ORIGINAL RESEARCH article
Front. Psychiatry
Sec. Sleep Disorders
Volume 16 - 2025 | doi: 10.3389/fpsyt.2025.1565412
This article is part of the Research TopicBeyond Rest: Exploring the Bidirectional Relationship and Intersecting Pathways of Sleep and Physical HealthView all 11 articles
The Relationship between Sleep Disorders and Frailty in Stroke Patients: The Mediating Role of Self-efficacy 1
Provisionally accepted
- Shenyang Medical College, Shenyang, China
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Background Stroke patients may have symptoms such as sleep disorders, and the incidence of frailty is much higher than that of non-stroke patients. Self-efficacy can reduce the occurrence of frailty and sleep disorders and help to maintain the health of stroke patients. Objective To investigate the relationship between sleep disorder, self-efficacy and frailty in stroke patients, and to analyse the mediating role of self-efficacy. Methods This study was a cross-sectional study, and 6 "stroke map" sites were selected in Shenyang from June to September 2024. A total of 924 stroke patients were included, and a structural equation model (SEM) was constructed to analyse the mediating effect of self-efficacy on sleep disorders, self-efficacy and frailty in stroke patients. Results The prevalence of debilitation in stroke patients was 46.2%. Sleep disorders were positively correlated with frailty (P＜ 0.01) and negatively correlated with self-efficacy. Self-efficacy is negatively correlated with frailty, which is the intermediary between sleep disorders and frailty. Conclusion The prevalence of frailty in stroke patients is high. Sleep disorders are highly correlated with frailty, and self-efficacy plays a mediating role between sleep disorders and frailty, which can reduce the impact of sleep disorders on frailty development.
Keywords: stroke patients1, sleep disorders2, self-efficacy3, Frailty4, structural equation model5
Received: 23 Jan 2025; Accepted: 28 May 2025.
Copyright: © 2025 niu, liu, lin, gu and zhao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: li zhao, Shenyang Medical College, Shenyang, China
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