Özet:

INTRODUCTION: The aim of this study is to analyse the relation between functional status, sleep quality and depression in hemiplegic patients who had experienced serebrovascular disease (SVD) in last three years. METHODS: 38-85 year-old 42 patients were included in the study. All of the patients were examined and scores of each extremity’s spasticity according to Modified Ashworth Scale (MAS) and upper and lower limb and hand Brunstromme scores were noted. Patient’s functional status was assessed with Functional Independence Measure (FIM), sleep qualities with Pittsburgh Sleep Quality Index (PSQI) and moods with Beck Depression Scale, respectively. RESULTS: The average age was 64.9±11.6 years. Twenty patients (% 47,6) were male, and 22 of them (% 52,4) were female. Mean duration of hemiplegia in patients was 6,9±8,5 months. 40 patients (% 95,2) had ischemic SVD, 2 of them hemorrhagic SVD. The patient’s mean upper, lower limb, and hand Brunstromme scores were 2.43±1.55, and 3.45±1.78, and 2.09±1.57, respectively. MAS mean upper, and lower limb global spasticity scores of the patients were 1.21±1.16, and 0.79±1.12, respectively. Mean FIM, PSQI, and Beck Depression Scale scores were 72.90±29.40, 8.48±4.80 and 15.19±9.12, respectively. There was statistically significant relation between FIM and PSQI scores (p=0.03), FIM and Beck depression scale scores (p<0.005). Also there was statistically significant relation between Beck depression scale scores and PSQI scores (p<0,005). DISCUSSION AND CONCLUSION: We suppose that poor sleep quality and depression effect functional status negatively in hemiplegic patients.

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