population of this study was patients with spinal cord injury referring to the occupational therapy clinics in Tehran and Karaj as well as hospitalized patients and daily patients referring to the Kahrizak care unit in Alborz province. The sample size was considered 100 spinal cord injury patients who were randomly selected. Data were collected using Pittsburgh Sleep Quality Questionnaire, STOP-BANG Respiratory Apnea Probability Questionnaire, Beck Anxiety and Depression Questionnaire, Pain Scale, and Barthel Questionnaire. Results: The results showed that there was a significant relationship between the risk factors of respiratory apnea, anxiety, depression, pain, the time elapsed after the accident and functional mobility, and sleep quality (P≤0.05). Conclusion: Sleep quality in patients with spinal cord injury is low and is significantly associated with factors, such as the likelihood of respiratory apnea, pain, mood factors anxiety and depression, muscle tone, functional mobility, and independence in daily activities