The effect of sleep hygiene education for improving sleep quality among patients with stroke: A systematic review

Abstract

Background: One of the problems experienced by stroke sufferers is sleep problems. Stroke patients report having difficulty sleeping about 50% of the time in the early months after a stroke. Cognitive behavioral therapy (CBT) including sleep hygiene, controlling environmental stimuli, sleep restriction, positioning therapy, and educational management are some of the methods used to treat sleep problems.

Purpose: To determine sleep hygiene education on the outcomes of cognitive behavioral therapy in stroke patients with sleep disorders.

Method: Systematic review research using the Covidence application in the data extraction process. The framework used in this paper uses PICO, so the researchers set the research question in this systematic review as "Is sleep hygiene more effective than no sleep hygiene for sleep disorders in stroke patients?". Literature searches were carried out from Scopus, Wiley, Sciencedirect, Sage, Embase, Pubmed, Proquest and Medline for articles published up to March 19, 2023.

Results: Three articles were included in this systematic review. All three articles provide sleep hygiene education on sleep-related cognitive behavioral therapy to help improve sleep disorders after stroke.

Conclusion: Sleep hygiene education in cognitive behavioral therapy significantly improves sleep quality in stroke patients, but long-term studies are needed to test further significance.